Parcours diagnostic des patientes atteintes d'endométriose et la place des médecins généralistes dans leur diagnostic

Abstract : Introduction: endometriosis affects 10% of women of childbearing age. It affects the quality of life of women and its diagnosis is late. Objective: identify the role of the general practitioner in the endometriosis diagnosis and maybe find ways to reduce the diagnosis delay. Materials and Methods: descriptive observational study, multicentric in 5 gynecological offices and in an endometriosis center in Paris. Results: 52 questionnaires were collected for the center group and 60 for the doctor's office group. In 70% of cases the patients presented chronic abdominal pain, dysmenorrhea or dyspareunia. On average, the first complaints are expressed at the age of 19 years old. The average diagnosis delay is 8,5 years in this study. The most frequently used treatment is pelvic ultrasound then the continuous pill and an analgesic. We count 12% to 17% of doctors don't do anything about these complaints and 6,25% of patients did not consult because they trivialized their symptoms. Conclusion: as the patients often ask their general practitioners for their follow-up and their gynecological complaints, it is proven that the role of general practitioners is very important in the endometriosis diagnosis. However, the diagnosis delay is important despite the number of consultations. It is then necessary to set up support and tools for doctors especially for general practitioners to detect symptoms earlier. Finally, doctors and the society have to inform women about symptoms requiring consultation and the importance of pill therapy.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01930126
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Submitted on : Wednesday, November 21, 2018 - 4:03:23 PM
Last modification on : Friday, May 10, 2019 - 10:08:27 AM
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Charlotte Armessen. Parcours diagnostic des patientes atteintes d'endométriose et la place des médecins généralistes dans leur diagnostic. Médecine humaine et pathologie. 2018. ⟨dumas-01930126⟩

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