Endometriosis-current management

ABSTRACT

This article extensively reviews different aspects of the current management of endometriosis. Various drug therapies are discussed in detail with reference to their use alone and/or in combination with surgery. The effectiveness in terms of symptomatic relief is 75-100% with pseudopregnancy, 66-100% with danazol and 85-95% with GnRH analogues. The pregnancy rates are 28 - 76% with danazol and 10-58% with pseudo-pregnancy. The pattern of side effects favours the use of GnRH analogues but their cost prevents them being used as a drug of first choice in our community