Pnm-16: Endometriosis: Diagnosis and Intervention (All Things that A Midwife Should Know)

Background: To describe the evaluation and management of endometriosis for midwives.Materials and Methods: A narrative review was performed within articles published at “PubMed”, “Elsevier”, “SID” and original text books to reach the purpose. Results: Many infertile women presenting at infertility treatment centers suffer from “endometriosis”. The significant correlation between endometriosis and infertility has been shown in several studies and the American Society for Reproductive Medicine suggest that 25-50% of infertile women have endometriosis and 30- 50% of women with endometriosis, are infertile! Although patients may be asymptomatic in early stages, endometriosis manifests as pelvic pain, presence of an adnexal mass and infertility, but clinical presentations and treatment procedures vary depending on the stage of the disease. Therefore, correct diagnosis and grading the condition helps us for effective administration of the patients and to make better treatment choices. So, every midwife working at infertility treatment centers should be aware of diagnosis procedures and therapeutic guidelines to give better care for patients. In this article, we explained the guideline for imaging evaluation and management of endometriosis. Conclusion: Endometriosis is a widespread phenomenon among infertile patients. Therefore, every midwife working at infertility treatment centers needs to learn about the application of imaging methods in the diagnosis of the endometriosis and how to manage patients based on reports.