Lage R, Diguez C, Vidal-Puig A, Lpez M
Of note, while confirming that NAFLD, diagnosed either by ultrasonography or liver enzymes, predicted incident T2D, another meta-analysis by Lallukka and Jarvinen [35] found that NAFLD associated with specific genetic traits was not associated with excess risk of incident T2D
If Ozempic is significantly affecting your mental health, alternative treatment options can be explored whilst ensuring your diabetes remains well controlled
Causes / Risk Factors Retrograde menstruation (most accepted theory) Genetic predisposition (family history) Hormonal factors: estrogen-dependent Immune dysfunction may contribute Common in women of reproductive age (2540 years) Common Sites Ovaries (endometriomas / chocolate cysts) Uterosacral ligaments Pouch of Douglas Peritoneum Less commonly: bladder, bowel, lungs Clinical Features Dysmenorrhea: painful menstruation, often progressive Chronic pelvic pain Dyspareunia: pain during intercourse Infertility Menstrual irregularities: spotting, heavy periods Gastrointestinal or urinary symptoms if bowel/bladder involved Investigations Clinical suspicion based on history and examination Ultrasound: may detect ovarian endometriomas MRI: helpful for deep infiltrating lesions Laparoscopy: gold standard for diagnosis
