The definition of Endometriosis Expert Centres.

Endometriosis is a common condition that causes pain and infertility. It can lead to absenteeism and also to multiple surgeries with a consequent risk of impaired fertility, and constitutes a major public health cost. Despite the existence of numerous national and international guidelines, the management of endometriosis remains suboptimal.

[Definition of endometriosis expert centres].

Objectives: The Collège national des gynécologues obstétriciens français (CNGOF), in agreement with the Société de chirurgie gynécologique et pelvienne (SCGP), has set up a commission in 2017 to define endometriosis expert centres, with the aim of optimizing endometriosis care in France.

Methods: The committee included members from university and general hospitals as well as private facilities, representing medical, surgical and radiological aspects of endometriosis care. Opinion of endometriosis patients' associations was obtained prior to writing this work.

[Essure implants for tubal sterilisation in France].

Objectives: Law no. 2001-588 of 4 July 2001 liberalised the practice of tubal sterilisation in France, at the same time as a new hysteroscopic method of female sterilization appeared. The growth of this method has been spurred by the reduced need for analgesia, absence of incision and scar, reduced duration of hospitalization and diminution of costs.

[Hysteroscopic fallopian tube sterilization procedure: feasibility and one-year follow-up].

Objectives: Hysteroscopic flexible micro-insert (Essure) is an ambulatory improvement of fallopian tube sterilization, which is a deliberated suppression of fertility. The aim of this study was an evaluation of feasibility (learning curve) and the first year outcome of this method.

Patients And Methods: This prospective study, carried out between February 2002 and March 2003, included patients who were matching with manufacturer recommendations.

[Sterilization for women using a hysteroscopy technique under local anaesthesia].

Objectives: and methods The July 2001 law allows capable and consenting adult women to be sterilized after a period of reflection of 4 months and signature of an informed consent formula. The first French study on hysteroscopic tubular sterilization under local anaesthesia using expanding titanium, steel and nickel implants, is reported.

Results: From February to October 2002, 25 women, with a mean age of 40 years, having conceived 2 or more children, benefited from this technique.