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Published byRaphaël Lenaerts Modified over 6 years ago
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Treatment of symptomatic rectovaginal endometriosis with an estrogen–progestogen combination versus low-dose norethindrone acetate Paolo Vercellini, M.D., Giuliana Pietropaolo, M.D., Olga De Giorgi, M.D., Roberta Pasin, M.D., Annalisa Chiodini, M.D., Pier Giorgio Crosignani, M.D. Fertility and Sterility Volume 84, Issue 5, Pages (November 2005) DOI: /j.fertnstert Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 1 Diagnostic work-up for rectovaginal endometriosis. (a) Colposcopic appearance of the posterior fornix with reddish vegetations and a bluish nodule (arrow). C = cervix. (b) Histologic preparation of vaginal endometriosis. A cyst lined by endometrial-type mucosa and containing menstrual debris is evident under the stratified squamous epithelium. (hematoxylin and eosin, magnification: ×10) (c) A transrectal median sagittal ultrasound scan with 6.5-MHz probe shows a 25-mm retrocervical endometriotic nodule distorting the anterior rectal wall. (d) Schematic representation of Figure 1c. C = cervix; E = endometriotic nodule; R = rectum; V = vagina. Vercellini. Medical therapy for deep endometriosis. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 2 Trial profile showing recruitment and women’s progress through the study. Vercellini. Medical therapy for deep endometriosis. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 3 Variation of intensity of pain symptoms as assessed on a visual analog scale during the study period. Values are mean ± SD shown by vertical bars. Violet, ethinyl E2 plus cyproterone acetate group; red, norethindrone acetate group. Vercellini. Medical therapy for deep endometriosis. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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