Rationale for Combined Medical and Surgical Treatment of Endometriosis

Veasy C. Buttram
In: Endometriosis · 1995 · pp. 241–244 · doi:10.1007/978-1-4613-8404-5_24 · W2272415125
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This paper reviews the available conservative treatments for endometriosis, including surgery and medical suppression, and argues that many patients require a combined approach.

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Abstract

Three modes of therapy are available for conservative management of endometriosis: surgery, medical suppression, and a combination of surgery and medical suppression. The mode chosen generally depends on symptoms (for example infertility, dysmenorrhea, dys-pareunia) and severity of the disease. Laparoscopic surgery is currently the primary conservative approach to the treatment of all cases of minimal, most cases of mild, and many cases of moderate or severe endometriosis (AFS-r Classification of Endometriosis). However, I believe many endometriosis patients need combined medical and surgical treatment. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Buttram VC, Vacquero C. Post-ovarian wedge resection adhesive disease. Fertil Steril 1975;26:874. Evers JHL. The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil Steril 1987;47:502. Buttram VC. Use of danazol in conservative surgery. J Reprod Med (Supplement) 1990;35:82. Buttram VC, Reiter RC, Ward SM. Treatment of endometriosis with danazol: Report of a six year prospective study. Fertil Steril 1985;43:353. Wheeler J, Malinak LR. Postoperative danazol therapy in infertility patients with severe endometriosis. Fertil Steril 1981;36:460. Seibel MM, Berger MJ, Weinstein FG, Taymor ML. The effectiveness of danazol on subsequent fertility in minimal endometriosis. Fertil Steril 1982;38:534. Buttram VC. Conservative surgery for endometriosis in the infertile female: A study of 206 patients with implications for both medical and surgical therapy. Fertil Steril 1979;31:117. Buttram VC, Reiter RC. Surgical Treatment of the Infertile Female. Baltimore, Williams & Wilkins Publishers, 1985. Confino E, Harlow BS, Gleicher N. Peritoneal fluid and serum autoantibody levels in patients with endometriosis. Fertil Steril 1980;53:242. Bartosik D, Jacobs S, Kelly L. Endometrial tissue in peritoneal fluid. Fertil Steril 1986;46:796. Andrews WC, Larson GD. Endometriosis treatment with hormonal pseudopregnancy and/or operation. Am J Obstet Gynecol 1974;118:643. Buttram VC, Belue JB, Reiter RC. Interim report of a study of danazol for the treatment of endometriosis. Fertil Steril 1982;37:478. Dmowski WP, Cohen MR. Antigonadotropin (danazol) in the treatment of endometriosis. Am J Obstet Gynecol 1978;130:41. Editor information Editors and Affiliations Rights and permissions Copyright information © 1995 Springer-Verlag New York, Inc. About this chapter Cite this chapter Buttram, V.C. (1995). Rationale for Combined Medical and Surgical Treatment of Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_24 Download citation DOI: https://doi.org/10.1007/978-1-4613-8404-5_24 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4613-8406-9 Online ISBN: 978-1-4613-8404-5 eBook Packages: Springer Book Archive

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endometriosis

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