Tratamiento de la endometriosis y medicina basada en la evidencia

Juan Balasch
In: Progresos de Obstetricia y Ginecología · 2003 · vol. 46(1) , pp. 24–37 · doi:10.1016/s0304-5013(03)75853-1 · W2153921561
article OA: closed CC0 ⤵ 1 in-corpus citation
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This article reviews the available literature to assess the effectiveness of medical and surgical treatments for endometriosis, particularly when fertility preservation is a concern.

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Abstract

La endometriosis es una de las enfermedades más enigmáticas y controvertidas de la ginecología y, por ello, no existe un tratamiento idóneo para la misma, especialmente cuando hay que preservar la fertilidad de la mujer. Las terapéuticas aplicadas a la paciente con endometriosis van dirigidas a suprimir el dolor o a tratar la esterilidad asociada. Sin embargo, la aplicación de los diferentes tratamientos se ha basado con frecuencia en métodos empíricos o en estudios observacionales. El objetivo de este artículo es analizar la evidencia disponible en la bibliografía actual acerca del valor real del tratamiento, tanto médico como quirúrgico, en el manejo de la paciente con endometriosis. Endometriosis is one of the most enigmatic and controversial gynecological diseases and consequently an ideal treatment is lacking, especially when fertility must be preserved. The therapies given to women with endometriosis aim to eliminate pain or treat associated infertility. However, the application of the various treatments has frequently been based on empiricism or observational studies. The present article aims to analyze the evidence currently available in the literature on the real value of both surgical and medical treatment in the management of patients with endometriosis.

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Condition tags

endometriosisinfertility

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 ]

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