Prise en charge d'une endométriose douloureuse

Horace Roman, H. Roman, Roman H
Journal de gynecologie, obstetrique et biologie de la reproduction · 2007 · vol. 36(2) , pp. 141–150 · doi:10.1016/j.jgyn.2006.12.008 · PMID:17276016 · W2058921639
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper discusses the management of painful endometriosis, a condition affecting women of reproductive age.

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Abstract

ObjectivesTo establish guidelines for the medical and surgical management of painful endometriosis.Material and methodsAn exhaustive review on Medline and Cochrane Database between 1980 and 2006 was performed.ResultsGnRH agonists, progestins, continuous monophasic oral contraceptives and danazol have a suppressive effect on dysmenorrhoea, nonmenstrual pain and dyspareunia (grade A). Surgical treatment is effective in painful endometriosis (grade B). Complete surgical excision of deep endometriotic lesions with conservation of uterus and ovaries has a limited term efficacy on pain relief (grade C). A multidisciplinary approach is recommended (grade C). The use of the psychotherapy improves the management of chronic pain (grade A). There is a lack of information concerning the therapeutic strategy able to prevent recurrences. Whether endometriosis recurrences occur, medical treatment should be the first line approach (expert opinion). A hysterectomy with salpingo-oophorectomy and complete excision of the lesions is efficient in women with pain recurrence who no longer desire pregnancy (grade C).ConclusionMedical and surgical treatments have a limited term efficacy on painful endometriosis (grade A). The benefit/risk relationship, depending on secondary effect therapy, should be assessed on a case to case basis.

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Contraceptives, Oral Endometriosis Endometriosis Hysterectomy Ovariectomy Contraceptives, Oral Denervation Dysmenorrhea Dysmenorrhea Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Female Humans Pelvic Pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (74)

Cited by (36)

Source provenance

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License: CC0 · commercial use OK