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Diagnosis and Management: Chronic Pelvic Pain and Endometriosis

March 2007 · Vol. 03, No. 07(Suppl)
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Barbara S. Levy, MD, Program Chair,
Medical Director,
Women’s Health Center,
Franciscan Health System,
Federal Way, Wash

Barbara S. Apgar, MD,
Professor, Department of Family Medicine,
University of Michigan,
Service Chief, Family Mother Baby Service,
C S Mott Children’s Hospital,
Ann Arbor, Mich

Eric S. Surrey, MD,
Medical Director,
Colorado Center for Reproductive Medicine,
Englewood, Colo

Susan Wysocki, RNC, NP, FAANP,
President and Chief Executive Officer,
National Association of Nurse,
Practitioners in Women’s Health,
Washington, DC

Release date: March 2007
Expiration date: March 2009

Learning Objectives

After completing this activity, clinicians should be better able to:
• Assess appropriate goals in the management of patients who may have endometriosis
• Take a thorough history to identify endometriosis and distinguish it from other conditions
• Describe the traditional use of laparoscopy for diagnostic confirmation of endometriosis and the shortcomings associated with this intervention as both a diagnostic tool and a treatment option
• Discuss the utility of reaching a diagnosis of endometriosis, not by laparoscopy, but by positive patient response to medical treatments
• Counsel patients so that they have the information they need to select the best course of action to meet their individual needs in terms of both definitive and empirical diagnosis of endometriosis as well as disease management strategies for maximum pain relief

CME Sponsorship
The University of Cincinnati designates this educational activity for a maximum of 2.5 AMA PRA Category 1 credits.TM Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Cincinnati College of Medicine and Quadrant HealthCom Inc.. The University of Cincinnati College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

CE Sponsorship
This independent educational activity is accredited for 1.5 contact hours of continuing education by Partners in Healthcare Education, LLC, an approved provider of continuing education by the American Academy of Nurse Practitioners, provider #031206.

Target Audience
Obstetricians/gynecologists, family physicians, nurse practitioners, physician assistants, and other clinicians who focus on women’s health.

Dr Apgar has nothing to disclose.
Ms Wysocki reports that she serves on speakers’ bureaus for Berlex, Duramed, Organon, Ortho-McNeil, and Wyeth.
Dr Levy is a consultant to Conceptus.
Dr Surrey receives research support from TAP Pharmaceuticals.

Off-Label Use Notice
Some of the agents discussed in this supplement for the management of pelvic pain, including gabapentin and tricyclic antidepressants, have not been approved by the FDA for that use.

This CME activity is supported by an unrestricted educational grant from TAP Pharmaceuticals.

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Vaginal hysterectomy 
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