1/8. Androgen-producing, atypically proliferating endometrioid tumor arising in endometriosis.A case of androgen-secreting borderline endometrioid tumor arising in endometriosis of the rectovaginal septum is presented. It occurred 10 years after total abdominal hysterectomy and bilateral salpingo-oophorectomy for extensive endometriosis of the fallopian tubes and ovaries, adenomyosis, and leiomyomas of the uterus. We believe 7 years of unopposed continuous oral estrogen replacement therapy contributed to the malignant transformation of the endometriosis.- - - - - - - - - - ranking = 1keywords = fallopian tube, tube (Clic here for more details about this article) |
2/8. celiac disease as a cause of chronic pelvic pain, dysmenorrhea, and deep dyspareunia.BACKGROUND:celiac disease may be subclinical and difficult to diagnose in adults. It has been associated with infertility and miscarriage but rarely with other gynecologic symptoms.CASE:A 43-year-old woman complaining of chronic abdominal and pelvic pain, deep dyspareunia, dysmenorrhea, diarrhea, and a 5-kg weight loss during the last 6 months was referred to our institution. Laboratory and clinical examinations were negative. At laparoscopy, numerous small leiomyomata were seen. A few filmy adhesions between the small bowel and the abdominal wall were lysed. With the exception of deep dyspareunia, all symptoms remitted after surgery, only to recur at 6 months of follow-up. A diagnostic work-up for celiac disease revealed the presence of antigliadin and antiendomysial antibodies. The diagnosis was confirmed at gastroduodenoscopy including biopsy. A gluten-free diet was prescribed, and the patient is now free of symptoms.CONCLUSION:celiac disease should be considered in women presenting with unexplained chronic pelvic pain, dysmenorrhea, and deep dyspareunia.- - - - - - - - - - ranking = 0.0097970722622767keywords = disease (Clic here for more details about this article) |
3/8. Hypnotherapy as a treatment for vulvar vestibulitis syndrome: a case report.The effectiveness of hypnotherapy in alleviating pain has been demonstrated with several disorders and diseases involving acute and chronic pain. Although hypnosis has been suggested as treatment for dyspareunia resulting from vulvar vestibulitis syndrome (VVS), empirical data and case reports showing its effectiveness have been lacking. This article presents a case report on the use of hypnotherapy to treat a 26-year-old woman suffering from VVS. psychotherapy consisted of twelve sessions, of which eight were devoted to hypnosis. The goal of hypnosis was to help the client decrease her anticipatory anxiety, create a positive association of pleasure with intercourse, and create a sense of control over her pain. Despite having persistent pain during intercourse for 3 years with several partners, she experienced no more pain following treatment, and remained pain free at a 12-month follow up.- - - - - - - - - - ranking = 0.0013995817517538keywords = disease (Clic here for more details about this article) |
4/8. Mature cystic teratoma of the fallopian tube.A mature cystic teratoma within the fallopian tube was discovered at the time of laparoscopy for dysmenorrhea, dyspareunia, and infertility. A linear salpingostomy was performed with fulguration of the pedicle attaching the mass to the fallopian tube and removal of the dermoid cyst.- - - - - - - - - - ranking = 6keywords = fallopian tube, tube (Clic here for more details about this article) |
5/8. Complications of laser therapy in the gynecological patient: a review of four patients.Complications of gynecological laser treatment for perineal disease have been seen with increasing frequency. This may be the result of more women undergoing therapy with this method. Four women presenting with unstable perineal scarring are discussed.- - - - - - - - - - ranking = 0.0013995817517538keywords = disease (Clic here for more details about this article) |
6/8. Can ciguatera be a sexually transmitted disease?Ciguatera is a type of food poisoning associated with the consumption of contaminated marine fish. We report two cases in which painful ejaculation in an affected male and dyspareunia in an unaffected female following her partner's ejaculation suggest the sexual transfer of the responsible agent, ciguatoxin (CTX). immunoassay of semen samples for CTX were not diagnostic, but the sensitivity and timing of the test employed may have precluded detection of small quantities of the toxin. We conclude that CTX may be present in the semen of men affected with ciguatera toxicity and be capable of producing symptomatology in both males and females during sexual intercourse.- - - - - - - - - - ranking = 0.0055983270070152keywords = disease (Clic here for more details about this article) |
7/8. Occult retrocervical endometriosis. A case report.BACKGROUND: The retrocervical area of the pelvis is a particularly strategic location for dyspareunia-producing endometriotic lesions. Because this area is often hidden from view by the cervical bulge, it is necessary that close attention be paid to locating occult disease. CASE: A 35-year-old, white female underwent repeat laparoscopy for persistent dyspareunia. Occult retrocervical disease was found and exercised. CONCLUSION: Incomplete treatment may result if this area is not examined and biopsied.- - - - - - - - - - ranking = 0.0027991635035076keywords = disease (Clic here for more details about this article) |
8/8. sjogren's syndrome in women presenting with chronic dyspareunia.OBJECTIVE: To identify cases of sjogren's syndrome among women with chronic dyspareunia who did not already have a diagnosed rheumatological disorder. DESIGN: Prospective recruitment over 12 months. SETTING: Tertiary referral service for the assessment of vulval disease. PARTICIPANTS: women with chronic dyspareunia who had musculoskeletal symptoms, Raynaud's phenomenon or symptoms of ocular or oral dryness. methods: The women underwent a Schirmer tear test and a comprehensive auto-antibody screen including latex fixation test for rheumatoid factor, antinuclear, anti-Ro, anti-La and anti-salivary duct antibodies. A labial salivary gland biopsy and vaginal biopsy were taken for routine histological analysis. MAIN OUTCOME MEASURES: Cases of definite and probable sjogren's syndrome were identified using the European criteria. RESULTS: Eleven women were assessed for features of sjogren's syndrome. Four had definite primary Sjogren's syndrome, two had probable primary sjogren's syndrome and one had probable secondary sjogren's syndrome. Among these seven women the median duration of vaginal symptoms was seven years (range 0.25-20), of ocular symptoms was one year (range 0.25-2) and of oral symptoms was 1.5 years (range 0-6). In all but one woman dyspareunia presented before ocular or oral symptoms, often by many years. CONCLUSIONS: Although well-recognised as a feature of established sjogren's syndrome, this study emphasises that chronic dyspareunia can be a presenting feature in these women, antedating the emergence of ocular or oral symptoms by many years. Symptoms of ocular or oral dryness, Raynaud's phenomenon or musculoskeletal symptoms should be sought in women with chronic dyspareunia to identify those who merit further investigation.- - - - - - - - - - ranking = 0.0013995817517538keywords = disease (Clic here for more details about this article) |