Management of endometriosis

Collinet P, P Collinet, Pierre Collinet, Xavier Fritel, X Fritel, C. Revel-Delhom, Revel-Delhom C, Ballester M, M Ballester, Marcos Ballester, P A Bolze, Bolze PA, Pierre‐Adrien Bolze, B Borghese, Bruno Borghese, Bornsztein N, N. Bornsztein, Boujenah J, J. Boujenah, Brillac T, Thierry Brillac, T Brillac, N Chabbert-Buffet, Chabbert-Buffet N, Nathalie Chabbert‐Buffet, C Chauffour, Chauffour C, N Clary, Clary N, Nathalie Clary, J. Cohen, Jonathan Cohen, Cohen J, Christine Decanter, C Decanter, Decanter C, A Denouël, Amélie Denouël, Denouël A, Gil Dubernard, G Dubernard, Dubernard G, A Fauconnier, Fauconnier A, Arnaud Fauconnier, H. Fernandez, Tristan Gauthier, T Gauthier, Gauthier T, Golfier F, F. Golfier, François Golfier, C Huchon, Cyrille Huchon, Huchon C, Legendre G, G Legendre, Guillaume Legendre, J. Loriau, Loriau J, Emmanuelle Mathieu-D’Argent, E Mathieu-d'Argent, Mathieu-d'Argent E, Benjamin Merlot, Merlot B, B Merlot, Niro J, J. Niro, Panel P, P. Panel, Paparel P, P. Paparel, Philip CA, Charles‐André Philip, C A Philip, Ploteau S, Stéphane Ploteau, S Ploteau, Poncelet C, C. Poncelet, Rabischong B, B. Rabischong, Horace Roman, H. Roman, Roman H, Chrystèle Rubod, Rubod C, C. Rubod, Santulli P, Piétro Santulli, P Santulli, Sauvan M, M. Sauvan, Thomassin-Naggara I, Isabelle Thomassin‐Naggara, I Thomassin-Naggara, Antoine Torre, A Torre, Torre A, J M Wattier, Jean‐Michel Wattier, Wattier JM, C Yazbeck, Chadi Yazbeck, N Bourdel, Nicolas Bourdel, Bourdel N, M Canis, Michel Canis
Journal of gynecology obstetrics and human reproduction · 2018 · vol. 47(7) , pp. 265–274 · doi:10.1016/j.jogoh.2018.06.003 · PMID:29920379 · W2832966982
article OA: green CC0 ⤵ 112 in-corpus citations
🔓 Open OA copy Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This paper discusses Anubis, a Proof-of-Work system designed to deter AI-driven website scraping by imposing a computational load on automated bots.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The provided text is not a biomedical research paper; it is an anti-scraping “Anubis” Proof-of-Work challenge page describing how a website blocks automated requests using client-side modern JavaScript and includes notes about headless browser fingerprinting. It does not study any population, disease mechanism, or clinical or molecular outcomes related to endometriosis, and it contains no biomedical methods, results, or limitations relevant to research. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

First-line diagnostic investigations for endometriosis are physical examination and pelvic ultrasound. The second-line investigations are: targeted pelvic examination performed by an expert clinician, transvaginal ultrasound performed by an expert physician sonographer (radiologist or gynaecologist), and pelvic MRI. Management of endometriosis is recommended when the disease has a functional impact. Recommended first-line hormonal therapies for the management of endometriosis-related pain are combined hormonal contraceptives (CHCs) or the 52mg levonorgestrel-releasing intrauterine system (IUS). There is no evidence base on which to recommend systematic preoperative hormonal therapy solely to prevent surgical complications or facilitate surgery. After surgery for endometriosis, a CHC or 52mg levonorgestrel-releasing IUS is recommended as first-line treatment when pregnancy is not desired. In the event of failure of the initial treatment, recurrence, or multiorgan involvement, a multidisciplinary team meeting is recommended, involving physicians, surgeons and other professionals. A laparoscopic approach is recommended for surgical treatment of endometriosis. HRT can be offered to postmenopausal women who have undergone surgical treatment for endometriosis. Antigonadotrophic hormonal therapy is not recommended for patients with endometriosis and infertility to increase the chances of spontaneous pregnancy, including postoperatively. Fertility preservation options must be discussed with patients undergoing surgery for ovarian endometriomas.
Full text 1,068 characters · extracted from oa-html · click to expand
Making sure you're not a bot! Loading... You are seeing this because the administrator of this website has set up Anubis to protect the server against the scourge of AI companies aggressively scraping websites. This can and does cause downtime for the websites, which makes their resources inaccessible for everyone. Anubis is a compromise. Anubis uses a Proof-of-Work scheme in the vein of Hashcash, a proposed proof-of-work scheme for reducing email spam. The idea is that at individual scales the additional load is ignorable, but at mass scraper levels it adds up and makes scraping much more expensive. Ultimately, this is a placeholder solution so that more time can be spent on fingerprinting and identifying headless browsers (EG: via how they do font rendering) so that the challenge proof of work page doesn't need to be presented to users that are much more likely to be legitimate. Please note that Anubis requires the use of modern JavaScript features that plugins like JShelter will disable. Please disable JShelter or other such plugins for this domain.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-html ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Endometriosis Gynecology Gynecology Obstetrics Obstetrics Practice Guidelines as Topic Practice Guidelines as Topic Societies, Medical Societies, Medical Endometriosis Endometriosis Endometriosis Female France Humans

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 (51)

Cited by (50)

Source provenance

europepmc
last seen: 2026-08-08T06:08:32.324769+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:19:43.094626+00:00
License: CC0 · commercial use OK