Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.

Endometriosis is a condition that determines the presence of functionally active glands and endometrial stroma outside the uterus, causing a chronic inflammation in these tissues. The prevalence of endometriosis varies between 5-10% for all women, 20-25% for gynecological patients and reaches 45-50%...

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Main Authors: M. V. Medvedev, D. A. Pokrovenko
Format: Article
Language:English
Published: Dnipro State Medical University 2019-04-01
Series:Medičnì Perspektivi
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Online Access:http://journals.uran.ua/index.php/2307-0404/article/view/162173
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author M. V. Medvedev
D. A. Pokrovenko
author_facet M. V. Medvedev
D. A. Pokrovenko
author_sort M. V. Medvedev
collection DOAJ
description Endometriosis is a condition that determines the presence of functionally active glands and endometrial stroma outside the uterus, causing a chronic inflammation in these tissues. The prevalence of endometriosis varies between 5-10% for all women, 20-25% for gynecological patients and reaches 45-50% for women with infertility. The true frequency of endometriosis is not definitely known, and its growth over the past decades is associated with both the increasing frequency of the disease and the improvement of its diagnosis. Endometriosis occurs irrespective of ethnicity and race, socioeconomic conditions, at any age. Diagnosis of external genital endometriosis includes patients’ complaints, clinical examination, ultrasound examination, sometimes magnetic resonance imaging. Much has been done to understand the mechanisms of endometriosis, but still the "gold standard" of diagnosis is invasive methods, especially laparoscopy. An early diagnosis will allow to timely develop treatment tactic aimed at treating endometriosis and preventing its further spread and recurrence. The search for possible biomarkers for the diagnosis of endometriosis continues. Among non-invasive methods, the most promising for future study and research is the microRNA and long non-coding RNA. Molecular genetic methods in achieving good sensitivity and specificity results will be able to improve the results of infertility treatment associated with endometriosis through earlier treatment including surgery. In addition, various research groups have high expectations regarding the role of microRNA and long non-coding RNA chains in evaluating the effectiveness of drug therapy. The purpose of this review was to collect and analyze data from the world’s literature, search for new non-invasive markers for diagnosing this disease at the preclinical stages, as well as predicting the response to hormone therapy.
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spelling doaj-art-7f62fe4f3045447bb76f3ac1f7796da72025-01-02T01:46:37ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042019-04-01241213010.26641/2307-0404.2019.1.162173162173Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.M. V. MedvedevD. A. PokrovenkoEndometriosis is a condition that determines the presence of functionally active glands and endometrial stroma outside the uterus, causing a chronic inflammation in these tissues. The prevalence of endometriosis varies between 5-10% for all women, 20-25% for gynecological patients and reaches 45-50% for women with infertility. The true frequency of endometriosis is not definitely known, and its growth over the past decades is associated with both the increasing frequency of the disease and the improvement of its diagnosis. Endometriosis occurs irrespective of ethnicity and race, socioeconomic conditions, at any age. Diagnosis of external genital endometriosis includes patients’ complaints, clinical examination, ultrasound examination, sometimes magnetic resonance imaging. Much has been done to understand the mechanisms of endometriosis, but still the "gold standard" of diagnosis is invasive methods, especially laparoscopy. An early diagnosis will allow to timely develop treatment tactic aimed at treating endometriosis and preventing its further spread and recurrence. The search for possible biomarkers for the diagnosis of endometriosis continues. Among non-invasive methods, the most promising for future study and research is the microRNA and long non-coding RNA. Molecular genetic methods in achieving good sensitivity and specificity results will be able to improve the results of infertility treatment associated with endometriosis through earlier treatment including surgery. In addition, various research groups have high expectations regarding the role of microRNA and long non-coding RNA chains in evaluating the effectiveness of drug therapy. The purpose of this review was to collect and analyze data from the world’s literature, search for new non-invasive markers for diagnosing this disease at the preclinical stages, as well as predicting the response to hormone therapy.http://journals.uran.ua/index.php/2307-0404/article/view/162173external genital endometriosismechanisms of endometriosis developmentepigeneticmicroRNAlong non-coding RNA
spellingShingle M. V. Medvedev
D. A. Pokrovenko
Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.
Medičnì Perspektivi
external genital endometriosis
mechanisms of endometriosis development
epigenetic
microRNA
long non-coding RNA
title Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.
title_full Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.
title_fullStr Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.
title_full_unstemmed Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.
title_short Modern view on the etiology, pathogenesis and possibilities of diagnostics of external genital endometriosis.
title_sort modern view on the etiology pathogenesis and possibilities of diagnostics of external genital endometriosis
topic external genital endometriosis
mechanisms of endometriosis development
epigenetic
microRNA
long non-coding RNA
url http://journals.uran.ua/index.php/2307-0404/article/view/162173
work_keys_str_mv AT mvmedvedev modernviewontheetiologypathogenesisandpossibilitiesofdiagnosticsofexternalgenitalendometriosis
AT dapokrovenko modernviewontheetiologypathogenesisandpossibilitiesofdiagnosticsofexternalgenitalendometriosis