Comparison of a Levonorgestrel-Releasing Intrauterine Device versus Expectant Management After Conservative Surgery for Symptomatic Endometriosis: A Pilot Study

Vignola, Paolo; Frontino, Giada; Giorgi, Olga De; Aimi, Giorgio; Zàina, Barbara; Crosignani, Pier Giorgio

doi:10.1097/01.ogx.0000109263.36906.e4

Cited by 71 publications

(89 citation statements)

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“…15,16 Ling 17 showed empiric treatment to be effective in low-risk patients, including women aged 18 to 45 years with regular menses, no previous diagnosis of endometriosis, no hormonal treatment in the prior 3 months, no evidence of gastrointestinal or urinary disease, normal pelvic ultrasound, normal complete blood count, normal urinalysis, negative gonorrhea and chlamydia culture, negative human chorionic gonadotropin, and failure of NSAIDs and doxycycline to improve pain symptoms (SORT B). Of patients treated empirically, 80% experienced significant improvement, including patients without detectable endometriosis at subsequent laparoscopy.…”

Section: Endometriosismentioning

confidence: 99%

Management of Pelvic Pain from Dysmenorrhea or Endometriosis

Nasir¹,

Bope²

2004

The Journal of the American Board of Family Medicine

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Many women suffer from pelvic pain, and a great many visit their family doctor for diagnosis and treatment. Two common causes are primary dysmenorrhea and endometriosis. Primary dysmenorrhea is best treated by prostaglandin inhibition from nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclooxygenase-2 (COX-2)-specific inhibitors. Oral contraceptives can be added to improve pain control. Endometriosis can be treated with NSAIDs and COX-2-specific inhibitors as well but can also be treated with hormonal manipulation or surgery. Empiric treatment for endometriosis in selected patients is now accepted, making the disorder easier for family physicians to manage. (J Am Board Fam Pract 2004;17:S43-7.)

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Section: Endometriosismentioning

confidence: 99%

Management of Pelvic Pain from Dysmenorrhea or Endometriosis

Nasir¹,

Bope²

2004

The Journal of the American Board of Family Medicine

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“…11,24 In one study only 10% of women who had a levonorgestrel intrauterine system after surgery for endometriosis had moderate or severe dysmenorrhea compared with 45% of the women who had surgery only. 12 In a trial of 82 women with endometriosis the levonorgestrel intrauterine system had similar effectiveness to GnRH analogues, but the potential for long-term use of this system is advantageous if the woman does not want to conceive. 13 It has also been used in women with rectovaginal disease.…”

Section: What Are the Indications For Laparoscopy?mentioning

confidence: 99%

Laparoscopic Excision of Endometrioma

Abid¹

2008

WJOLS

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“…Postoperative use can reduce the recurrence rate of endometriosis [21]. Insertion of the LNG-IUS at the time of primary surgery in women with chronic pelvic pain caused by endometriosis, has the clinical effect to reduce the postoperative pain.…”

Section: Progestogen Treatment Of Peritoneal Endometriosismentioning

confidence: 99%

Hormonal contraceptives and endometriosis/adenomyosis

Schindler¹

2010

Gynecological Endocrinology

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Over the past 50 years hormonal contraceptives have gradually developed to be cost-effective medical treatment modalities for primary and secondary therapy of endometriosis/adenomyosis. This is particularly true for the various estrogen/ progestogen combinations as monophasic -particularly progestogen-dominant -preparations in cyclic, long-cyclic and continuous treatment forms. An alternative is the progestogen-only therapy used continuously. Therapeutic effects have been shown for peritoneal, ovarian and deep-infiltrating endometriosis as well as for adenomyosis. An individualized, medical long-term treatment concept to control endometriosis/adenomyosis-related symptoms, endometriosis/adenomyosis development and minimizing the recurrence rate needs to be further studied in women, who do not desire to become pregnant.

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Comparison of a Levonorgestrel-Releasing Intrauterine Device versus Expectant Management After Conservative Surgery for Symptomatic Endometriosis: A Pilot Study

Cited by 71 publications

References 0 publications

Management of Pelvic Pain from Dysmenorrhea or Endometriosis

Management of Pelvic Pain from Dysmenorrhea or Endometriosis

Laparoscopic Excision of Endometrioma

Hormonal contraceptives and endometriosis/adenomyosis

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