European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Apr 2009
Case ReportsSuccessful treatment of refractory endometriosis-related chronic pelvic pain with aromatase inhibitors in premenopausal patients.
Not every patient with endometriosis responds to currently recommended conventional medical treatment regimens. The objective of this study was to determine the efficacy and side effects of aromatase inhibitors in the treatment of premenopausal patients with endometriosis associated with chronic pelvic pain refractory to conventional treatment. ⋯ Aromatase inhibitors are beneficial in premenopausal women with chronic pelvic pain secondary to refractory endometriosis without compromising fertility and with minimal side effects. Further cohort and comparative studies are needed to confirm these observations.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Apr 2009
A score-based method to improve the quality of emergency gynaecological ultrasound examination.
The quality of ultrasound (US) examination in the setting of a gynaecological emergency consultation is variable. Our aims were to develop and evaluate the feasibility of an image-based scoring method for the evaluation of standardised gynaecological images in this context. ⋯ A quality control policy for gynaecological emergencies based on image scoring is feasible and allows for good inter- and intra-reviewer reproducibility. A policy of this nature is likely to improve the quality of emergency gynaecological ultrasound examination.