[Management of endometriosis: CNGOF-HAS practice guidelines (short version)]

Area of Science:

• Reproductive Medicine
• Gynecology
• Surgical Innovation

Background:

• Endometriosis is a common gynecological condition causing significant pain and infertility.
• Current diagnostic and treatment guidelines require clear summarization for clinical practice.
• Optimizing patient outcomes necessitates evidence-based approaches to management.

Purpose of the Study:

• To outline current best practices for diagnosing endometriosis.
• To detail recommended first-line and second-line treatment strategies.
• To provide guidance on surgical interventions and fertility management.

Main Methods:

• Review of diagnostic modalities including clinical examination, pelvic ultrasound, transvaginal ultrasound, and pelvic MRI.
• Analysis of first-line hormonal treatments: combined hormonal contraceptives and levonorgestrel 52mg IUD.
• Evaluation of surgical approaches, specifically recommending laparoscopy.

Main Results:

• Symptomatic endometriosis warrants treatment.
• First-line hormonal therapies include combined hormonal contraceptives or levonorgestrel 52mg IUD.
• Laparoscopic surgery is the recommended surgical approach.

Conclusions:

• Diagnosis relies on clinical assessment and imaging, with MRI as a second-line option.
• Hormonal treatments are key for painful endometriosis management and post-surgery care.
• Multidisciplinary discussion is crucial for complex or treatment-resistant cases, and fertility preservation should be addressed.