Skip to main content

Rationale for Combined Medical and Surgical Treatment of Endometriosis

  • Chapter
Endometriosis

Abstract

Three modes of therapy are available for conservative management of endometriosis: surgery, medical suppression, and a combination of surgery and medical suppression. The mode chosen generally depends on symptoms (for example infertility, dysmenorrhea, dys-pareunia) and severity of the disease. Laparoscopic surgery is currently the primary conservative approach to the treatment of all cases of minimal, most cases of mild, and many cases of moderate or severe endometriosis (AFS-r Classification of Endometriosis). However, I believe many endometriosis patients need combined medical and surgical treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Buttram VC, Vacquero C. Post-ovarian wedge resection adhesive disease. Fertil Steril 1975;26:874.

    PubMed  Google Scholar 

  2. Evers JHL. The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil Steril 1987;47:502.

    PubMed  CAS  Google Scholar 

  3. Buttram VC. Use of danazol in conservative surgery. J Reprod Med (Supplement) 1990;35:82.

    PubMed  Google Scholar 

  4. Buttram VC, Reiter RC, Ward SM. Treatment of endometriosis with danazol: Report of a six year prospective study. Fertil Steril 1985;43:353.

    PubMed  Google Scholar 

  5. Wheeler J, Malinak LR. Postoperative danazol therapy in infertility patients with severe endometriosis. Fertil Steril 1981;36:460.

    PubMed  CAS  Google Scholar 

  6. Seibel MM, Berger MJ, Weinstein FG, Taymor ML. The effectiveness of danazol on subsequent fertility in minimal endometriosis. Fertil Steril 1982;38:534.

    PubMed  CAS  Google Scholar 

  7. Buttram VC. Conservative surgery for endometriosis in the infertile female: A study of 206 patients with implications for both medical and surgical therapy. Fertil Steril 1979;31:117.

    PubMed  Google Scholar 

  8. Buttram VC, Reiter RC. Surgical Treatment of the Infertile Female. Baltimore, Williams & Wilkins Publishers, 1985.

    Google Scholar 

  9. Confino E, Harlow BS, Gleicher N. Peritoneal fluid and serum autoantibody levels in patients with endometriosis. Fertil Steril 1980;53:242.

    Google Scholar 

  10. Bartosik D, Jacobs S, Kelly L. Endometrial tissue in peritoneal fluid. Fertil Steril 1986;46:796.

    PubMed  CAS  Google Scholar 

  11. Andrews WC, Larson GD. Endometriosis treatment with hormonal pseudopregnancy and/or operation. Am J Obstet Gynecol 1974;118:643.

    PubMed  CAS  Google Scholar 

  12. Buttram VC, Belue JB, Reiter RC. Interim report of a study of danazol for the treatment of endometriosis. Fertil Steril 1982;37:478.

    PubMed  Google Scholar 

  13. Dmowski WP, Cohen MR. Antigonadotropin (danazol) in the treatment of endometriosis. Am J Obstet Gynecol 1978;130:41.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Buttram, V.C. (1995). Rationale for Combined Medical and Surgical Treatment of Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_24

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8404-5_24

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8406-9

  • Online ISBN: 978-1-4613-8404-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics