Prevention of Endometriosis: Is It Possible?

In: Endometriosis and Adenomyosis · 2022 · pp. 353–360 · doi:10.1007/978-3-030-97236-3_27 · W4285197846
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Primary prevention of endometriosis is not yet possible due to unclear etiology, but secondary prevention can be improved by disease awareness and early diagnosis, and tertiary prevention by postoperative hormonal treatment and complete surgical excision.

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This book chapter reviews primary, secondary, and tertiary prevention strategies for endometriosis, drawing on published epidemiological data and treatment trials rather than presenting new empirical findings. The author concludes that primary prevention is not currently feasible because the etiology is unclear and modifiable risk factors such as nutrition lack robust evidence, while secondary prevention rests on raising disease awareness among patients and clinicians and using dedicated transvaginal ultrasound for earlier diagnosis. Tertiary prevention is described as achievable through complete surgical excision of lesions combined with postoperative hormonal suppression (progestins, GnRH agonists with add-back, or combined contraceptives) to reduce recurrence. The chapter is narrative rather than systematic, and its recommendations inherit the limitations of the underlying heterogeneous trial evidence it cites. This paper is centrally about endometriosis — specifically, what prevention at each tier currently can and cannot offer.

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Abstarct This chapter discusses primary, secondary, and tertiary prevention in general as well as data on existing options for prevention of endometriosis. Due to unclear etiology of endometriosis and unclear data on possibly modifieable influencing factors such as nutrition, neither causal therapy nor primary prevention are possible yet. Secondary prevention can be achieved by promoting awareness of the disease in the general population and health care professionals as well as specific diagnostic workup including especially a dedicated ultrasonographic exam. Tertiary prevention is achievable by use of postoperative hormonal treatment and complete surgical excision of lesions. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others References Sampson JA. Metastatic or embolic endometriosis, due to the menstrual dissemination of endometrial tissue into the venous circulation. 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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG About this chapter Cite this chapter Schäfer, S.D. (2022). Prevention of Endometriosis: Is It Possible?. In: Oral, E. (eds) Endometriosis and Adenomyosis. Springer, Cham. https://doi.org/10.1007/978-3-030-97236-3_27 Download citation DOI: https://doi.org/10.1007/978-3-030-97236-3_27 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-97235-6 Online ISBN: 978-3-030-97236-3 eBook Packages: MedicineMedicine (R0)

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