Endometriosis


SYMPTOMATIC BOWEL ENDOMETRIOSIS

SYMPTOMATIC BOWEL ENDOMETRIOSIS

    In all cases, sigmoidoscopic examination for tender, fixed angulation of bowel is followed by double contrast barium enema. Selective colono­scopy. Mechanical and antibiotic bowel preparation in all cases. Estrogen hormone replacement therapy in…


ENDOMETRIOSIS ASSOCIATED HEALTH PROBLEMS

ENDOMETRIOSIS ASSOCIATED HEALTH PROBLEMS

  The objective of treatment is to control symptoms promptly and, where surgery is indicated, to excise all visible endometriosis.   Stages I and II   Laparoscopic surgery with postoperative danazol or GnRH Conservative surgery…


ENDOMETRIOSIS ASSOCIATED INFERTILITY

ENDOMETRIOSIS ASSOCIATED INFERTILITY

    When surgery is indicated, the objective is to excise all visible endometriosis, and then allow the patient to conceive, using assisted reproductive technologies as indicated. Older patients and couples with prolonged infertility should…


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ENDOMETRIOSIS ASSOCIATED PAIN

 Options for Treatment   ENDOMETRIOSIS-ASSOCIATED PAIN The objective is to excise all visible endometriosis and treat with post­operative danocrine or GnRH for 3 months, then maintain the patient with combination oral contraceptive pills such as…