Changing the paradigm of endometriosis - from diagnosis to integrated long-term management: a joint society opinion paper - PubMed
2 days ago
- #Disease Management
- #Fertility
- #Endometriosis
- Endometriosis is a chronic, systemic, oestrogen-dependent disease affecting pain, fertility, and quality of life.
- Diagnostic laparoscopy is no longer indicated; clinical assessment with expert transvaginal ultrasonography and MRI reliably identifies disease phenotypes.
- Medical therapy, particularly progestins, forms the foundation of long-term care, with GnRH analogues/antagonists as second-line options.
- Surgery is reserved for specific indications like deep infiltrating disease, infertility with correctable anatomy, and organ-threatening involvement.
- Surgery should be preceded by comprehensive imaging and followed by prolonged hormonal suppression to reduce recurrence.
- Integrated, individualized care pathways are essential for improving outcomes and supporting fertility preservation.