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Endometriosis Pain Management: a Review.
Current Pain and Headache Reports ( IF 3.2 ) Pub Date : 2020-07-15 , DOI: 10.1007/s11916-020-00884-6 Daniel Carlyle 1 , Tarek Khader 2 , David Lam 1 , Nalini Vadivelu 1 , Devina Shiwlochan 1 , Cho Yonghee 2
中文翻译:
子宫内膜异位症疼痛管理:审查。
更新日期:2020-07-15
Current Pain and Headache Reports ( IF 3.2 ) Pub Date : 2020-07-15 , DOI: 10.1007/s11916-020-00884-6 Daniel Carlyle 1 , Tarek Khader 2 , David Lam 1 , Nalini Vadivelu 1 , Devina Shiwlochan 1 , Cho Yonghee 2
Affiliation
Purpose of Review
The purpose of this review is to summarize the up-to-date pain management options and recommendations for the challenging disease, endometriosis.Recent Findings
The mainstays of endometriosis advances of both surgical and medical management continue to evolve. Experimental pharmaceuticals include Gestirone, and aromatase inhibitors have shown promise but are still under scrutiny. Surgical techniques include laparoscopic uterosacral nerve ablation/resection and presacral neurectomy.Summary
No studies have directly compared medical versus surgical management, and as such, no one treatment modality can be recommend as superior to the other. Patients may initially be given a medical diagnosis and treated with nonsteroidal anti-inflammatory drugs, neurolepitcs, OCP, GNRH agonists/antagonists, and Danazol. Assessing the success of these regimens has proved difficult. Surgical management relies on various methods including excision/ablation of the lesions, nerve ablation, neurectomy, hysterectomy, and oophorectomy.中文翻译:
子宫内膜异位症疼痛管理:审查。