Clinical Management of Endometriosis

The paper reviews the clinical management of endometriosis, focusing on challenges in diagnosis and treatment across different patient scenarios. It highlights quality of life and economic productivity loss, notes that while ultrasound imaging is the main non-invasive diagnostic tool, identifying deeply infiltrating endometriosis is more difficult than diagnosing endometrioma, and emphasizes that chronic pelvic pain can overlap with many other chronic pelvic pain syndromes. It summarizes that chronic pelvic pain attributed to endometriosis can be managed medically or surgically but that recurrence is common for both approaches, and it outlines controversies such as ablation versus excision, endometrioma management, and bowel/rectal resection approaches. This paper does not explicitly discuss adenomyosis; it is centrally about endometriosis—specifically clinical management topics including diagnosis, treatment options, recurrence, and special scenarios.

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