S

•Nyeri di perut bagian bawah dan di daerah panggul, menstruasi yang tidak teratur (misalnya spotting sebelum menstruasi), kemandulan, dispareunia (nyeri ketika melakukan hubungan seksual), pembengkakan perut, nyeri ketika buang air besar, perdarahan melalui rektum selama menstruasi atau nyeri perut bagian bawah ketika berkemih,nyeri perut tajam yang timbul secara tiba-tiba. Kadang tidak ditemukan gejala sama sekali.

O

•Pada pemeriksaan panggul akan teraba adanya benjolan lunak yang seringkali ditemukan di dinding belakang vagina atau di daerah ovarium.

A

•Endometriosis

P

•Diagnostik: pelvic exam, pelvic laparoscopy, transvaginal ultrasound, biopsi endometrium, USG rahim, barium enema, CT scan atau MRI abdomen.

•Terapi: Pengobatan Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) and naproxen (Aleve), acetaminophen (Tylenol), or prescription painkillers to relieve cramping and pain; progesterone pills or injections; gonadotropin agonist drugs and include nafarelin acetate (Synarel) and Depo Lupron. Pembedahan Pelvic laparoscopy or laparotomy.

Dafpust• Lobo R. Endometriosis: etiology, pathology, diagnosis, management. In: Katz VL,

Lentz GM, Lobo RA, Gershenson DM.Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap. 19.

• Mounsey AL. Diagnosis and management of endometriosis. Am Fam Physician. 2006;74(4):594-600. [PubMed]

• Davis L, Kennedy S. Modern combined oral contraceptives for pain associated with endometriosis. Cochrane Database Syst Rev. 2007;(3):CD001019. [PubMed]

• Levy BS. The complex nature of chronic pelvic pain. J Fam Pract. 2007;56:S16-S17. [PubMed]

• Bulun SE. Endometriosis. N Engl J Med. 2009;360:268-279. [PubMed]• Jacobson TZ, Barlow DH, Koninckx PR, Olive D, Farquhar C. Laparoscopic surgery for

subfertility associated with endometriosis. Cochrane Database Syst Rev;2002;(4):CD001398. [PubMed]

• http://id.wikipedia.org/wiki/Endometriosis• http://medicastore.com/penyakit/102/Endometriosis.html