Diagnosis and treatment of endometriosis. A review.

G Scarselli, Scarselli G, Gennaro Scarselli, Rizzello F, Francesca Rizzello, F Rizzello, Cammilli F, F. Cammilli, L. Ginocchini, Ginocchini L, M. E. Coccia, Coccia ME
Minerva ginecologica · 2005 · vol. 57(1) , pp. 55–78 · PMID:15758866 · W57959860
article OA: green CC0 ⤵ 24 in-corpus citations
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This review examines recent endometriosis diagnosis and treatment data, noting laparoscopy as the gold standard, imaging improvements, and varying therapeutic approaches for pain management, pregnancy desire, and infertility.

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Abstract

The correct approach for endometriosis management is still unclear. This review explores recent data concerning diagnosis and treatment of endometriosis, trying to define guidelines for the most appropriate diagnostic approach and therapeutic regimen. At present, laparoscopy is still considered the gold standard in endometriosis diagnosis. The risks and the diagnostic limitations of laparoscopy and the inaccuracy of clinical examination justify the considerable efforts made to improve the diagnosis with imaging techniques. The therapeutic approach is still far from being defined as causal and focuses on management of clinical symptoms of the disease rather than on the disease itself. A first-line medical therapy should be tried in patients with pelvic pain not asking for a pregnancy. Surgical treatment is considered the best treatment for women with pain and or pelvic mass who wish to become pregnant in a short time. For infertile patients, medical therapy has a limited role. The 2 treatment options include surgery or in vitro fertilization (IVF). According to our results, it seems that correct management of infertile women with endometriosis is a combination of surgery and IVF in women who did not obtain post-surgery pregnancy spontaneously.

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Condition tags

endometriosis

MeSH descriptors

Danazol Endometriosis Endometriosis Endometriosis Endometriosis Estrogen Antagonists Gonadotropin-Releasing Hormone Progestins Danazol Estrogen Antagonists Female Gonadotropin-Releasing Hormone Humans Laparoscopy Pain Pain Progestins

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.

Cited by (24)

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