Hormonal tx pre surgery for endometriosis

Question 1

Hormonal Tx pre surgery for endometriosis

Answer 1

Clinicians should not prescribe preoperative hormonal treatment to improve the outcome of surgery for pain in women with endometriosis

Question 2

Hormonal Tx post surgery for endometriosis

Answer 2

• Clinicians clearly distinguish adjunctive short-term ( 6 months) hormonal treatment; the latter is aimed at secondary prevention
• Short term: no use
• Secondary prevention: 18/24 months OCP or Mirena in women who are not planning a family
• Secondary prevention useful for dysmenorrhoea, not not menstrual pain or dyspareunia