{"paper_id":"bd223273-35cd-4b82-808a-908cc2cea864","body_text":"Abstract\nThree modes of therapy are available for conservative management of endometriosis: surgery, medical suppression, and a combination of surgery and medical suppression. The mode chosen generally depends on symptoms (for example infertility, dysmenorrhea, dys-pareunia) and severity of the disease. Laparoscopic surgery is currently the primary conservative approach to the treatment of all cases of minimal, most cases of mild, and many cases of moderate or severe endometriosis (AFS-r Classification of Endometriosis). However, I believe many endometriosis patients need combined medical and surgical treatment.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nButtram VC, Vacquero C. Post-ovarian wedge resection adhesive disease. Fertil Steril 1975;26:874.\nEvers JHL. The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil Steril 1987;47:502.\nButtram VC. Use of danazol in conservative surgery. J Reprod Med (Supplement) 1990;35:82.\nButtram VC, Reiter RC, Ward SM. Treatment of endometriosis with danazol: Report of a six year prospective study. Fertil Steril 1985;43:353.\nWheeler J, Malinak LR. Postoperative danazol therapy in infertility patients with severe endometriosis. Fertil Steril 1981;36:460.\nSeibel MM, Berger MJ, Weinstein FG, Taymor ML. The effectiveness of danazol on subsequent fertility in minimal endometriosis. Fertil Steril 1982;38:534.\nButtram VC. Conservative surgery for endometriosis in the infertile female: A study of 206 patients with implications for both medical and surgical therapy. Fertil Steril 1979;31:117.\nButtram VC, Reiter RC. Surgical Treatment of the Infertile Female. Baltimore, Williams & Wilkins Publishers, 1985.\nConfino E, Harlow BS, Gleicher N. Peritoneal fluid and serum autoantibody levels in patients with endometriosis. Fertil Steril 1980;53:242.\nBartosik D, Jacobs S, Kelly L. Endometrial tissue in peritoneal fluid. Fertil Steril 1986;46:796.\nAndrews WC, Larson GD. Endometriosis treatment with hormonal pseudopregnancy and/or operation. Am J Obstet Gynecol 1974;118:643.\nButtram VC, Belue JB, Reiter RC. Interim report of a study of danazol for the treatment of endometriosis. Fertil Steril 1982;37:478.\nDmowski WP, Cohen MR. Antigonadotropin (danazol) in the treatment of endometriosis. Am J Obstet Gynecol 1978;130:41.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1995 Springer-Verlag New York, Inc.\nAbout this chapter\nCite this chapter\nButtram, V.C. (1995). Rationale for Combined Medical and Surgical Treatment of Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_24\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4613-8404-5_24\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4613-8406-9\nOnline ISBN: 978-1-4613-8404-5\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}