The “capital sins” that prevent an adequate diagnosis and treatment of endometriosis in women is the subject of an article that has just been published in the Journal of Clinical Medicine, authored by 10 of the world's leading specialists in this disease, including António Setúbal , director of the Gynecology-Obstetrics service at Hospital da Luz Lisboa. The reflections made in the article are based on “the sum of the individual experiences of the authors” and other specialists with published data, covering “more than 50,000 treatments” . The article – entitled “The 10 ‘Cardinal Sins’ in the Clinical Diagnosis and Treatment of Endometriosis: A Bayesian Approach – was co-authored by Philippe R. Koninckx, Anastasia Ussia, Stephan Gordts, Jörg Keckstein, Ertan Saridogan, Mario Malzoni , Assia Stepanian, António Setúbal, Leila Adamyan and Arnaud Wattiez. All of them are surgeons, work in reference hospital centers in the treatment of endometriosis and have already treated around 35,000 women with this disease. Based on their experience and on the analysis of other cases that came to their knowledge, they identify in this article “the most frequent mistakes and challenges in endometriosis management”. The conclusions, they add, also "reflect the authors' discussions during events, meetings and live surgeries". Among the 'cardinal sins', they mention, for example: To consider endometriosis as one homogeneous disease; Diagnostic inaccuracy in clinical and imaging exams. The use of medical therapy to avoid surgery in scenarios that even require surgical intervention; The dogma of the complete excision of endometriosis. Endometriosis is a chronic disease in which tissue similar to the lining of the uterus develops outside. In extra-uterine locations, this tissue undergoes transformations similar to those that occur in the uterus during the menstrual cycle, which more cause pain, infertility and serious complications involving other organs. Endometriosis affects between 10 to 15% of women of fertile age, but is often underdiagnosed or late diagnosed, due to the tendency to undervalue the pain and discomfort caused, mostly during menstruation. Read the article: The 10 “Cardinal Sins” in the Clinical Diagnosis and Treatment of Endometriosis: A Bayesian Approach
