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Semin Reprod Med 2018; 36(02): 143-151
DOI: 10.1055/s-0038-1676103
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endometriosis and Female Pelvic Pain

Jin Hee Kim
1   Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York
,
Esther Han
1   Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York
› Author Affiliations
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Publication History

Publication Date:
19 December 2018 (online)

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Abstract

Endometriosis is a nonmalignant gynecologic disorder that can have a significant impact on a woman's quality of life with pelvic pain and possible lasting effects on one's fertility. Symptoms, when present, can be severe and affect many organ systems including the gastrointestinal and urinary systems. Other etiologies of pelvic pain must be ruled out and/or need to be addressed concurrently for optimal patient care. There are numerous medical and surgical treatment options available that have been shown to be beneficial for endometriosis-related pelvic pain. Recurrence is common when medications are discontinued and even after surgical therapy. Ultimately, the treatment approach will be dependent on the needs of the patient, taking into consideration the patient's desire for fertility, symptoms, past treatment, and patient preferences.

Keywords

endometriosis - pelvic pain - endometrioma - hormonal therapy - laparoscopy