An Overview of Treatments for Endometriosis

JAMA · 2015 · vol. 313(3) , pp. 296 · doi:10.1001/jama.2014.17119 · PMID:25603001 · W2048674580
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AI-generated summary by claude@2026-06, 2026-06-07

Levonorgestrel-releasing IUDs, GnRH analogues, and laparoscopic ablation/excision alleviate endometriosis pain and increase pregnancy rates, but GnRH analogues, danazol, and depot progestagens carry higher risks of adverse events.

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Abstract

CLINICAL QUESTION: What treatments are associated with improved outcomes for women with endometriosis? BOTTOM LINE: The levonorgestrel-releasing intrauterine system (LNG-IUD), gonadotropin-releasing hormone analogues (GnRHa; nafarelin, leuprolide, buserelin, goserelin, triptorelin), laparoscopic ablation, and excision are associated with relief of pain due to endometriosis. Gonadotropin-releasing hormone analogues and laparoscopic ablation or excision are associated with increased clinical pregnancy rates in women with endometriosis. Gonadotropin-releasing hormone analogues, danazol, and depot progestagens are associated with a higher incidence of adverse events.

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Condition tags

mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Endometriosis Endometriosis Gonadotropin-Releasing Hormone Levonorgestrel Endometriosis Female Gonadotropin-Releasing Hormone Humans Levonorgestrel Pelvic Pain Pelvic Pain Pelvic Pain

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 (5)

Cited by (50)

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