Updated guideline for clinical evaluation and management of endometriosis

Jae Hoon Lee, Byung Seok Lee
In: Journal of the Korean Medical Association · 2019 · vol. 62(10) , pp. 525 · doi:10.5124/jkma.2019.62.10.525 · W2980733823
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This guideline provides updated recommendations for the diagnosis and management of endometriosis, emphasizing individualized multimodal treatment approaches for pain, infertility, and other associated conditions.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This paper is a review that compiles and updates clinical evaluation and management guidelines for endometriosis, emphasizing diagnosis, treatment of endometriosis-associated pain and infertility, management of asymptomatic women, and special situations including malignancy and postmenopausal endometriosis. It highlights a growing emphasis on medical therapy and empirical treatment without diagnostic laparoscopy, including long-term medication use, while also stating that timely surgical interventions and assisted reproductive procedures remain important. A key limitation noted in the review context is the disease’s clinical complexity, which makes proper effective management difficult and supports individualized, multimodal strategies. This paper is centrally about endometriosis — it provides updated guideline recommendations for evaluation and management across pain, infertility, and multiple patient subgroups.

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Abstract

Endometriosis is a common disease in reproductive aged women, and it detrimentally affects patients' quality of life and fertility. Moreover, because of the complexity of the disease itself, proper effective management is difficult. Within this context, this review proposes the guidelines of the Korean Society of Endometriosis and other world leading societies for endometriosis with an emphasis on: diagnosis of endometriosis, treatment for endometriosis associated pain and infertility, management of asymptomatic women, endometriosis associated malignancy, and endometriosis in postmenopausal women. In recent years, the importance of medical treatment as opposed to surgical removal in the management of endometriosis is gaining popularity. Many guidelines recommend empirical treatment without diagnostic laparoscopy and long term use of medication. This is also closely connected to the social trend of late marriage age and childbirth age. Nevertheless, timely surgical interventions and assisted reproductive procedures are still crucial in the management of endometriosis. Because treatment goals differ in each patient's individual situation, possible treatment options may vary and individualized management is also important. Ultimately, a multimodal approach that is tailored to each individual's therapeutic purpose is of paramount importance in the treatment of endometriosis.

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endometriosisinfertility

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