Management of endometriosis from diagnosis to treatment: roadmap for the future

Ludovico Muzii, Chiara Di Tucci, Mara Di Feliciantonio, Giulia Galati, Claudia Marchetti, Cláudia Marchetti, Giorgia Perniola, Francesco Pecorini, Pierluigi Benedetti Panici
Minerva ginecologica · 2019 · vol. 71(1) , pp. 54–61 · doi:10.23736/s0026-4784.18.04320-4 · PMID:30318872 · W2916603797
review OA: closed CC0 ⤵ 14 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Current endometriosis management emphasizes noninvasive diagnosis and nonsurgical first-line treatment, prioritizing patient discussion for shared decision-making on personalized care.

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Abstract

Endometriosis, in spite of decades of research on the topic, remains a mysterious and elusive disease. Both in the fields of diagnosis and treatment, many issues remain unresolved, and the scientific community strives in trying to find universal criteria for diagnosis, and algorithms of treatment that may be universally applied. Recently, there has been a shift away from the view of the need of invasive diagnosis and therapy with the universal use of laparoscopy. Today the diagnosis of endometriosis may be reliably performed with noninvasive methods, and therapy can be nonsurgical in most cases. Recent guidelines state that diagnostic laparoscopy may be better seen as a second line of investigation, whereas medical therapy with either oral estroprogestins or progestogens is the first therapeutic option in case of associated pain. A thorough discussion with the patient should address all the available treatments, so as to make a shared decision on which treatment best fits the needs of that single patient.

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Condition tags

mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Endometriosis Pelvic Pain Practice Guidelines as Topic Decision Making Endometriosis Endometriosis Estrogens Estrogens Female Humans Laparoscopy Laparoscopy Pelvic Pain Progestins Progestins

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 (64)

Cited by (14)

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