Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Evaluation of combined endoscopic and pharmaceutical management of endometriosis during adolescence
Laparoscopy is the most frequent surgical approach in gynecologic patients with acute or chronic pelvic pain. The symptomato-logy is frequently related to a specific gynecological pathology such as endometriosis or associated adhesive disease. During aneight year period, anuary 1990 to December 1997, 26 patients (aged l6-20 years) with endometriosis were diagnosed endoscopi-cally and managed pharmaceutically in our clinic. The disease was evaluated and staged according to the American Society ofReproductive Medicine. The disease was evaluated as first stage in l6 patients (61.6%) as second stage in eight patients (30.8%)as third stage in one patient (3.8%) and as fourth stage in one patient (3.8%).Patients underwent adhesiolysis and managementaccording to their laparoscopic findings. Postoperative pharmaceutical treatment (Danazol, CnRH analogues, Oral Contraceptives) was given. Patients were followed for the evaluation of the treatment. The efficacy of the combination of endoscopic and pharma-ceutical management of the disease is discussed.