Guidelines for diagnosis and treatment of endometriosis
These Italian guidelines provide recommendations for the diagnosis and treatment of ovarian, peritoneal, and atypical site endometriosis based on systematic reviews and expert opinion.
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This Italian guideline paper synthesizes evidence from systematic reviews to provide recommendations for the diagnosis and treatment of ovarian and peritoneal endometriosis, including atypical sites and approaches to infertility, using a structured grading scheme for quality and recommendation strength. It states that transvaginal ultrasound should be the first diagnostic approach for ovarian endometriosis and details sonographic criteria and Doppler-based differential features, while noting that appearances can vary with hormonal status (e.g., post-menopause and pregnancy) and that endometriosis is often associated with pelvic adhesions, deep infiltrating lesions, and may involve the uterus-related features including adenomyosis on ultrasound evaluation. A key limitation explicitly acknowledged is that recommendations are based on existing systematic reviews and that there has been a shortage of high-quality and innovative recent studies, despite changing diagnostic and therapeutic contexts. This paper is centrally about endometriosis — it provides Italian guidelines for diagnosis and treatment across ovarian, peritoneal, and atypical disease, with ultrasound criteria and infertility considerations.
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Cited by (11)
- Pregnancy outcomes and influencing factors following high-intensity focused ultrasound treatment for adenomyosis: a single-center retrospective study 2025
- Meta-analysis and network pharmacology studies of the clinical efficacy of Guizhi Fuling capsules/pills combined with dienogest in treating endometriosis 2024
- Analysis of Dysmenorrhea-Related Factors in Adenomyosis and Development of a Risk Prediction Model 2024
- Can Tibetan medicine Honghua Ruyi pills relieve endometriosis-associated dysmenorrhea? Protocol for a randomized placebo-controlled trial 2023
- Analysis of the effect of phloroglucinol on pregnancy outcomes involving frozen embryo transfers in patients with endometriosis: A retrospective case-control study 2023
- Effect of Different Ovulation Induction Regimens on Pregnancy Outcome of Patients with Endometriosis and Infertility Treated with In Vitro Fertilization and Transplantation 2021
- Discussion on Synchronization of Liver, Spleen and Kidney in Treating Endometriosis from Blood Stasis 2020
- Chinese Medicine Sequential Therapy Improves Pregnancy Outcomes after Surgery for Endometriosis-Associated Infertility: A Multicenter Randomized Double-blind Placebo Parallel Controlled Clinical Trial 2020
- Adjuvant therapy of Chinese herbal medicine for the treatment of adenomyosis 2020
- Exploration of the pathological mechanism of endometriosis in rats using high-throughput sequencing 2019
- Anti‐Angiogenic Alternative and Complementary Medicines for the Treatment of Endometriosis: A Review of Potential Molecular Mechanisms 2018
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- last seen: 2026-06-10T16:23:13.998983+00:00