Managing the misplaced: approach to endometriosis.

Bethany Jackson, Deanna E Telner, Deanna Telner
Canadian family physician Medecin de famille canadien · 2006 · vol. 52(11) , pp. 1420–4 · PMID:17279199 · PMC1783710 · W1903557822
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Abstract

OBJECTIVE: To review the presentation of endometriosis, steps to diagnosis, and medical and surgical management options. SOURCES OF INFORMATION: MEDLINE was searched from January 1996 to November 2004, EMBASE from January 1996 to January 2005, and the Cochrane Database of Systematic Reviews for the 4th quarter of 2004. MAIN MESSAGE: Endometriosis is a common, progressive disease with an estimated prevalence of 10%. It can cause dyspareunia, dysmenorrhea, low back pain, and infertility. It can be diagnosed on clinical grounds and treated without laparoscopy provided pregnancy is not desired. First- and second-line medical treatments are nonsteroidal anti-inflammatory drugs, combined oral contraceptive pills, progestins, gonadotropin-releasing hormone agonists, and androgens. Surgical options should be considered when these medications are ineffective or if pregnancy is desired. CONCLUSION: Family physicians have an important role in diagnosing and treating women with endometriosis.

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Condition tags

endometriosisdysmenorrheadyspareuniainfertility

MeSH descriptors

Endometriosis Endometriosis Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Contraceptives, Oral, Combined Contraceptives, Oral, Combined Danazol Danazol Endometriosis Endometriosis Estrogen Antagonists Estrogen Antagonists Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Infertility, Female Infertility, Female Infertility, Female Progestins

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