[Management of endometriosis: CNGOF-HAS practice guidelines (short version)]

Pierre Collinet, Collinet P, P Collinet, Xavier Fritel, X Fritel, Revel-Delhom C, C. Revel-Delhom, Ballester M, M Ballester, Marcos Ballester, Bolze PA, Pierre‐Adrien Bolze, P A Bolze, B Borghese, Bruno Borghese, Bornsztein N, N. Bornsztein, Boujenah J, J. Boujenah, Nicolas Bourdel, N Bourdel, Bourdel N, Brillac T, Thierry Brillac, T Brillac, Chabbert-Buffet N, N Chabbert-Buffet, Nathalie Chabbert‐Buffet, C Chauffour, Chauffour C, Nathalie Clary, Clary N, N Clary, Jonathan Cohen, Cohen J, J. Cohen, C Decanter, Decanter C, Christine Decanter, Amélie Denouël, A Denouël, Denouël A, G Dubernard, Gil Dubernard, Dubernard G, Fauconnier A, A Fauconnier, Arnaud Fauconnier, H. Fernandez, Gauthier T, T Gauthier, Golfier F, F. Golfier, François Golfier, Cyrille Huchon, Huchon C, C Huchon, Legendre G, Guillaume Legendre, G Legendre, J. Loriau, Loriau J, Mathieu-d'Argent E, Emmanuelle Mathieu-D’Argent, E Mathieu-d'Argent, B Merlot, Merlot B, Benjamin Merlot, Niro J, J. Niro, Panel P, P. Panel, P. Paparel, Paparel P, C A Philip, Charles‐André Philip, Ploteau S, Stéphane Ploteau, S Ploteau, C. Poncelet, Poncelet C, Rabischong B, B. Rabischong, Horace Roman, Roman H, H. Roman, Chrystèle Rubod, Rubod C, C. Rubod, Santulli P, Piétro Santulli, P Santulli, Sauvan M, M. Sauvan, Isabelle Thomassin‐Naggara, Thomassin-Naggara I, I Thomassin-Naggara, Antoine Torre, Torre A, A Torre, Wattier JM, Jean‐Michel Wattier, J M Wattier, Chadi Yazbeck, C Yazbeck, M Canis, Michel Canis
Gynecologie, obstetrique, fertilite & senologie · 2018 · vol. 46(3) , pp. 144–155 · doi:10.1016/j.gofs.2018.02.027 · PMID:29550339 · W2791588602
Guideline OA: closed CC0 ⤵ 15 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper provides clinical practice recommendations for the management of endometriosis, developed by the CNGOF-HAS.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

First-line investigations to diagnose endometriosis are clinical examination and pelvic ultrasound. Second-line investigations include pelvic examination performed by a referent clinician, transvaginal ultrasound performed by a referent echographist, and pelvic MRI. It is recommended to treat endometriosis when it is symptomatic. First-line hormonal treatments recommended for the management of painful endometriosis are combined with hormonal contraceptives or levonorgestrel 52mg IUD. There is no evidence to recommend systematic preoperative hormonal therapy for the unique purpose of preventing the risk of surgical complications or facilitating surgery. After endometriosis surgery, combined hormonal contraceptives or levonorgestrel SIU 52mg are recommended as first-line therapy in the absence of desire of pregnancy. In case of initial treatment failure, recurrence, or multiple organ involvement by endometriosis, medico-surgical and multidisciplinary discussion is recommended. The laparoscopic approach is recommended for the surgical treatment of endometriosis. HRT may be offered in postmenopausal women operated for endometriosis. In case of infertility related to endometriosis, it is not recommended to prescribe anti-gonadotropic hormone therapy to increase the rate of spontaneous pregnancy, including postoperatively. The possibilities of fertility preservation should be discussed with the patient in case of surgery for ovarian endometrioma.

My notes (saved in your browser only)

Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Endometriosis Complementary Therapies Complementary Therapies Contraceptives, Oral, Hormonal Contraceptives, Oral, Hormonal Diagnostic Imaging Diagnostic Imaging Endometriosis Endometriosis Female Female Gynecological Examination Gynecological Examination Humans Humans Infertility, Female Infertility, Female Infertility, Female Infertility, Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (51)

Cited by (15)

Source provenance

europepmc
last seen: 2026-10-11T09:27:45.537177+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:21:42.149903+00:00
License: CC0 · commercial use OK