Національний консенсус щодо ведення пацієнток із ендометріозом

In: 2309-4117 · 2015 · W7113312635
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This national consensus document outlines epidemiology, clinical manifestations, and diagnostics of endometriosis while providing evidence-based recommendations for medical and surgical treatment tactics alongside secondary prevention strategies.

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This paper presents a national consensus document addressing the epidemiology, clinical manifestations, and diagnostic approaches for endometriosis. It provides evidence-based recommendations regarding medical and surgical treatment tactics, as well as secondary prevention strategies for the disease. The guidelines synthesize existing literature to standardize patient management protocols within the relevant healthcare system. This paper is centrally about endometriosis — specifically establishing consensus guidelines for its diagnosis and management.

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Abstract

The National consensus on management patients with endometriosis includes the main issues of epidemiology, clinical manifestations, and diagnostics of this disease. The document also contained evidence-based recommendations on treatment tactics of endometriosis (medical and surgical treatment), secondary prevention of endometriosis.
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National consensus on management patients with endometriosis DOI: https://doi.org/10.18370/2309-4117.2015.24.7-12Keywords: consensus, endometriosis, endometrial heterotopia, estrogensAbstract The National consensus on management patients with endometriosis includes the main issues of epidemiology, clinical manifestations, and diagnostics of this disease. The document also contained evidence-based recommendations on treatment tactics of endometriosis (medical and surgical treatment), secondary prevention of endometriosis. References - SOGC Clinical practice guideline: diagnosis and management of endometriosis. JOGC, 2010. - Sinaii, N., et al. “Differences in characteristics among 1.000 women with endometriosis based on extent of disease.” Fertil Steril, 89(3) (2008): 538–545. - Guideline of the European Society of Human Reproduction and Embryology. Management of endometriosis, 2013. - M ol, B.W., Bayram, N., Lijmer, J.G., Wiegerinck, M.A., et al. “The performance of CA -125 measurement in the detection of endometriosis: a meta-analysis.” Fertil Steril, 70(1998): 1101–1108. - C onsensus on current management of endometriosis. Hum Reprod, 28(6) (2013): 1552–1568. - M ueck, A.O. “Dienogest: an oral progestogen for the treatment of endometriosis.” Expert Review of Obstetrics & Gynecology, 1 (Vol. 6) (2011): 5–15. - Köhler, G., Faustmann, T.A., Gerlinger, C., Seitz, C., Mueck, A.O. “A dose-ranging study to determine the efficacy and safety of 1, 2 and 4 mg of dienogest daily for endometriosis.” Int J Gynecol Obstet, 108(2010): 21–25. - Strowitzki, T., Marr, J., Gerlinger, C., Faustmann, T., Seitz, C. “Dienogest is as effective as leuprolide acetate in treating the painful symptoms of endometriosis: a 24-week, randomized, multicentre, open-label trial.” Hum Reprod, 25(2010): 633–634. - Harada, T., Momoeda, M., Taketani, Y., Aso, T., et al. “Dienogest is as effective as intranasal buserelin acetate for the relief of pain symptoms associated with endometriosis – a randomized, double-blind, multicenter, controlled trial.” Fertil Steril, 91(3) (2009): 675–681. - C osson, M., Querleu, D., Donnez, J., Madelenat, P., et al. “Dienogest is as effective astriptorelin in the treatment of endometriosis after laparoscopic surgery: results of a prospective, multicenter, randomized study.” Fertil Steril, 77(2002): 684–692. - Schindler, A.E. “Dienogest in long-term treatment of endometriosis.” Int J Womens Health, 3(2011): 175–184. - Schlaff, W.D., Carson, S.A., Luciano, A., Ross, D., Bergqvist, A. “Subcutaneous injection of depot medroxyprogesterone acetate compared with leuprolide acetate in the treatment of endometriosis-associated pain.” Fertil Steril, 85(2006): 314–325. - C rosignani, P.G., Luciano, A., Ray, A., Bergqvist, A. “Subcutaneous depot medroxyprogesterone acetate versus leuprolide acetate in the treatment of endometriosis-associated pain.” Hum Reprod, 21(2006): 248–256. - P etta, C.A., Ferriani, R.A., Abrao, M.S., Hassan, D., et al. “Randomized clinical trial of a levonorgestrel -releasing intrauterine system and a depot GnRH analogue for the treatment of chronic pelvic pain in women with endometriosis.” Hum Reprod, 20(2005): 1993. - Vercellini, P., Aimi, G., Panazza, S., et al. “A levonorgestrel – releasing intrauterine system for the treatment of dysmenorrhea associated with endometriosis: a pilot study.” Fertil Steril, 72(1999): 505–508. - Fedele, L., Bianchi, S., Zanconato, G., Portuese, A., Raffaelli, R. “Use of a levonorgestrel -releasing intrauterine device in the treatment of rectovaginal endometriosis.” Fertil Steril, 75(2001): 485–488. - W ong, C., et al. “Oral contraceptive pill as treatment for primary dysmenorrhoea.” Cochrane Database Syst Rev (2009). - Yap, C. “Pre and post operative medical therapy for endometriosis surgery.” Cochrane Database Syst Rev, 3(2004): CD003678. Downloads Published How to Cite Issue Section License Copyright (c) 2015 В. М. Запорожан, Т. Ф. Татарчук, В. В. Камінський This work is licensed under a Creative Commons Attribution 4.0 International License. Authors who publish with this journal agree to the following terms: - Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. - Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

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