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ENDROMETRIOSIS
dr.Jusuf Nawir Sp.OG
Bag.Kebidanan & Peny.Kandungan
RSU Dr. Wahidin Sudirohusodo, Mojokerto

Definisi :
 Suatu keadaan dimana jaringan
endometrium yang masih berfungsi
terdapat di luar cavum uteri
Adenomosis  bila berada di dalam otot
uterus/miometrium

Endometriosis  di luar uterus
 Ovarium
 Peritoneum
 Septum recto-vaginale
 Canalis inguinalis
 Appendiks
 Umbilicus
 Serviks uteri
 Parut laparatomi
 dll

Etiologi :
 Regurgitasi
 Teori metaplasia Meyer
↓
“Diasease of Theory”
Angka kejadian : 5 -15%

Gambaran klinis :
 Nyeri perut bawah
 Dysmenorrhea
 Dyspareuni
 Nyeri defekasi
 Poli-menorrhea
 Infertilitas

Diagnosis :
 Anamnesa
 RPD
 Laparoskopi / USG transvag
dd/ Adenomiosis uteri

Terapi :
 Pencegahan
 Observasi
 Tx hormonal
 Operatif
 Radiasi

Pencegahan :
 Kehamilan
 Jangan kuret saat haid
 Tidak coitus saat haid
Observasi :
 Keluhan ringan & tak ada
 Infertilitas

Terapi hormonal :
 Menekan hipofise & mencegah ovulasi
 amenorrhea
 Pseudo pregnancy
 Obat : - progesteron ~ 6-9 bln
- danazole 200-300 mg ~
6-9 bln (androgen)
- GnRH

Terapi pembedahan :
 Radikal
 Konservatif  sistektomi
 Radiasi  menghentikan fungsi
ovarium  bila terdapat KI/ operasi

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Endrometriosis

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Endrometriosis