Tratamiento de la endometriosis I y II. Revisión de la literatura

Tratamiento de la endometriosis I y II. Revisión de la literatura DOI: https://doi.org/10.18597/rcog.407Palabras clave: endometriosis leve, endometriosis mínima, tratamiento quirúrgico, tratamiento médicoResumen Objetivo: 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. Metodología: 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. Resultados: 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. Conclusión: 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. Biografía del autor/a Ivonne Jeannette Díaz-Yamal Alef Tsade Sanabria-Gaitán Referencias bibliográficas Olive D, Pritts E. Treatment of endometriosis. N Engl J Med 2001;345:266-75. Viganò P, Parazzini F, Somigliana E, Vercellini P. Endometriosis: epidemiology and etiological factors. Best Pract Res Clin Obstet Gynaecol 2004;18:177-200. Sampson JA. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissues into the peritoneal cavity. Am J Obstet Gynecol 1927;14:422-69. Ajossa S, Mais V, Guerriero S, Paoletti AM, Caffiero A. 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