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Complications and Prognosis
Screening and Prevention
No cure for endometriosis yet exists; primary treatment is directed toward relief of painr22 and improvement in quality of life r2
Hormonal therapies do not eliminate endometriosis, and symptoms recur or worsen when treatment is discontinued
Empiric therapy is generally administered without surgical diagnosis; plan is based on clinical diagnosis r22
Although the supporting data for this are weak,r1 initial therapy of NSAIDs can be used for patients who present with pelvic pain that is likely due to endometriosis, especially dysmenorrhea r1r6
If response to NSAIDs is inadequate and pregnancy is not desired, additional medical therapy includes the following: r1r11
If response to NSAIDs is inadequate and future pregnancy is desired, early referral to a gynecologist is recommended r11
Adjunctive hormonal therapy after surgery
Fertility-associated treatment options for infertile patients r6
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