Hamerlynck

I am Shalina Hamerlink. I am a gynecologist here in the Vrolklinik in the Tuzat in Gent. The material is the pre-order of the tissue that looks That is usually found on the inside of the mother'slime. But then it actually comes out of the mother'slime, where it is usually not found again. Most common symptoms can be caused by endometriosis, typical cyclical symptoms, w It is important because we notice that women often stay around for a long time, with certain complaints. And unfortunately enough, if the symptoms are long, then it can also be that people are a little too late to get the right diagnostic treatment. The diagnosis of endometriosis is based on the complaints the patient has. In addition, clinical research is important, where we are actually going to examine the patient well. For example, the stomach, someone with pain in the lute, that can also be endometriosis, but also classical gynecological research. And the the echo is important, and in addition, you have additional image formation, such as a magnetic scan, an MRI, w There can certainly be a big impact, both emotionally and mentally, but also, for example, on functioning. When we look at fertility specifics, the fact that people sometimes have less easy pregnancy can have a big impact. Pain in itself also has a big impact. And also relational can have an impact. Endometriosis can influence fertility in various ways. Of course, it is also very dependent on the spread of endometriosis. But we know that endometriosis can reduce the presence of iron cell quality, for example, by transforming lute tissue, from cells to the cell, and the increase in the chance of increase. And also the environment, the fertility is sometimes also affected by inflammation, the inflammation that arises in the material, w As an advice, it is so that we are sure that people who know that they have endometriosis will already be able to support them a little faster when they are trying to become pregnant. Multidisciplinary team, it is not just the gynecologist who is trying to support patients as well as possible, but also the nursing staff, the psychologist, and the pain clinic. So, especially that multidisciplinary support is important. There are currently different treatments. Actually three large paillers. One of them is a medical treatment. And that is then typically a hormonal treatment. After that you also have pain killers, especially the renal hemorrhage. But based on endometriosis, we don't know exactly w Of course, for women who want to become pregnant, it is often a little right to become pregnant, because many of these hormonal treatments are often also anti-conceptive. And then there is a second paillers, the fertility treatment, or the medics-assisted pre-plantation, where we can help with various techniques, such as insemination, psychosis monitoring, or even IVF treatment, to become better pregnant. And the t I that is now, for a lot of pathologies, over endometriosis. The feeling that we are on a line towards what the treatment should be, but of course the access and the means determine how you can treat someone. What we all have in hand here, the image form and the techniques, t Yes, that also depends on what you have in hand, and that is certainly not the same everywhere. That there may sometimes be more drastic surgery, but of course you can imagine that in certain circ And I can also imagine that they are going to opt for a surgical treatment, w Now, every country is different, I the outcome of that, and whether that is actually improved for the patient, that is somet But it is clear that there is room for improvement. There are also ideas about how it can be done, but of course there is too much of a country by country what is possible and how people want to organize themselves. While in the diagnostics and in the treatment, there are a n There are also a lot of studies that are currently running. Somet It is going to look at microRNA, so actually genetic material. To say that we can better identify the patient with an amorthose. Only the question of how we are going to use and implement that in the diagnostics. And then you have a technique where you do not choose the type of treatment that you want to use, but for example, treat it with alcohol, or if it burns away on a flat surface, w But we are not yet on that level. For example, look at the input of the diet on an amorthose. And what is the input of certain levels of fertility. I t And that there is an important role to be played for many caretakers to know somet And in that way, people can hopefully continue to be treated and get the right treatment for the correct diagnosis and treatment.