ABSTRACT
Prerequisites: Pathogenesis and pathophysiology of endometriosis, pharmacodynamics of oral contraceptives, progestagens, antiprogestagens, danazol, GnRh agonist and non-steroidal antiinflammatory
Purpose of review: The aim of this paper is to systematically review the literature evidence of medical treatments for endometriosis and to summarize recently published recommendations
Methods:Literature and recently published recommendations review via bibliographic research using Pubmed/Medline, Google scholar and Cochrane database
Results:Endometriosis is an estrogen-dependent gynecological disease. Medical treatement of endometriosis induce an estrogen deprivation situation. The Oral contraceptives reduce the rate of postoperative endometrioma recurrence and should be considered an essential part of long-term therapeutic strategies.New agents promise a distinct perspective in endometriosis treatment
Conclusions: The effectiveness of medical treatment is well established in the management pelvic pain and infertility associated with endometriosis and constitutes an important alternative or complement to surgery