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Semin Reprod Med. 2011 Mar;29(2):124-9. doi: 10.1055/s-0031-1272474. Epub 2011 Mar 24.

Surgical management of pain and infertility secondary to endometriosis.

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  • 1Department of Obstetrics, Gynecology, and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.


The management of pain and infertility secondary to endometriosis remains a challenge. Surgical management of early-stage endometriosis-associated infertility has only a mild effect with a number needed to treat of at least 12 to achieve one pregnancy. Excision of endometriomas provides the best outcome for fertility and pain; however, there is a potential to reduce the ovarian reserve. Pain relief is seen in most patients undergoing surgical management but with a high recurrence rate over time. Long-term postoperative medical suppressive therapy with oral contraceptives may have some benefit in reducing recurrence of symptoms. Hysterectomy is effective in the long-term management of chronic pain associated with endometriosis.

© Thieme Medical Publishers.

[PubMed - indexed for MEDLINE]
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