Tratamiento médico y otrasherramientas terapéuticas noquirúrgicas en endometriosissintomática

Pablo Céspedes, Sebastián Muñoz, Claudia Droguett, Karin Poveda, Camila N Ortiz, A Costoya
In: Revista Peruana de Ginecología y Obstetricia · 2026 · vol. 71(3) · doi:10.31403/rpgo.v71i2812 · W7119501462
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This article reviews comprehensive, non-surgical management of symptomatic endometriosis, emphasizing personalized multidisciplinary care that combines hormonal and non-hormonal medical therapies with pelvic floor rehabilitation and psychological support.

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This article reviews the comprehensive management of symptomatic endometriosis, focusing on non-surgical therapeutic alternatives. It emphasizes a personalized and multidisciplinary approach that integrates hormonal and non-hormonal medical therapies with pelvic floor rehabilitation and psychological support. The authors note that long-term medical therapy is often recommended post-surgery to control pain and reduce recurrence, prioritizing active patient participation in treatment decisions. This paper is centrally about endometriosis — specifically the medical and rehabilitative management of symptomatic disease without surgical intervention.

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Abstract

Endometriosis is a disease that affects millions of women worldwide and significantly impacts their quality of life, including professional and psychological aspects.This article addresses the comprehensive management of symptomaticendometriosis, focusing on non-surgical therapeutic alternatives. The treatment of symptomatic endometriosis requires a personalized and multidisciplinary approach, combining medical therapies (both hormonal and non-hormonal), pelvic floor rehabilitation, and psychological support.Long-term medical therapy, including maintenance treatment after surgery, is often recommended to control pain and reduce recurrence. Throughout the process, the patient’s needs and active participation in treatment decisions should be prioritized.
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Tratamiento médico y otrasherramientas terapéuticas noquirúrgicas en endometriosissintomática DOI: https://doi.org/10.31403/rpgo.v71i2812Palabras clave: endometriosisResumen La Endometriosis es una enfermedad que afecta a millones de mujeres globalmente y que impacta significativamente su calidad de vida, incluyendo aspectos laborales y psicológicos. En este artículo se aborda el manejo integral de la endometriosis sintomática en sus alternativas no quirúrgicas. El tratamiento de la endometriosis sintomática requiere un enfoque personalizado y multidisciplinario, combinando terapias médicas (hormonales y no hormonales), rehabilitación pelviperineal y apoyo psicológico. La combinación de terapia médica a largo plazo, incluso post-cirugía, es a menudo recomendada para controlar el dolor y reducir la recurrencia, siempre priorizando las necesidades y la participación activa de la paciente en las decisiones de su tratamiento. Descargas Descargas Publicado Número Sección Licencia Derechos de autor 2026 Pablo Céspedes, Sebastián Muñoz, Claudia Droguett, Karin Poveda, Camila Ortiz, Alberto Costoya Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0. Esta revista provee acceso libre inmediato a su contenido bajo el principio de que hacer disponible gratuitamente la investigación al publico, lo cual fomenta un mayor intercambio de conocimiento global.

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