{"paper_id":"0964e1ea-e1bb-4845-92bd-b08624a5ce29","body_text":"Tratamiento de la endometriosis I y II. Revisión de la literatura\nDOI:\nhttps://doi.org/10.18597/rcog.407Palabras clave:\nendometriosis leve, endometriosis mínima, tratamiento quirúrgico, tratamiento médicoResumen\nObjetivo: el objetivo de este manuscrito es hacer una revisión de la literatura disponible que aborde el tratamiento de la endometriosis I y II para el manejo del dolor, de la infertilidad y como coadyuvante en las técnicas de reproducción asistida.\nMetodología: se realizó una revisión de la literatura disponible en las bases de datos PubMed/Medline con énfasis en guías de manejo desde 1992 hasta 2007.\nResultados: en el tratamiento del dolor en endometriosis I y II, tanto el manejo médico como quirúrgico es efectivo. No hay diferencia entre los diversos tratamientos médicos en la disminución del dolor; su elección estará determinada por la edad, el deseo de fertilidad de la paciente y los efectos secundarios de los mismos. Para el tratamiento de la infertilidad asociada a endometriosis, el tratamiento médico no es efectivo, pero el manejo quirúrgico parece benéfico para los estadios I y II, eliminando los focos de la enfermedad.\nConclusión: se requieren más estudios aleatorios controlados, comparando su uso con placebo o sin tratamiento. La cirugía también ha demostrado mejoría, pero no existen estudios que comparen el manejo médico con el quirúrgico.\nBiografía del autor/a\nIvonne Jeannette Díaz-Yamal\nAlef Tsade Sanabria-Gaitán\nReferencias bibliográficas\nOlive D, Pritts E. Treatment of endometriosis. N Engl J Med 2001;345:266-75.\nViganò P, Parazzini F, Somigliana E, Vercellini P. Endometriosis: epidemiology and etiological factors. 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Cochrane Database Syst Rev 2006;(1):CD004635.\nYap C, Furness S, Farquhar C. Pre and post operative medical therapy for endometriosis surgery. Cochrane Database Syst Rev 2004;(3):CD003678.\nCómo citar\nDescargas\nDescargas\nPublicado\nNúmero\nSección\n| Estadísticas de artículo | |\n|---|---|\n| Vistas de resúmenes | |\n| Vistas de PDF | |\n| Descargas de PDF | |\n| Vistas de HTML | |\n| Otras vistas |","source_license":"CC0","license_restricted":false}