Abnormal uterine bleeding historical perspective
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Dysfunctional or abnormal uterine bleeding is a condition experienced by women of varying ages and from various geographical locations. Although there isn’t much information available on dysfunctional uterine bleeding as it encompasses a multitude of possible underlying causes, there is some historical information available regarding some common causes. conditions that have significant historical information include Adenomyosis, Leiomyoma, uterine malignancy, PCOS, as well as endometriosis.
Historical perspective
Dysfunctional or abnormal uterine bleeding is a condition experienced by women of varying ages and from various geographical locations. Although there isn’t much information available on dysfunctional uterine bleeding as it encompasses a multitude of possible underlying causes, there is some historical information available regarding some common causes.
- Adenomyosis, the presence of ectopic endometrial tissue (the inner lining of the uterus) within the myometrium , was first discovered by Carl von Rokitansky in 1860. He first described the condition as “cystosarcoma adenoids uterinum”.[1]
- Leiomyoma are an accumulation of tumours, often of benign origin, that are made up primarily of smooth muscle and fibrous connective tissue. The first case of leiomyoma was described as “uterine stone” in 460-375 B.C. by Hippocrates. the term fibroid was later coined by Rokitansky and Klob in 1860 and 1863.The first laparotomy to treat leiomyoma was performed in 1809 by Ephraim McDowell.[2]
- Uterine malignancy was initially reported in the early 1900’s. The first laparoscopic hysterectomy to resect malignant tissue was reported in 1992.[3]
- Ovulatory causes, such as Polycystic ovary syndrome, were first described in 1935 by American gynecologists Irving F. Stein, Sr. and Michael L. Leventhal.The earliest published description of PCOS was in 1721 in Italy.[4]
- Endometriosis was first described in the early 19th century, when Rokitansky described the presence of functional endometrial tissue outside of the uterine cavity in patients with ovarian and endometrial cancers.[5] In the 1920’s, endometriosis was differentiated from adenomyosis and Rokitansky described a case series of 23 cases with the chocolate cyst of the ovary.[5]
References
- ↑ Taran FA, Stewart EA, Brucker S (2013). “Adenomyosis: Epidemiology, Risk Factors, Clinical Phenotype and Surgical and Interventional Alternatives to Hysterectomy”. Geburtshilfe Frauenheilkd. 73 (9): 924–931. doi:10.1055/s-0033-1350840. PMC 3859152. PMID 24771944.
- ↑ Bozini, Nilo; Baracat, Edmund C (2007). “The history of myomectomy at the Medical School of University of São Paulo”. Clinics. 62 (3). doi:10.1590/S1807-59322007000300002. ISSN 1807-5932.
- ↑ Childers JM, Surwit EA (1992). “Combined laparoscopic and vaginal surgery for the management of two cases of stage I endometrial cancer”. Gynecol Oncol. 45 (1): 46–51. PMID 1534780.
- ↑ Azziz R, Dumesic DA, Goodarzi MO (2011). “Polycystic ovary syndrome: an ancient disorder?”. Fertil. Steril. 95 (5): 1544–8. doi:10.1016/j.fertnstert.2010.09.032. PMC 3164771. PMID 20979996.
- ↑ 5.0 5.1 Benagiano G, Brosens I, Lippi D (2014). “The history of endometriosis”. Gynecol Obstet Invest. 78 (1): 1–9. doi:10.1159/000358919. PMID 24853333.
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