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Endometriosis : NICE Guidance ( Summary )

The table below summarizes key guidelines from the NICE guideline [NG73] on "Endometriosis: diagnosis and management," initially published on September 6, 2017, and last updated on April 16, 2024.


This guideline provides comprehensive recommendations aimed at assisting primary care clinicians in the effective identification, diagnosis, and management of endometriosis. It addresses various aspects of the condition, including the initial suspicion based on specific symptoms, the importance of symptom tracking, detailed physical examinations, and the criteria for referring patients to specialized gynecology or endometriosis services. Additionally, the guideline outlines the diagnostic procedures, including the use of ultrasound and MRI, and discusses the use of serum CA125 levels in the context of endometriosis. This structured approach is designed to enhance the timely and accurate diagnosis of endometriosis, improve treatment outcomes, and inform clinicians about when and how to escalate care to ensure that patients receive the most appropriate interventions based on their symptoms and clinical findings.


StepActionDetails
1.3.1 Suspecting EndometriosisSuspect endometriosis if presenting symptoms include:• Chronic pelvic pain
• Period-related pain impacting daily activities
• Deep pain during or after intercourse
• Cyclical gastrointestinal symptoms, especially painful bowel movements
• Cyclical urinary symptoms, especially with blood in urine...

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