Candiani G B, Vercellini P, Fedele L, Bocciolone L, Bianchi C
First Department of Obstetrics and Gynaecology, University of Milan School of Medicine, Italy.
Hum Reprod. 1990 Nov;5(8):901-5. doi: 10.1093/oxfordjournals.humrep.a137217.
The easy access to the pelvis of infertile women by laparoscopy favours early diagnosis of endometriosis in an increasing number of subjects with minimal and mild disease. These initial forms have been associated with and considered as the cause of infertility despite the absence of relevant scientific evidence. Various hormone therapies, some with severe side-effects and high costs, have been used by numerous authors. However, no study comparing medically treated with untreated women has ever shown any drug to be more effective than expectant management. The possible explanations of treatment failures are reviewed.
通过腹腔镜检查能够轻易进入不孕女性的盆腔，这有利于对越来越多患有轻微和轻度疾病的患者早期诊断子宫内膜异位症。尽管缺乏相关科学证据，但这些早期形式已被关联并被视为不孕的原因。许多作者使用了各种激素疗法，其中一些具有严重的副作用和高昂的成本。然而，尚无比较药物治疗与未治疗女性的研究表明任何药物比期待疗法更有效。本文综述了治疗失败的可能原因。
