{"id":341,"date":"2022-11-10T16:16:07","date_gmt":"2022-11-10T15:16:07","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/gynecologie\/?page_id=341"},"modified":"2022-11-10T16:16:07","modified_gmt":"2022-11-10T15:16:07","slug":"endometriose","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/gynecologie\/endometriose\/","title":{"rendered":"Endom\u00e9triose"},"content":{"rendered":"
[vc_row][vc_column][vc_column_text]Le r\u00f4le du m\u00e9decin est de s’adapter au probl\u00e8me pos\u00e9 par chaque femme qui souffre d’endom\u00e9triose.[\/vc_column_text][vc_column_text]Nos sp\u00e9cialistes pour la prise en charge de cette pathologie sont le Pr Xavier Fritel, le Dr Caroline Carlier-Gu\u00e9rin, le Dr Am\u00e9lie Charveriat.[\/vc_column_text][vc_text_separator title=\u00a0\u00bbPrise en charge pluridisciplinaire\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb][vc_row_inner content_placement=\u00a0\u00bbmiddle\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text]Les patientes b\u00e9n\u00e9ficient d’une prise en charge en partenariat avec les diff\u00e9rentes \u00e9quipes de la m\u00e9decine de la reproduction<\/strong>, du centre anti-douleur<\/strong>, de chirurgie visc\u00e9rale ou urologique<\/strong>.<\/p>\n

Ces intervenants se retrouvent tous les 15 jours pour proposer une prise en charge sp\u00e9cifique<\/strong> et adapt\u00e9e au besoin de la patiente.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2″ css=\u00a0\u00bb.vc_custom_1666797531257{padding: 10px !important;background-color: #ecf2f4 !important;}\u00a0\u00bb][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-handshake-o\u00a0\u00bb color=\u00a0\u00bbblack\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666797576188{margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text css=\u00a0\u00bb.vc_custom_1666797538443{margin-bottom: 10px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb]\n

Le Pr Xavier Fritel, coordinateur de recommandations nationales sur la prise en charge des femmes atteintes d’endom\u00e9triose, a cr\u00e9\u00e9 au CHU de Poitiers une \u00e9quipe compos\u00e9e de plusieurs professionnels de sant\u00e9 sp\u00e9cialis\u00e9s dans cette maladie.<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_video link=\u00a0\u00bbhttps:\/\/www.youtube.com\/watch?v=RCXR1TFWcpg\u00a0\u00bb el_width=\u00a0\u00bb60″ align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1668008556414{margin-top: 30px !important;margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text]\n

La minute RECO | Endom\u00e9triose : individualiser la prise en charge | Haute Autorit\u00e9 de sant\u00e9<\/em><\/p>\n[\/vc_column_text][vc_text_separator title=\u00a0\u00bbConna\u00eetre la maladie\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666798051945{margin-top: 20px !important;}\u00a0\u00bb][vc_column_text]La pr\u00e9valence de l’endom\u00e9triose reste mal connue<\/strong>, car elle n’est pas toujours pathologique, que toutes les femmes symptomatiques ne consultent pas, et que la maladie est profonde, ce qui rend le diagnostic complexe<\/strong>.[\/vc_column_text][vc_row_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-arrows\u00a0\u00bb color=\u00a0\u00bbblack\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666797830393{margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text]\n

Origine multifactorielle, r\u00e9sultat de facteurs g\u00e9n\u00e9tiques et environnementaux<\/p>\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2″][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-exclamation-circle\u00a0\u00bb color=\u00a0\u00bbblack\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666797853706{margin-bottom: 5px !important;border-bottom-width: 0px !important;padding-bottom: 0px !important;}\u00a0\u00bb][vc_column_text]\n

Pas de d\u00e9pistage syst\u00e9matique<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\u00a0\u00bbSympt\u00f4mes\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666798139938{margin-top: 20px !important;}\u00a0\u00bb][vc_column_text]\n

    \n
  • Douleurs de r\u00e8gles intenses<\/li>\n
  • Douleur pendant les rapports sexuels<\/li>\n
  • Douleur \u00e0 la d\u00e9f\u00e9cation<\/li>\n
  • Signes urinaires pendant les r\u00e8gles<\/li>\n
  • Infertilit\u00e9<\/li>\n<\/ul>\n[\/vc_column_text][vc_text_separator title=\u00a0\u00bbExamens de diagnostic\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666798224393{margin-top: 20px !important;}\u00a0\u00bb][vc_column_text]\n

    Examen clinique et \u00e9chographie pelvienne<\/strong><\/p>\n

    Les r\u00e9sultats de ces examens peuvent \u00eatre normaux, m\u00eame en cas d’endom\u00e9triose.<\/em><\/p>\n[\/vc_column_text][vc_column_text]\n

    Examens compl\u00e9mentaires
    \n<\/strong><\/p>\n

    Aucun examen compl\u00e9mentaire n’est sensible* ou sp\u00e9cifique** \u00e0 100%.
    \nLa hi\u00e9rarchie diagnostique varie selon la situation clinique et l’offre de soins disponible localement.
    \n<\/em><\/p>\n

    * la sensibilit\u00e9 mesure les chances de d\u00e9tecter l’endom\u00e9triose quand elle existe
    \n** la sp\u00e9cificit\u00e9 mesure les chances que l’anomalie d\u00e9tect\u00e9e corresponde r\u00e9ellement \u00e0 une endom\u00e9triose[\/vc_column_text][vc_text_separator title=\u00a0\u00bbPrise en charge\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1666798232800{margin-top: 20px !important;}\u00a0\u00bb][vc_column_text]L’endom\u00e9triose n’est prise en charge que si elle est symptomatique<\/strong> ou qu’elle alt\u00e8re le fonctionnement d’un organe<\/strong>.<\/p>\n

    Les m\u00e9decins sont invit\u00e9s \u00e0 informer les patientes sur les alternatives th\u00e9rapeutiques, les b\u00e9n\u00e9fices et les risques attendus de chacun des traitements, le risque de r\u00e9cidive, la fertilit\u00e9 et prendre en compte les attentes et les pr\u00e9f\u00e9rences de la femme.[\/vc_column_text][vc_row_inner content_placement=\u00a0\u00bbtop\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/6″][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-medkit\u00a0\u00bb color=\u00a0\u00bbblack\u00a0\u00bb align=\u00a0\u00bbright\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb5\/6″][vc_column_text]\n

    Traitement hormonal
    \n<\/strong><\/p>\n

    Toutes les contraceptions hormonales (pilule, DIU au l\u00e9vonorgestrel, implant, anneau) ont une certaine efficacit\u00e9 sur la douleur.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\u00a0\u00bbtop\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/6″][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-child\u00a0\u00bb color=\u00a0\u00bbblack\u00a0\u00bb align=\u00a0\u00bbright\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb5\/6″][vc_column_text]\n

    Th\u00e9rapie physique
    \n<\/strong><\/p>\n

    Acupuncture, ost\u00e9opathie, yoga
    \nEn compl\u00e9ment du traitement m\u00e9dical[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\u00a0\u00bbtop\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/6″][vc_icon icon_fontawesome=\u00a0\u00bbfa fa-scissors\u00a0\u00bb color=\u00a0\u00bbblack\u00a0\u00bb align=\u00a0\u00bbright\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb5\/6″][vc_column_text]\n

    Traitement chirurgical
    \n<\/strong><\/p>\n

    Propos\u00e9 lorsque le traitement hormonal n’est pas efficace ou en cas d’association de douleur et d’infertilit\u00e9.<\/p>\n

    Par c\u0153lioscopie dans la majorit\u00e9 des cas.<\/p>\n

    N\u00e9cessite des examens compl\u00e9mentaires de localisations multiples ou visc\u00e9rales de l’endom\u00e9triose.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\u00a0\u00bb.vc_custom_1668008302169{margin: 10px !important;padding: 10px !important;background-color: #ecf2f4 !important;}\u00a0\u00bb]\n

    Aucune \u00e9tude ne compare sur le long-terme les b\u00e9n\u00e9fices du traitement m\u00e9dical hormonal et du traitement chirurgical de l’endom\u00e9triose. Les \u00e9quipes sp\u00e9cialis\u00e9es en endom\u00e9triose discutent des cas complexes en r\u00e9union de concertation pluridisciplinaire.<\/p>\n[\/vc_column_text][vc_text_separator title=\u00a0\u00bbEndom\u00e9triose et FIV\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1668008323554{margin-top: 20px !important;}\u00a0\u00bb][vc_column_text]Les \u00e9tudes ne montrent pas d’aggravation des sympt\u00f4mes douloureux associ\u00e9s aux l\u00e9sions d’endom\u00e9triose, ni d’acc\u00e9l\u00e9ration de son \u00e9volution ou d’augmentation du taux de r\u00e9cidive de la maladie en cas de FIV.[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

    [vc_row][vc_column][vc_column_text]Le r\u00f4le du m\u00e9decin est de s’adapter au probl\u00e8me pos\u00e9 par chaque femme qui souffre d’endom\u00e9triose.[\/vc_column_text][vc_column_text]Nos sp\u00e9cialistes pour la prise en charge de cette pathologie sont le Pr Xavier Fritel, le Dr Caroline Carlier-Gu\u00e9rin, le Dr Am\u00e9lie Charveriat.[\/vc_column_text][vc_text_separator title=\u00a0\u00bbPrise en charge pluridisciplinaire\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#0f506e\u00a0\u00bb][vc_row_inner content_placement=\u00a0\u00bbmiddle\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/2″][vc_column_text]Les patientes b\u00e9n\u00e9ficient d’une prise en charge en partenariat avec […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-341","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nEndom\u00e9triose - 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