Pedro Viana Pinto: Does Endometriosis Really Resolve after Menopause?
Pedro Viana Pinto, Physician at CUF – Hospitals and Clinics and Secretary at the International Society for Placenta Accreta Spectrum (IS-PAS), shared on LinkedIn about a paper he co-authored with colleagues published in the Journal of Obstetrics and Gynaecology Canada:
“Does endometriosis really resolve after menopause?
In our latest publication, we challenged the long-standing assumption that endometriosis ceases to be a clinical challenge after menopause.
Key Insights:
Most postmenopausal patients present with non-specific symptoms, with lesions detected incidentally on routine imaging.
Longitudinal imaging demonstrates that postmenopausal endometriomas can undergo atypical morphological changes, transitioning from classic ground-glass appearances to complex patterns that demand careful differentiation from malignancy.
We confirmed the persistent risk of ovarian malignancy in these patients, underscoring the critical need for dedicated sonographic follow-up for postmenopausal ovarian endometriomas.
Meanwhile, malignant transformation of deep infiltrating endometriosis remains exceptionally rare, documented only in sporadic case reports.”
Title: Menopause and Endometriosis – Symptoms and Risk of Malignant Transformation: A Systematic Review of the Literature
Authors: Lara Sacramento Fitas, Pedro Viana Pinto, João Bernardes
You can read the Full Article in the Journal of Obstetrics and Gynaecology Canada.
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