Vaginal Wall Endometriosis Treated by Low-Dose Estrogen-Progestin: A Case Report
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Low-dose estrogen-progestin therapy reduced vaginal wall endometriosis lesions and associated symptoms in a 37-year-old woman over 42 months.
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Abstract
As vaginal wall endometriosis is rare, standard therapy has not yet been established. We report here a case of vaginal wall endometriosis that was reduced through administration of low-dose estrogen-progestin (LEP). The patient was a 37-year-old woman who presented with atypical genital bleeding (AGB) and dysmenorrhea. We recognized small hematomatous lesions on the posterior fornix of the vagina and a 3-cm mass in the pouch of Douglas, and we diagnosed the patient with vaginal wall endometriosis. We administered drug therapy with LEP. AGB stopped, and both the hematomatous vaginal wall lesion and the mass in the pouch of Douglas were reduced in size. The vaginal and pouch of Douglas lesions did not grow, and both AGB and dysmenorrhea did not appear for 42 months. LEP reduces vaginal wall endometriosis and rectovaginal endometriosis. In this case, we confirmed the direct effect of LEP on a vaginal wall endometriosis lesion. LEP therapy may be effective as postoperative therapy for vaginal wall endometriosis.
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References (6)
- Clinical pitfalls of pain recurrence in endometriosis arising in the posterior vaginal fornix via openalex
- Long‐term adjuvant therapy for the prevention of postoperative endometrioma recurrence: a systematic review and meta‐analysis via openalex
- Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity via openalex
- Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities via openalex
- Postoperative administration of monophasic combined oral contraceptives after laparoscopic treatment of ovarian endometriomas: A prospective, randomized trial via openalex
- W2473838833 via openalex
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