Postmenopausal Endometriosis

Objective:To describe the clinical feature of postmenopausalovarian endometrioma. Method:From June 1993 to June 2005, there were 24patients of postmenopausal ovarian endometrioma treated with surgeryin our hospital. Clinical data were analyzed retrospectively. Results:The average age was 59 years old. Chief complaint included pelvicmass, postmenopausal vaginal bleeding, increased discharge and pelvicpain. The size of ovarian endometrioma is different. The average size was5.29±1.37Cm. CA-125 of 16 patients was 0.8-19.6U/ml,the averageCA-125 was 11.26±5.4U/ml. All the patients were treated withsurgery. Conclusion:Postmenopausal ovarian endometrioma was likely thepersistence of premenopausal endometriosis, it was often consistent withother hormone-dependent diseases, it was often misdiagnosed. The mainmethod for diagnosis and teatment was surgery. Objective To analyze the difference of estrogen receptor andprogesterone receptor between premenopausal women and postmenopausal women.Methods ER and PR were detected with immunohistochemistry technic in40cases including 18 postmenopausal women and 22 premenopausal women, thedifference of estrogen receptor and progesterone receptor is analyzed by statistics.Results The ER of premenopausal women＜The ER of postmenopausalwomen.(P＜0.05).The glandular epithelium PR of postmenopausal women＞Theglandular epithelium PR of premenopausal women (P＜0.05). there is on differencein stroma PR. Conclusion The increased ER and PR is probably the cause that endometriosis is existence and development.