Endometriosis and Menopause: Realities and Management
Although endometriosis typically regresses with menopause, it can persist or recur, posing diagnostic and management challenges for clinicians due to potential malignancy risk and symptoms.
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This chapter reviews how endometriosis, described as estrogen-dependent and usually regressing with menopause, may persist or recur after declining ovarian hormone production, and it considers whether new postmenopausal lesions represent recurrence versus a new process. It discusses clinical observations of ongoing pelvic pain (e.g., dysmenorrhea, dyspareunia, chronic pelvic pain), heavy bleeding, and urinary symptoms in this age period, along with the proposed “malignant proliferation”-like behavior and metastasis to organs such as bowel and lungs. The chapter also addresses age-related malignancy concerns, noting a reported increased risk of ovarian cancer around 2–3%, while explicitly framing underlying questions about persistence/recurrence and malignant risk as unresolved. This paper is centrally about endometriosis — specifically, its realities and management around menopause and postmenopausal disease.
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References (33)
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