Tertiary Center Experiences in the Follow-Up and Treatment of Endometriosis
This study investigated the demographic characteristics, symptoms, medication use, analgesic needs, and treatment methods of endometriosis patients at a tertiary gynecological clinic to evaluate long-term clinical strategies.
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This retrospective descriptive study examined demographic characteristics, symptoms, medication use (including analgesic needs), diagnostic methods, and medical versus surgical treatment strategies among 1098 endometriosis patients managed at a tertiary gynecology clinic from November 2012 to July 2020. Among findings, most patients had stage 3 disease (873/1098), diagnoses were split between ultrasound (47%) and surgical diagnosis (53%), and hospitalization after laparoscopy was shorter than after laparotomy (2.68±1.02 vs 3.45±1.69 days). For medical therapy, dienogest was most commonly used (525 patients), followed by combined oral contraceptives (110) and progesterone (36). As a case-series chart review, it provides descriptive “tertiary center experience” without explicit comparison of outcomes or a limitation statement beyond its retrospective design. This paper is centrally about endometriosis — it describes tertiary-center demographics, diagnosis, treatment patterns, and follow-up experience.
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