Diagnóstico inicial de endometriosis en mujeres de edad fértil que padecen dolor pélvico crónico en atención primaria de salud.

Abstract

Introduction: Endometriosis, first described in 1860, is a chronic inflammatory disease, common in women of childbearing age, characterized by the implantation and growth of endometrial tissue outside the uterine cavity; affecting 30% to 80% of women with chronic pelvic pain. Objective: To describe the initial diagnosis of endometriosis in women of childbearing age suffering from chronic pelvic pain in primary health care. Materials and methods: An exhaustive search of high impact scientific books and articles, published through the PubMed, Google Academic and Cochrane databases in the last five years was conducted. Results: 22 scientifically significant bibliographies were obtained. The review revealed that a good clinical history and a careful pelvic examination are vital for diagnostic suspicion and timely therapeutic intervention; however, the aid of imaging methods and laparoscopy in conjunction with a histopathological examination will confirm the disease. Conclusion: The initial diagnosis of endometriosis, lies mainly in being a clinical diagnosis of exclusion, there is greater suspicion in women with chronic pelvic pain, dysmenorrhea, dyspareunia and infertility. In primary health care, sufficient importance should be given to the chronic pelvic pain referred by the users and to deepen its investigation, because it delays the initial diagnosis of endometriosis and therefore the timely therapeutic intervention.