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Obstet Gynecol Clin North Am. 2015 Mar;42(1):87-101. doi: 10.1016/j.ogc.2014.10.005. Epub 2015 Jan 5.

Current strategies for endometriosis management.

Author information

1
Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, 333 Cedar Street, PO Box 208063, New Haven, CT 06520-8063, USA. Electronic address: pinar.kodaman@yale.edu.

Abstract

Endometriosis is a common gynecologic disorder that persists throughout the reproductive years. Although endometriosis is a surgical diagnosis, medical management with ovarian suppression remains the mainstay of long-term management with superimposed surgical intervention when needed. The goal of surgery should be excision or ablation of all visible disease to minimize risk of recurrence and need for repeat surgeries. When infertility is the presenting symptom, surgical therapy in addition to assisted reproductive technology can improve chances of conception; however, the treatment approach depends on stage of disease and other patient characteristics that affect fecundity.

KEYWORDS:

Endometrioma; Endometriosis; Infertility; Laparoscopy; Pelvic pain

PMID:
25681842
DOI:
10.1016/j.ogc.2014.10.005
[Indexed for MEDLINE]

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