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Related Experiment Videos

[Contraception and endometriosis]

G Brun1

  • 1Service de clinique gynécologique, Hôpital Saint-André, Bordeaux.

Contraception, Fertilite, Sexualite (1992)
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

Contraception for women with endometriosis varies by severity. Mild cases allow most methods, while severe cases may not require contraception due to infertility. Specific hormonal contraceptives are recommended for moderate endometriosis.

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Area of Science:

  • Gynecology
  • Reproductive Endocrinology

Background:

  • Endometriosis management often involves hormonal therapies.
  • Contraception choices for women with endometriosis require careful consideration based on disease severity and associated infertility.

Purpose of the Study:

  • To outline appropriate contraceptive strategies for women diagnosed with endometriosis.
  • To differentiate contraceptive recommendations based on endometriosis severity and infertility status.

Main Methods:

  • Review of current literature and clinical guidelines on endometriosis and contraception.
  • Categorization of contraceptive options based on estrogenic/progestogenic action and disease severity.

Main Results:

  • For mild endometriosis, most contraceptives are suitable, excluding those with strong estrogenic effects.

Related Experiment Videos

  • Severe endometriosis (score >70 or adhesion score >50) often implies infertility, negating the need for contraception.
  • For less severe endometriosis, medical treatment provides contraception for six months, followed by specific progestogen-dominant oral contraceptives.

    • Conclusions:

    • Contraceptive selection for endometriosis is tailored to disease severity and infertility.
    • Progestogen-dominant oral contraceptives are frequently recommended for women with endometriosis requiring contraception.
    • Alternative methods like vaginal contraception may be preferred for adenomyosis.