Wenzl R, Jirecek S, Huber J
Klinischen Abteilung für Gynäkologische Endokrinologie und Sterilitätsbehandlung, Universitätsklinik für Frauenheilkunde, Wien.
Wien Med Wochenschr. 1999;149(13):372-3, 376.
Surgical treatment of endometriosis should be done during laparoscopy, which is obligatory for the diagnosis of the disease. In case of continuing postoperative symptoms, a medical treatment should be administered. As endometriosis is a hormone-dependent disease, hormones are the matter of choice (progestogens, danazol, gonadotropin-releasing hormone agonists). Because all agents do not differ significantly in efficacy, the therapy has to be adapted individually. The side-effects and metabolic changes have to be taken into account. In case of infertility, a beneficial effect of medical treatment is not proven.
子宫内膜异位症的手术治疗应在腹腔镜检查期间进行，这对该疾病的诊断是必不可少的。如果术后症状持续，应进行药物治疗。由于子宫内膜异位症是一种激素依赖性疾病，激素是治疗的首选（孕激素、达那唑、促性腺激素释放激素激动剂）。因为所有药物在疗效上没有显著差异，所以治疗必须个体化。必须考虑副作用和代谢变化。对于不孕症，药物治疗的有益效果尚未得到证实。
