GnRH Agonists in the Treatment of Endometriosis
Gonadotropin-releasing hormone agonists (GnRHa) have become a popular medical treatment option for endometriosis, which affects 5-7% of reproductive-age women.
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This chapter reviews the use of gonadotropin-releasing hormone agonists (GnRHa) for treating endometriosis, motivated by the hormone-dependent features of the disease, including its low occurrence outside reproductive age and regression after bilateral oophorectomy. It describes the context for medical therapy—alongside progestogens, estrogen-progestogen combinations, and danazol—and explains why GnRHa have gained popularity, including evidence drawn from prior studies comparing agents and examining hormonal and biochemical effects. A major limitation explicitly acknowledged through the chapter framing is that while definitive treatment can be surgical, medical therapy emerged partly because repetitive operations may be needed and not all implants can be removed at surgery. This paper is centrally about endometriosis — it is a 1993 review chapter focused specifically on GnRH agonists for endometriosis treatment.
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References (27)
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