<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152018000100023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Endometriosis]]></article-title>
<article-title xml:lang="en"><![CDATA[Endometriosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durón González]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños Morera]]></surname>
<given-names><![CDATA[Pamela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Unimed  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica.</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Integral Cordero  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica.</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>23</fpage>
<lpage>29</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152018000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152018000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152018000100023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La endometriosis es una enfermedad inflamatoria benigna, dependiente de estrógeno, que se caracteriza por la presencia de glándulas y estroma endometrial en un sitio distinto a la cavidad uterina. Las principales teorías sobre su patogénesis involucran la menstruación retrograda, La metaplasia del epitelio germinal, y la diseminación metastásica. Las lesiones típicamente se localizan en la pelvis; en ovarios, ligamentos uterosacros y saco de Douglas, sin embargo también pueden encontrarse fuera de esta. La enfermedad ocasiona un cuadro clínico variado que involucra dismenorrea, dispareunia, dolor pélvico e infertilidad. Su diagnóstico definitivo ES quirúrgico. El tratamiento médico es solo sintomático y no curativo, mientras que el quirúrgico pese a ser curativo, presenta variables tasas de recurrencia. Las técnicas de reproducción asistida mejoran significativamente las tasas de nacimientos en caso de infertilidad asociada a la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Endometriosis is a benign, estrogen dependent, inflammatory disease, which is characterized by the presence of endometrial glands and stroma in a site different from the uterine cavity. The main theories about it&#8217;s pathogenesis involve retrograde menstruation, metaplasia of the germinal epithelium, and metastatic spread. The lesions are typically located in the pelvis; in ovaries, utero sacral ligaments and Douglas pouch, but can also have an extra pelvic location. This disease has a variable clinical presentation that involves dysmenorrhea, dyspareunia, pelvic pain and infertility. It&#8217;s definitive diagnosis is surgical. Medical treatment is only symptomatic and non-curative, while the surgical treatment despite being curative has important recurrence rates. Assisted reproduction techniques are very useful to improve birth rates in case of infertility associated with the disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Endometriosis]]></kwd>
<kwd lng="es"><![CDATA[dolor pélvico]]></kwd>
<kwd lng="es"><![CDATA[endometrioma]]></kwd>
<kwd lng="es"><![CDATA[infertilidad]]></kwd>
<kwd lng="es"><![CDATA[dismenorrea]]></kwd>
<kwd lng="es"><![CDATA[inhibidores de aromatasa]]></kwd>
<kwd lng="es"><![CDATA[agonistas GnRH]]></kwd>
<kwd lng="en"><![CDATA[Endometriosis]]></kwd>
<kwd lng="en"><![CDATA[pelvic pain]]></kwd>
<kwd lng="en"><![CDATA[endometrioma]]></kwd>
<kwd lng="en"><![CDATA[infertility]]></kwd>
<kwd lng="en"><![CDATA[dysmenorrhea]]></kwd>
<kwd lng="en"><![CDATA[aromatase inhibitors]]></kwd>
<kwd lng="en"><![CDATA[GnRH agonists]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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