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• W2100281208 startingPage "133" @default.
• W2100281208 abstract "In the coming years, basic science research into the mechanisms of endometriosis development and persistence almost certainly will open new avenues for treatment. A wide armamentarium of medical therapies already exists, however. The efficacy of most of these methods in reducing endometriosis-associated pain is well established. The choice of which to use depends largely on patient preference after an appropriate discussion of risks, side effects, and cost. Typically, oral contraceptives and NSAIDs are first-line therapy because of their low cost and mild side effects (Box 6). Because of its greater potential for suppressing endometrial development, consideration should be given to prescribing a low-dose monophasic oral contraceptive continuously. If adequate relief is not obtained or if side effects prove intolerable, consideration should be given to the use of progestins (oral, intramuscular, or IUD) or a GnRH agonist with immediate add-back therapy. Progestins are less expensive, but GnRH agonists with add-back may be better tolerated. If none of these medications proves beneficial or if side effects are too pronounced, then repeat surgery is warranted. The surgery may have analgesic value and serves to reconfirm the diagnosis. Finally, if endometriosis is identified at the time of surgery, then consideration should be given to prescribing medical therapy postoperatively." @default.
• W2100281208 created "2016-06-24" @default.
• W2100281208 creator A5029061675 @default.
• W2100281208 creator A5042887491 @default.
• W2100281208 date "2003-03-01" @default.
• W2100281208 modified "2023-10-02" @default.
• W2100281208 title "Medical management of endometriosis-associated pain" @default.
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• W2100281208 doi "https://doi.org/10.1016/s0889-8545(02)00057-8" @default.
• W2100281208 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12699262" @default.

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