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   www.endosocindia.org              1st National Congress - A Report      Endometriosis - A Survey
 







SURVEY ON INDIAN SCENARIO OF ENDOMETRIOSIS :.
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Dear Colleague,

To start with, here is a brief introduction to Endometriosis Society, India for you, if you are not a member of it or you are not acquainted with this society. Endometriosis is emerging as a serious global problem with all of its medical, economic and social impacts to women and the society. Endometriosis Society, India has been established in 2003 with a view to conduct research, education, training and awareness about this disease among the medical fraternity and rest of the society. It has organised its first National Congress at Kolkata on December 10-12, 2004 in collaboration with RCOG, Eastern Zone, India where more than 300 delegates had participated. It has also conducted live workshops on endometriosis surgery and public awareness programmes. We have now planned to conduct a survey on the Indian scenario of endometriosis. As the initial step, we are sending a questionnaire (enclosed herewith) to you. Please spend some time from your busy schedule and send it to us through the self-addressed stamped envelope after filling it up. May I take this opportunity to request you to become a life member of Endometriosis Society, India (if you are not already one of us)?

Thank You,
Sincerely Yours,

Mr. P. Das Mahapatra
Founder Secretary General
Endometriosis Society, India

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CONDUCTED BY: ENDOMETRIOSIS SOCIETY, INDIA

6A & 6F, NEELAMBER, 28B SHAKESPEARE SARANI, KOLKATA- 700017.
PHONE: 033-2865-0364, 2240-4463, FAX: 033-2281- 1639, e-mail: endomet_soc_india@ vsnl.net, web site: endosocindia.org

BACKGROUND INFORMATION

   Surname:    First Name:  
     
   Qualification:  
     
   Reg. No, Medical Council & year of registration:  
     
     
   Are you a member of Endometriosis Society, India?   Yes    No  
     
   Any special area of interest:  
   Name of City / Town / Village where you practice most of the time:  
     
   Field of Practice:   Teaching Hospital  District / Sub-Division / CHC / PHC  
             Corporate Hospital /Nursing Home  Personal Clinic /Nursing Home  
             Others (Please Specify):   
     
  ENDOMETRIOSIS SURVEY  
   How many endometriosis cases you have seen in the last 3 months?   
   How many of them had associated infertility?  
   How many of them were teenagers?  
   What is commonest age group of presentation?  
    < 20   20-25   25-30   30-35   > 40  
     
   What are the modes of presentation of endometriosis patients in your practice?  
 
  Very common Common Uncommon Rare
 Dysmenorrhoea
 Chronic Pelvic Pain
 Deep Dysparenuia
 Painful Defaecation
 Painful Micturition
 Polymenorrhoea/Menorrhagia
 Scanty Period
 Metrorrhagia
 Asymptomatic Infertility
 Other (Please specify):
 
     
   What diagnostic options do you offer or advice to your patients?  
 
  To All Commonly Selectively No
 Clinical Evaluation
 Ultrasonography
 Diagnostic Laparoscopy
 Other (Please specify):
 
     
   What are the usual findings in these patients?  
 
  Very common Common Uncommon Rare
 Fixed, retroverted uterus (clinical)
 Nodule in cul-de-sac (clinical)
 Chocolate Cyst (USG)
 Pelvic Adhesion (Laparoscopy)
 Deposits on US Ligaments (Laparoscopy)
 Frozen Pelvis (Laparoscopy)
 Adenomyosis / Adenomyoma
 
     
   What management options do you offer to your patients or refer for the same?  
 
 
Yes
No
 
In house
Refer to other centre
 
Counselling of patient and relations
 Medical Treatment
 GnRHA
 Danazol
 Dydrogesterone
 Depot MPA
 Other (Please specify):
Surgical Treatment  
 Laparoscopic Conservative Surgery
 Conventional Conservative Surgery
 Conventional Hysterectomy
 Laparoscopic Hysterectomy
 Assisted Reproductive Technology
 
 
 
 IVF
 Other (Please specify):
 
     
  How many of these patients required hysterectomy in childless state and / or before the age of 35 years?  
     
  Which do you think the important impediments to optimal management of Endometriosis?  
     Awareness of patients and family                Lack of definite treatment  
     Lack of integrated management approach    High Cost  
     Lack of specialised management approach  
     
  Endometriosis Society, India is planning to formulate a guideline towards the management protocol for endometriosis. Do you think it a logical approach?  
    Yes      No  
     
  May we contact you over phone / e-mail for further communication? If yes, then please let us know your contact details.  
  Phone:   
  Email:    
     
 
 
     
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