What is included in long-term monitoring of patients with endometriosis?

Updated: May 10, 2021
  • Author: G Willy Davila, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

If the presumptive diagnosis is endometriosis and follow up is arranged, pain management can include the use of nonsteroidal anti-inflammatory drugs (NSAIDs) or narcotic analgesics. Start patients with classic symptoms of endometriosis and no reason to suspect another cause on medical therapy. Surgical diagnosis is not always required.

Lack of rapid response (within 1-2 cycles) to medical therapy should prompt a search for other causes of the patient's symptoms. Consider diagnostic laparoscopy if it has not been performed previously.

In patients who underwent surgery for endometriosis (or had endometriosis discovered during surgery for another indication), consider adjuvant medical treatment. At a minimum, place these patients on oral contraceptive pills until they are ready to conceive.

Endometriosis is progressive and can result in chronic pain and infertility. Gynecologic follow-up is advised.


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