Endometriosis: Pathogenesis and Management of Pain
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Endometriosis, a likely multifactorial disease causing chronic pelvic pain, can be medically or surgically managed with various treatment options.
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Abstract
Endometriosis is a common condition, especially in women with chronic pelvic pain. The etiology of endometriosis is likely multifactorial, and endometriosis may be due to retrograde menstruation, colemic metaplasia, a dysfunctional immune response and increased inflammation, a genetic predisposition or a population of lesions from stem cells. Symptoms of endometriosis are not specific to the disease, and diagnosis is most accurate when made at the time of laparoscopy. Endometriosis can be treated medically with nonsteroidal anti-inflammatory medications, oral contraceptive pills, danazol, progestins, gonadotropin-releasing hormone agonists, or aromatase inhibitors. Surgical treatment is an option for patients who have failed medical management or who have symptomatic endometriomas.
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- last seen: 2026-06-10T17:14:06.276822+00:00
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- last seen: 2026-09-07T06:27:18.705824+00:00
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