| ljenkinss | Дата: Суббота, 16.11.2013, 08:38 | Сообщение # 1 |
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Endometriosis occurs in 7-10% of women in the general population.2 It is an estrogen-dependent disease and, thus, usually affects reproductive-aged women. Endometriosis has a prevalence rate of 20-50% in infertile women3,4,5 and as high as 80% in women with chronic pelvic pain.6 Evidence of endometriosis was found during laparoscopy in 20-50% of asymptomatic women.7 Approximately 4 per 1000 women are hospitalized with endometriosis each year. A familial association exists, with a 10-fold increased incidence in women with an affected first-degree relative.8 Monozygotic twins are markedly concordant for endometriosis.9 <a href=http://buymedsonline.org/products/buy-antabuse-online.htm>order antabuse</a>
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Treatment modalities, such as the carbon dioxide laser, destroy or excise infected cells, thus reducing the amount of infected tissue and, presumably, the host viral load. The subsequent healing process of the host stimulates viral combat at the surgical site. <a href=http://buymedsonline.org/products/buy-confido-online.htm>order confido</a>
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o The differential diagnosis includes the chancre of syphilis. Gonorrhea and chlamydia infection can cause a similar type of discharge, although ulceration in these conditions is uncommon. Syphilis, gonorrhea, and chlamydia infection may coexist with HSV-2 infection. Women with primary genital herpes involving the cervix should be started on antiviral therapy. <a href=http://buymedsonline.org/products/buy-diovan-online.htm>Source</a>
o The disease is unusual in women; therefore, vulvar lesions are poorly described.63 Red crusted plaques associated with vaginal discharge, circinate erosions, or linear ulcers associated with verrucous lesions and pustules have been observed.64 <a href=http://buymedsonline.org/products/buy-famvir-online.htm>order famvir</a>
When present in the cervix, endometriosis is usually an incidental finding. However, it may present as a mass or abnormal bleeding, particularly postcoital. Grossly, it may appear as a bluish-red or bluish-black lesion, typically 1-3 mm in diameter. Diagnosis is made by colposcopy and colposcopically directed biopsy but at times is difficult.33 Microscopically, the implants are typical endometriosis, consisting of endometrial glands, endometrial stroma, and hemosiderin-laden macrophages. The implants usually gain access to the cervix during childbirth or previous surgery. Management is expectant in almost all instances.34 <a href=http://buymedsonline.org/products/buy-avapro-online.htm>have a peek here</a>
First diagnosed in 1951 on hysterosalpingography, SIN affects about 5% of young women, with a mean age of 26 years, and is more common in the Jamaican population. It is bilateral in about 85% of cases. The etiology of SIN is unknown, but it is thought to be an inflammatory condition of the fallopian tubes most likely acquired during the reproductive years as a consequence of an infection. However, a direct association with an infective process has yet to be proven. Patients usually have histologic evidence of previous salpingitis, may have high serum chlamydial antibody titers, and may have the presence of the major outer membrane protein of C trachomatis in the involved tube.87 Creasy et al found that 89% of the tubes involved with SIN had evidence of an associated inflammation on historic, radiologic, surgical, or histologic grounds. They concluded that SIN is a condition that either is a direct consequence of an infection or predisposes the patient to subsequentinfections.88 <a href=http://buymedsonline.org/products/buy-ilosone-online.htm>ilosone</a>
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