Endometriosis Treatment

Catherine Z. Wu, Jordan S. Klebanoff, Gaby Moawad
In: Female Sexual Pain Disorders · 2020 · pp. 301–312 · doi:10.1002/9781119482598.ch34 · W4234311920
other OA: closed CC0
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This paper discusses endometriosis, its prevalence, accepted causes, diagnostic methods, and treatment options including medical therapy, surgical management, and postoperative hormonal suppression.

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Abstract

Endometriosis is thought to be the cause of up to 80% of chronic pelvic pain in women, and is present in 50% of women with infertility. The most widely accepted route of spread of endometriosis is through retrograde menstruation, where the fallopian tubes serve as a conduit for endometrial tissue into the pelvis. While a definitive diagnosis requires a positive biopsy (or if an endometrioma is seen on imaging), medical treatment for presumed endometriosis can be started empirically without a diagnostic laparoscopy. There are several indications for surgical management of endometriosis, including failure or intolerance of medical therapy, for the purposes of diagnosis and immediate treatment, for diagnosis and treatment of adnexal masses, and for infertility. Women undergoing surgery for endometriosis with ovarian conservation and no immediate desire for fertility should be offered hormonal suppression immediately following surgery.

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Condition tags

endometriosisendometriomachronic_pelvic_paininfertility

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 (98)

Source provenance

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License: CC0 · commercial use OK