Diagnosis and Management of Endometriosis
Endometriosis is a common disorder that can cause pelvic pain and infertility, may involve multiple organ systems, and can adversely affect quality of life. The cause of endometriosis is not fully understood, and no curative treatment currently exists. Although surgery can provide a definitive histopathological diagnosis, most international guidelines now recommend a nonsurgical diagnosis based on symptoms, findings on physical examination and imaging to reduce delays to starting treatment. Treatments target symptoms and include hormonal suppression, surgery or a combination of both approaches, as well as multidisciplinary care to address persistent pain arising from central sensitisation and nociplastic pain processes, if required.
Modern Medicine – Issue 4 2024