Medical treatment of mild endometriosis in infertile women: analysis of a failure
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Abstract
The easy access to the pelvis of infertile women by laparoscopy favours early diagnosis of endometriosis in an increasing number of subjects with minimal and mild disease. These initial forms have been associated with and considered as the cause of infertility despite the absence of relevant scientific evidence. Various hormone therapies, some with severe side-effects and high costs, have been used by numerous authors. However, no study comparing medically treated with untreated women has ever shown any drug to be more effective than expectant management. The possible explanations of treatment failures are reviewed.
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Cited by (13)
- Medical Management of Endometriosis 2006
- Emerging drugs for endometriosis 2004
- Progestogens for endometriosis: forward to the past 2003
- Endometriosis 2003
- Enhanced T cells interactions with extracellular matrix proteins in infertile women with endometriosis 2002
- Endometriosis: An Overview of the Disease and Its Treatment 2000
- Endometriosis-associated infertility 1997
- Progestins for symptomatic endometriosis: a critical analysis of the evidence 1997
- Depot medroxyprogesterone acetate versus an oral contraceptive combined with very-low-dose danazol for long-term treatment of pelvic pain associated with endometriosis 1996
- Postsurgical medical treatment of advanced endometriosis: Results of a randomized clinical trial 1994
- 8 Endometriosis-associated infertility 1993
- Vaginal patterns during danazol and buserelin acetate therapy for endometriosis: structural and ultrastructural study 1993
- Buserelin acetate versus expectant management in the treatment of infertility associated with minimal or mild endometriosis: A randomized clinical trial 1992
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