Endometriosis: symptoms, diagnosis, and treatment

https://doi.org/10.53730/ijhs.v1nS1.15299

Authors

  • Omar Hussain Alsomali KSA, National Guard Health Affairs
  • Abdulrhman Awadh Alharbi KSA, National Guard Health Affairs
  • Ali Suliman Aloula KSA, National Guard Health Affairs
  • Barakat Shumailan Alazmiy KSA, National Guard Health Affairs
  • Ahmad Alhelo Alanazi KSA, National Guard Health Affairs
  • Saud Dakhel Alanazi KSA, National Guard Health Affairs
  • Ibrahim Muhammad Al-Arej KSA, National Guard Health Affairs
  • Abdullatif Suliman Alsayegh KSA, National Guard Health Affairs
  • Abdulaziz Radi Alanazi KSA, National Guard Health Affairs
  • Mohammed Abdullah Alduaybi KSA, National Guard Health Affairs
  • Meshal Ibrahim Zaid Al Owias KSA, National Guard Health Affairs

Keywords:

Endometriosis, pain management, infertility, surgical treatment, hormonal therapy, multidisciplinary approach

Abstract

Background: Endometriosis is a complex gynecological condition characterized by the presence of endometrial-like tissue outside the uterus, often leading to chronic pain and infertility. Its management requires a multidisciplinary approach that includes surgical and medical interventions. Aim: This article aims to review current clinical management practices for pain and infertility associated with endometriosis, focusing on surgical and hormonal treatments as well as pain management strategies. Methods: A comprehensive analysis of existing literature on endometriosis management was conducted, highlighting various therapeutic options, their efficacy, and considerations regarding surgical interventions. Results: Surgical techniques, such as excision of endometrial implants and nerve ablation, demonstrate success rates of 50% to 80% in alleviating symptoms. Hormonal treatments, including non-steroidal anti-inflammatory drugs (NSAIDs), combined oral contraceptive pills (COCPs), progestins, and gonadotropin-releasing hormone agonists (GnRH), are first-line therapies for managing pain. In cases of infertility, surgical interventions can enhance the likelihood of natural conception. However, the recurrence of endometriosis remains a significant concern, occurring in 5% to 15% of patients even after comprehensive surgeries. Conclusion: Effective management of endometriosis-related pain and infertility necessitates a tailored approach, considering patient preferences, side effects, and the specific clinical scenario. 

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Published

15-01-2017

How to Cite

Alsomali, O. H., Alharbi, A. A., Aloula, A. S., Alazmiy, B. S., Alanazi, A. A., Alanazi, S. D., Al-Arej, I. M., Alsayegh, A. S., Alanazi, A. R., Alduaybi, M. A., & Al Owias, M. I. Z. (2017). Endometriosis: symptoms, diagnosis, and treatment. International Journal of Health Sciences, 1(S1), 228–238. https://doi.org/10.53730/ijhs.v1nS1.15299

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