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Endometriosis Diagnosis and Management in Adolescent Patients and Current Treatment Regimes

Published in Reports (Volume 1, Issue 2)
Received: 20 February 2021    Accepted: 15 March 2021    Published: 9 July 2021
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Abstract

Endometriosis disease affects about an estimated number of 176 million women worldwide, which constitutes ~10% of the total female population causing debilitating symptoms of pelvic pain and infertility, thus limiting the quality of reproductive life of an affected woman. Progestins now have became a mainstay of endometriosis suppression, out of which dienogest has been opted as a best option worldwide. Its an expertise literature review with recommendations on the use of dienogest in the context of various clinical considerations when treating endometriosis disease. Experts have reviewed and included those, which they found to be considered most relevant in clinical practices, based on their own clinical experiences. Long-term uses (>15 months) of dienogest for the management of endometriosis is presented, with experts concluding that the efficacy of dienogest must be assessed primarily for its impact on pain and quality of life of a woman. Fertility preservation, avoiding or delaying surgery, and managing the bleeding irregularities occurring because of this medical treatment are also considered here. Counseling women on potential bleeding risks before starting the treatment may be helpful, as the evidences suggest that few of them discontinues the treatment because of this reason outweighing the benefits. Overall, the evidences demonstrate that dienogest offers an effective and tolerable alternative in adjunct to surgery and provids many advantages over combined hormonal contraceptives for the treatment of endometriosis. But its important for all that treatment guidelines must be followed strictly with great care and must be tailored to the woman’s individual needs and their desires.

Published in Reports (Volume 1, Issue 2)
DOI 10.11648/j.reports.20210102.11
Page(s) 10-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Adolescents, Dysmenorrhea, Endometrioma, Endometriosis, Pelvic Pain

References
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[3] Alio, L et al. 2019. “When More Is Not Better: 10 ‘Don’Ts’ in Endometriosis Management. An ETIC* Position Statement.” Human Reproduction Open 2019 (3).
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  • APA Style

    Ashish Ashish, Kusum Kusum, Sangeeta Rai, Radha Chaube, Shivani Mishra, et al. (2021). Endometriosis Diagnosis and Management in Adolescent Patients and Current Treatment Regimes. Reports, 1(2), 10-13. https://doi.org/10.11648/j.reports.20210102.11

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    ACS Style

    Ashish Ashish; Kusum Kusum; Sangeeta Rai; Radha Chaube; Shivani Mishra, et al. Endometriosis Diagnosis and Management in Adolescent Patients and Current Treatment Regimes. Reports. 2021, 1(2), 10-13. doi: 10.11648/j.reports.20210102.11

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    AMA Style

    Ashish Ashish, Kusum Kusum, Sangeeta Rai, Radha Chaube, Shivani Mishra, et al. Endometriosis Diagnosis and Management in Adolescent Patients and Current Treatment Regimes. Reports. 2021;1(2):10-13. doi: 10.11648/j.reports.20210102.11

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  • @article{10.11648/j.reports.20210102.11,
      author = {Ashish Ashish and Kusum Kusum and Sangeeta Rai and Radha Chaube and Shivani Mishra and Royana Singh},
      title = {Endometriosis Diagnosis and Management in Adolescent Patients and Current Treatment Regimes},
      journal = {Reports},
      volume = {1},
      number = {2},
      pages = {10-13},
      doi = {10.11648/j.reports.20210102.11},
      url = {https://doi.org/10.11648/j.reports.20210102.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20210102.11},
      abstract = {Endometriosis disease affects about an estimated number of 176 million women worldwide, which constitutes ~10% of the total female population causing debilitating symptoms of pelvic pain and infertility, thus limiting the quality of reproductive life of an affected woman. Progestins now have became a mainstay of endometriosis suppression, out of which dienogest has been opted as a best option worldwide. Its an expertise literature review with recommendations on the use of dienogest in the context of various clinical considerations when treating endometriosis disease. Experts have reviewed and included those, which they found to be considered most relevant in clinical practices, based on their own clinical experiences. Long-term uses (>15 months) of dienogest for the management of endometriosis is presented, with experts concluding that the efficacy of dienogest must be assessed primarily for its impact on pain and quality of life of a woman. Fertility preservation, avoiding or delaying surgery, and managing the bleeding irregularities occurring because of this medical treatment are also considered here. Counseling women on potential bleeding risks before starting the treatment may be helpful, as the evidences suggest that few of them discontinues the treatment because of this reason outweighing the benefits. Overall, the evidences demonstrate that dienogest offers an effective and tolerable alternative in adjunct to surgery and provids many advantages over combined hormonal contraceptives for the treatment of endometriosis. But its important for all that treatment guidelines must be followed strictly with great care and must be tailored to the woman’s individual needs and their desires.},
     year = {2021}
    }
    

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    AU  - Sangeeta Rai
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    AB  - Endometriosis disease affects about an estimated number of 176 million women worldwide, which constitutes ~10% of the total female population causing debilitating symptoms of pelvic pain and infertility, thus limiting the quality of reproductive life of an affected woman. Progestins now have became a mainstay of endometriosis suppression, out of which dienogest has been opted as a best option worldwide. Its an expertise literature review with recommendations on the use of dienogest in the context of various clinical considerations when treating endometriosis disease. Experts have reviewed and included those, which they found to be considered most relevant in clinical practices, based on their own clinical experiences. Long-term uses (>15 months) of dienogest for the management of endometriosis is presented, with experts concluding that the efficacy of dienogest must be assessed primarily for its impact on pain and quality of life of a woman. Fertility preservation, avoiding or delaying surgery, and managing the bleeding irregularities occurring because of this medical treatment are also considered here. Counseling women on potential bleeding risks before starting the treatment may be helpful, as the evidences suggest that few of them discontinues the treatment because of this reason outweighing the benefits. Overall, the evidences demonstrate that dienogest offers an effective and tolerable alternative in adjunct to surgery and provids many advantages over combined hormonal contraceptives for the treatment of endometriosis. But its important for all that treatment guidelines must be followed strictly with great care and must be tailored to the woman’s individual needs and their desires.
    VL  - 1
    IS  - 2
    ER  - 

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Author Information
  • Department of Anatomy, Institute of Medical Science, Banaras Hindu University, Varanasi, India

  • Department of Zoology, Institute of Science, Banaras Hindu University, Varanasi, India

  • Department of Obstetrics & Gynaecology, Institute of Medical Science, Banaras Hindu University, Varanasi, India

  • Department of Zoology, Institute of Science, Banaras Hindu University, Varanasi, India

  • Department of Anatomy, Institute of Medical Science, Banaras Hindu University, Varanasi, India

  • Department of Anatomy, Institute of Medical Science, Banaras Hindu University, Varanasi, India

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