Menopause in women with endometriosis

Question 1

Medical tx in menopausal woman with endometriosis

Answer 1

• In women with surgically induced menopause because of endometriosis, estrogen/progestagen therapy or tibolone can be effective for the treatment of menopausal symptoms
• in postmenopausal women after hysterectomy and with a history of endometriosis, clinicians should
  avoid unopposed estrogen treatment. However, the theoretical benefit of avoiding disease reactivation and malignant transformation of residual disease should be balanced against the increased systemic risks associated with combined estrogen/progestagen or tibolone
• Continue to treat women with a history of endometriosis after surgical menopause with combined
  estrogen/progestagen or tibolone, at least up to the age of natural menopause