Journal article Open Access
Krupa, Adrianna; Padała, Olga; Putowski, Maciej; Konopelko, Michał; Piasek, Ewa
Krupa Adrianna, Padała Olga, Putowski Maciej, Konopelko Michał, Piasek Ewa. Available treatment methods for endometriosis. Journal of Education, Health and Sport. 2019;9(7):178-184. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3269215
The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017).
1223 Journal of Education, Health and Sport eISSN 2391-8306 7
© The Authors 2019;
This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.
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The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 20.06.2019. Revised: 25.06.2019. Accepted: 04.07.2019.
Available treatment methods for endometriosis
Adrianna Krupa, firstname.lastname@example.org ORCID:0000-0003-0866-3952
Department of Human Anatomy, Medical University of Lublin, Jaczewskiego 4 Street, 20-090 Lublin, Poland
Olga Padała, email@example.com ORCID:0000-0003-1469-0877
1st Department of Psychiatry, Psychotherapy and Early Intervention Medical University of Lublin, Gluska Street 1, 20-439 Lublin, Poland
Maciej Putowski, firstname.lastname@example.org ORCID:0000-0002-7575-2456
Department of Experimental Hematooncology, Medical University of Lublin, Chodźki 1 Street, 20-093 Lublin, Poland
Michał Konopelko, email@example.com ORCID:0000-0003-4103-7400
Department of Otolaryngology and Laryngological Oncology, Medical University of Lublin, Jaczewskiego 8, 20-954, Lublin, Poland
Ewa Piasek, firstname.lastname@example.org, ORCID:0000-0003-3344-4022
I Clinic of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Jaczewskiego 8, 20-954, Lublin, Poland
endometriosis, treatment, pelvic pain, infertility
Introduction and and purpose of paper:
The aim of this paper was to present modern methods of treatment for endometriosis. Endometriosis is a chronic inflammatory condition of women that is characterized by the implementation of endometrial tissue outside the uterus. It affects 7 to 15% of menstruating women, and 35 to 50% of women treated for infertility.
State of knowledge:
Diagnosis of endometriosis is made on the basis of well-collected gynecological history, clinical examinations and imaging techniques. The golden standard for diagnostics is laparoscopy with subsequent histological examination of the material collected during the procedure. Among the methods of treatment in women with endometriosis, pharmacological and surgical treatment is applied. The pharmacological agents most commonly used in endometriosis are: combined hormonal contraceptives, progestins and anti-progestins, GnRH agonists and antagonists, aromatase inhibitors, Danazol and non-steroidal anti-inflammatory drugs (NSAIDs). Pharmacological treatment is only symptomatic, not cytoreductive, therefore, to remove endometriosis lesions, surgery should be performed. There are two ways to perform surgery: laparotomy and laparoscopy. Surgical treatment of endometriosis may be associated with local excision of lesions and sometimes even removal of the entire organ. Treatment should be conducted in consultation with the patient and her wishes. Conservative treatment is most commonly used among women of reproductive age.
The pharmaceutical or surgical treatment require an individual approach and deliberated informed consent of patient. Pharmacological treatment is only symptomatic, not cytoreductive, therefore, to remove endometriosis lesions, surgery should be performed.