Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5690017 | Fertility and Sterility | 2017 | 12 Pages |
Abstract
Endometriosis can recur after either surgical or medical therapy. Long-term medical therapy is implemented to treat symptoms or prevent recurrence. Dienogest and gonadotropin-releasing hormone (GnRH) analogues with hormone add-back therapy seem to be equally effective for long-term treatment of pain symptoms associated with endometriosis. There is insufficient evidence to support the superiority of one therapy over the other. However, add-back hormone therapy (HT) is recommended for patients using GnRH agonists. The treatment selection depends on therapeutic effectiveness, tolerability, drug cost, the physician's experience, and expected patient compliance.
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Authors
Mohamed A. M.D., Ph.D., Catherine M.D., Sukinah M.D.,