Endometriosis - An Update
This review discusses current updates on endometriosis diagnosis and treatment, finding medical and surgical options similarly effective for pain but surgery offering a modest live birth rate improvement.
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This paper is an update review discussing current advances in the diagnosis and treatment of endometriosis, synthesizing information from medical journals, Medline, and the internet. It reports that medical and surgical treatments are almost equally effective for pain management, with no evidence that medical therapy improves fertility, while surgical treatment is associated with a small but significant improvement in live birth rate. It also notes that newer non-hormonal drugs are more selective with fewer metabolic side effects, whereas surgery is invasive and repeated procedures carry major complications. This paper is centrally about endometriosis — it reviews diagnostic challenges and comparative effectiveness and risks of medical versus surgical and newer non-hormonal treatments.
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