Endometriosis: Diagnosis and Management

Leyland N, Casper R, Robert Casper, Robert F. Casper, Philippe Laberge, Laberge P, Philippe Y. Laberge, Singh SS, Lisa Allen, SOGC, Kristina Arendas, Nicholas Leyland, Catherine Allaire, Alaa Awadalla, Carolyn Best, Elizabeth Contestabile, Sheila Dunn, Mark Heywood, Nathalie Leroux, Frank Potestio, David Rittenberg, Sukhbir S. Singh, Renée Soucy, Wendy Wolfman, Vyta Senikas
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2010 · vol. 32(7) , pp. S1–S3 · doi:10.1016/s1701-2163(16)34589-3 · PMID:21545757 · W2232032155
article OA: closed CC0 ⤵ 349 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews current diagnostic methods and management strategies for endometriosis, a condition characterized by endometrial tissue growing outside the uterus.

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Abstract

ObjectiveTo improve the understanding of endometriosis and to provide evidence-based guidelines for the diagnosis and management of endometriosis.OutcomesOUTCOMES evaluated include the impact of the medical and surgical management of endometriosis on women's experience of morbidity and infertility.MethodsMembers of the guideline committee were selected on the basis of individual expertise to represent a range of practical and academic experience in terms of both location in Canada and type of practice, as well as subspecialty expertise along with general gynaecology background. The committee reviewed all available evidence in the English and French medical literature and available data from a survey of Canadian women. Recommendations were established as consensus statements. The final document was reviewed and approved by the Executive and Council of the SOGC.ResultsThis document provides a summary of up-to-date evidence regarding diagnosis, investigations, and medical and surgical management of endometriosis. The resulting recommendations may be adapted by individual health care workers when serving women with this condition.ConclusionsEndometriosis is a common and sometimes debilitating condition for women of reproductive age. A multidisciplinary approach involving a combination of lifestyle modifications, medications, and allied health services should be used to limit the impact of this condition on activities of daily living and fertility. In some circumstances surgery is required to confirm the diagnosis and provide therapy to achieve the desired goal of pain relief or improved fecundity. Women who find an acceptable management strategy for this condition may have an improved quality of life or attain their goal of successful pregnancy.EvidenceMedline and Cochrane databases were searched for articles in English and French on subjects related to endometriosis, pelvic pain, and infertility from January 1999 to October 2009 in order to prepare a Canadian consensus guideline on the management of endometriosis.ValuesThe quality of evidence was rated with use of the criteria described by the Canadian Task Force on Preventive Health Care. Recommendations for practice were ranked according to the method described by the Task Force. See Table 1.Benefits, harms, and costsImplementation of the guideline recommendations will improve the care of women with pain and infertility associated with endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Adolescent Adult Endometriosis Endometriosis Endometriosis Female Humans Infertility Infertility Ovarian Neoplasms Ovarian Neoplasms Pain 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.

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