Diagnostic and treatment of endometriosis - recommendations for clinical practice

Svetlana Spremović-Radjenović, Jovan Bila, S Vidaković, Nebojša Radunović
In: Srpski arhiv za celokupno lekarstvo · 2017 · vol. 145(1-2) , pp. 89–94 · doi:10.2298/sarh160404019s · W2588574236
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This paper presents current ESHRE and ASRM recommendations for diagnosing and treating endometriosis-related pain and infertility, focusing on strategies for managing this chronic condition.

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This paper outlines diagnostic and treatment recommendations for endometriosis, describing the condition as ectopic endometrial tissue associated with chronic inflammation, infertility, and pain. It summarizes that diagnosis typically involves history, recognition of typical symptoms, clinical examination, and imaging, but that confirmation is made by histopathology, usually after laparoscopy. The authors present current guideline-based therapeutic modalities for endometriosis-related infertility and pain, referencing recommendations from two major societies (ESHRE and ASRM), and describe these as a framework for managing a chronic illness with multiple life impacts; the main limitation explicitly reflected is that the paper is a recommendation/guideline summary rather than new original research. This paper is centrally about endometriosis — it provides guideline-based recommendations for diagnosing and treating endometriosis-associated pain and infertility.

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Abstract

Endometriosis is characterized by endometrial tissue found outside of the uterus (primarily in the pelvic cavity), causing chronic inflammatory reaction, infertility, and pain. The impact of endometriosis on different aspects of women?s life is important, including family and social life, work, and reproduction. The usual way of examining endometriosis is history taking, recognition of typical symptoms, clinical examination, and the use of imaging techniques, but the diagnosis is made by histopathology findings, usually after laparoscopy. The aim is to represent current recommendations and guidelines referring to endometriosis diagnostics and therapy, proposed by two major societies dealing with reproductive medicine: European Society for Human Reproduction and Embryology (ESHRE) and American Society of Reproductive Medicine (ASRM). The recommendations refer primarily to the therapeutic modalities in infertility and pain problems caused by endometriosis, and represent the basis of appropriate strategy for overcoming numerous problems linked with this chronic illness.
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Srpski arhiv za celokupno lekarstvo 2017 Volume 145, Issue 1-2, Pages: 89-94 Diagnostic and treatment of endometriosis - recommendations for clinical practice Spremović-Rađenović Svetlana (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade) Endometriosis is characterized by endometrial tissue found outside of the uterus (primarily in the pelvic cavity), causing chronic inflammatory reaction, infertility, and pain. The impact of endometriosis on different aspects of women’s life is important, including family and social life, work, and reproduction. The usual way of examining endometriosis is history taking, recognition of typical symptoms, clinical examination, and the use of imaging techniques, but the diagnosis is made by histopathology findings, usually after laparoscopy. The aim is to represent current recommendations and guidelines referring to endometriosis diagnostics and therapy, proposed by two major societies dealing with reproductive medicine: European Society for Human Reproduction and Embryology (ESHRE) and American Society of Reproductive Medicine (ASRM). The recommendations refer primarily to the therapeutic modalities in infertility and pain problems caused by endometriosis, and represent the basis of appropriate strategy for overcoming numerous problems linked with this chronic illness. Keywords: endometriosis, therapy, infertility, pain, laparoscopy, assisted reproductive technologies https://doi.org/10.2298/SARH160404019S Full text ( 469 KB) Cited by Bila Jovan (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade) Vidaković Snežana (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade) Radunović Nebojša (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade)

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