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Published on: February 26, 2019
Novel pharmacological therapies for the treatment of endometriosis
Laura Buggio1, Dhouha Dridi1, Giussy Barbara1,2
1Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Introduction:
Endometriosis is a chronic, estrogen-dependent, inflammatory disease associated with pelvic pain, infertility, impaired sexual function, and psychological suffering. Therefore, tailored patient management appears of primary importance to address specific issues and identify the appropriate treatment for each woman. Over the years, abundant research has been carried out with the objective to find new therapeutic approaches for this multifaceted disease.
Areas Covered:
This narrative review aims to present the latest advances in the pharmacological management of endometriosis. In particular, the potential role of GnRH antagonists, selective progesterone receptor modulators (SPRMs), and selective estrogen receptors modulators (SERMs) will be discussed. We performed a literature search in PubMed and Embase, and selected the best quality evidence, giving preference to the most recent and definitive original articles and reviews.
Expert Opinion:
Medical therapy represents the cornerstone of endometriosis management, although few advances have been made in the last decade. Most studies have focused on the evaluation of the efficacy and safety of GnRH antagonists (plus add-back therapy in cases of prolonged treatment), which should be used as second-line treatment options in selected cases (i.e. non-responders to first-line treatments). Further studies are needed to identify the ideal treatment for women with endometriosis.
Insights
New pharmacological treatments for endometriosis are emerging, focusing on GnRH antagonists as second-line options. Research continues to seek ideal therapies for this chronic inflammatory disease impacting women's health.
Area of Science:
- Reproductive medicine and endocrinology.
- Gynecological inflammatory diseases.
Background:
- Endometriosis is a chronic, estrogen-dependent inflammatory condition.
- It causes pelvic pain, infertility, and impacts sexual function and psychological well-being.
- Tailored patient management is crucial for effective endometriosis treatment.
Purpose of the Study:
- To review the latest advancements in the pharmacological management of endometriosis.
- To discuss the roles of GnRH antagonists, SPRMs, and SERMs.
- To identify optimal therapeutic strategies for women with endometriosis.
Main Methods:
- A narrative review of current literature.
- Literature search conducted in PubMed and Embase databases.
- Selection of high-quality, recent original articles and reviews.
Main Results:
- Medical therapy is central to endometriosis management, with limited recent advances.
- GnRH antagonists show efficacy and safety, particularly as second-line treatments.
- Further research is necessary to determine ideal endometriosis treatments.
Conclusions:
- GnRH antagonists are valuable second-line options for specific endometriosis cases.
- Continued investigation is vital for developing superior therapeutic approaches.
- Personalized treatment strategies are essential for managing endometriosis effectively.
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