Endometriosis子宫内膜异位课件解析.pptVIP

“He who knows endometriosis knows gynecology”  Surgery: Pros and cons Pros Proven efficacy Cons Invasive Costly Certain risks Due to high recurrence risk (~50% 5 yrs), 2nd surgery may be needed Increases the risk of damaging ovaries, and the risk of premature ovarian failure Medical treatment: Expectant treatment Use NSAIDs Asprin Other analgesics such as ibuproten Selective COX-2 inhibitors Little impact, if any, on endometriotic lesions Follow-up Medical treatment Principles (for current treatment modalities) To suppress ovarian estrogen production (GnRH-a and danazol) necessary for the d