The role of definitive surgery and hormone replacement therapy in the treatment of endometriosis

In: Modern Approaches to Endometriosis · 1991 · pp. 275–290 · doi:10.1007/978-94-011-3864-2_15 · W276939742
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This paper reviews surgical management options and hormonal replacement therapy for endometriosis, a common gynecological condition affecting women during reproductive years.

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This paper discusses the role of definitive surgery and hormone replacement therapy in managing endometriosis, framing the debate around which surgical approaches are appropriate and how to standardize severity classification. It provides background epidemiology, noting that endometriosis affects an estimated 1–2% to 7–10.5% of women during reproductive years and accounts for a substantial fraction of gynecologic surgeries for pain, with estimates varying due to differences in severity and classification. It also highlights historical concepts and related hormonal and surgical management considerations, but the excerpt does not present original comparative results, and the key limitation stated is the difficulty in establishing a consistent severity classification that could explain discrepancies between reported incidence figures. This paper is centrally about endometriosis — it focuses on definitive surgery and hormone replacement therapy as part of endometriosis treatment discussion.

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Abstract

Since the first reported case of endometriosis, ’called an adenomyoma’ by von Rokitansky in 18601, and the introduction of the term endometriosis by Blair Bell in 19222, the condition has continued to attract much debate concerning the correct surgical management. It is currently the second most common gynaecological surgical abnormality encountered after uterine leiomyomata. The overall incidence is estimated at between 1–2%3,4 and 7– 10.5%5 of women during their reproductive years. Darbois5 claims that 9% of all gynaecological surgery is undertaken for endometriosis, and American figures are higher: Jeffcoate6 and Tyson7 estimate that endometriosis accounts for 10–25% of surgical intervention for pain. The discrepancy between the various figures undoubtedly results from the range in severity of the condition and the difficulty in establishing a standard classification of this severity. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Prophylactic oophorectomy. Br. J. Obstet. Gynaecol. 96, 506–509 Editor information Editors and Affiliations Rights and permissions Copyright information © 1991 Springer Science+Business Media Dordrecht About this chapter Cite this chapter Henderson, A.F., Studd, J.W.W. (1991). The role of definitive surgery and hormone replacement therapy in the treatment of endometriosis. In: Thomas, E.J., Rock, J.A. (eds) Modern Approaches to Endometriosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3864-2_15 Download citation DOI: https://doi.org/10.1007/978-94-011-3864-2_15 Publisher Name: Springer, Dordrecht Print ISBN: 978-94-010-5719-6 Online ISBN: 978-94-011-3864-2 eBook Packages: Springer Book Archive

Keywords

- Hormone Replacement Therapy - Ovarian Tissue - Oestrogen Therapy - Oestrogen Replacement Therapy - Bilateral Oophorectomy These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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