MANAGEMENT OF ENDOMETRIOSIS IN WOMEN OLDER THAN 40 YEARS OF AGE

Barry R. Witt, B R Witt, Witt BR, Barad DH, David H. Barad, D H Barad
Obstetrics and Gynecology Clinics of North America · 1993 · vol. 20(2) , pp. 349–363 · doi:10.1016/s0889-8545(21)00524-6 · PMID:8367137 · W61397572
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⚙ AI-generated summary by claude@2026-07, 2026-07-09 ⓘ

Management of endometriosis in women over 40 requires evaluating reproductive goals and therapy objectives, considering diminished fertility and impending menopause, and potentially using assisted reproductive technologies or surgery.

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Abstract

Endometriosis in women older than 40 years of age presents unique therapeutic challenges to the practicing physician. Management requires the evaluation of reproductive goals and a determination of the objectives of therapy, including symptomatic relief and avoidance or delay of recurrence of disease. Important considerations in this age group include diminished fertility and impending menopause. The diagnosis and treatment for endometriosis-associated infertility must be undertaken in an expedient manner. Assisted reproductive technologies may be effective therapies for these patients. Conservative surgery may be necessary to preserve reproductive potential, but definitive surgery may be indicated in women with long-standing pelvic pain. Estrogen replacement therapy may be used in menopausal women with a history of endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Adult Age Factors Combined Modality Therapy Endometriosis Endometriosis Endometriosis Female Humans Menopause Middle Aged

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (86)

Cited by (8)

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