Treatment of moderate and severe endometriosis

Authors : M. Erenus

Pages : 43-52

View : 4 | Download : 7

Publication Date : 1992-01-01

Article Type : Research Paper

Abstract :Wheeler and Malinak described a treatment algorithm that considers the severity of endometriosis, the patients` desires for reproduction versus symptom relief and the several acceptable forms of treatment, insert ignore into journalissuearticles values(revised AFS System); insert ignore into journalissuearticles values(1);. The algorithm is shown in Table I insert ignore into journalissuearticles values(2);. The management of patients with pelvic pain depends largely on the patients` age and her desire for further childbearing. In the absence of absolute indications for surgery, patients who still desire childbearing can be treated with analgesics or periodic medical therapy to reduce symptoms. Laparoscopic surgery is an alternative, particularly if it can be performed at the initial diagnostic laparoscopy. If pain continues to be severe, conservative laparotomy and presacral neurectomy with or without perioperative medical therapy should be considered. When childbearing is no longer a factor and analgesics are ineffective, definitive surgery is indicated insert ignore into journalissuearticles values(Table II);.
Keywords : Treatment, moderate