Pemilihan Terapi Konservatif dan Operatif pada Endometriosis

Cut Rika Maharani
In: Jurnal Kedokteran Syiah Kuala · 2021 · vol. 21(1) · doi:10.24815/jks.v21i1.19725 · W3164822857
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This paper discusses conservative and operative therapy choices for endometriosis, considering patient age, symptom severity, fertility plans, and pain location.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This paper discusses endometriosis and outlines how management should be chosen, focusing on conservative versus operative therapy. It describes that women with endometriosis—characterized as an estrogen-dependent chronic inflammatory condition—often present with dysmenorrhea, pelvic pain, and/or infertility, and that treatment selection depends on factors such as patient age, symptom severity, fertility goals, prior management, and the location of pain. The key conclusion is that therapy should be adjusted to conservative or operative approaches according to the patient’s fertility plan. The paper does not explicitly state a methodological limitation beyond being a narrative overview of treatment selection, but it is not presented as an empirical study. This paper is centrally about endometriosis — it specifically focuses on choosing conservative versus operative therapy based on fertility plans and clinical features.

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Abstract

Abstract. Abdominal pain during menstrual periods (dysmenorrhea), accompanied by pelvic pain, and infertility are symptoms that patients with endometriosis often complain of. Endometriosis is a chronic,inflammatory condition estrogen-dependent characterized by proliferation of the endometrial glands and stroma outside the uterine cavity. Endometriosis occurs in nearly 2-10% of women of childbearing age, 35-50% of women with pelvic pain or infertility. Incidence peaks at age 25-35 years, but is also at risk in young women with dysmenorrhea or pelvic pain. Women with endometriosis need management for pain, infertility or both. Treatment options depend on the age of the patient, the severity of clinical symptoms, the patient's fertility plan, previous management, and the location of the pain. Then It was adjusted to conservative or operative therapy based on the patient’s fertility plan.
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Abstract

Abstract. Abdominal pain during menstrual periods (dysmenorrhea), accompanied by pelvic pain, and infertility are symptoms that patients with endometriosis often complain of. Endometriosis is a chronic,inflammatory condition estrogen-dependent characterized by proliferation of the endometrial glands and stroma outside the uterine cavity. Endometriosis occurs in nearly 2-10% of women of childbearing age, 35-50% of women with pelvic pain or infertility. Incidence peaks at age 25-35 years, but is also at risk in young women with dysmenorrhea or pelvic pain. Women with endometriosis need management for pain, infertility or both. Treatment options depend on the age of the patient, the severity of clinical symptoms, the patient's fertility plan, previous management, and the location of the pain. Then It was adjusted to conservative or operative therapy based on the patient’s fertility plan.

Keywords

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endometriosisdysmenorrheainfertility

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