Searching for optimal decisions and revising management tactics for patients with endometriosis


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Abstract

Endometriosis is a common chronic disease that drastically reduces quality of life in women and requires longterm drug treatment due to the high risk of postoperative recurrences. The paper reviews the latest publications on pathogenesis and current management of women with endometriosis, by using noninvasive diagnostic methods and drug versus surgical treatment in order to avoid adverse outcomes of repeat surgical interventions. Conclusion. Drug treatment with a good safety and tolerability profile should be the first-line therapy in patients with pelvic pain who are currently uninterested in pregnancy and have no indication for urgent surgical treatment. Progestins have many advantages over combined oral contraceptives for the treatment of endometriosis.

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About the authors

Galina E. Chernukha

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: g_chernukha@oparina4.ru
MD, PhD, Professor, Head of the Department of Gynecological Endocrinology

Larisa A. Marchenko

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: l_marchenko@yandex.ru
MD, PhD, Professor, Leading Research Officer of the Department of Gynecological Endocrinology

Dmitri V. Gusev

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: d_gusev@oparina4.ru
PhD, Research Officer of the Department of Gynecological Endocrinology

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