Avraham Sarit, Seidman Daniel S
Department of Obstetrics & Gynecology, Chaim Sheba Medical Center, 52621 Tel-Hashomer, Israel.
Womens Health (Lond). 2014 Mar;10(2):161-6. doi: 10.2217/whe.13.77.
The two major consequences of endometriosis are pain and infertility. Despite numerous studies and proposed guidelines, some aspects of the treatment for these complications are still under debate or lack convincing evidence that favors one approach over the other. Future studies will hopefully present new evidence in regard to the optimal treatment for each indication and suggest innovative pharmacotherapy following improved understanding of the pathophysiology of endometriosis. Until then, individualization of the treatment according to the specific indication, taking into consideration the benefits versus the risks for the patient and the tolerability profile, remains the most appropriate approach.
子宫内膜异位症的两个主要后果是疼痛和不孕。尽管有大量研究并提出了相关指南，但这些并发症的治疗在某些方面仍存在争议，或者缺乏支持一种方法优于另一种方法的确凿证据。未来的研究有望提供关于每种适应症最佳治疗的新证据，并在对子宫内膜异位症病理生理学有更好理解的基础上提出创新的药物治疗方法。在此之前，根据具体适应症进行个体化治疗，同时考虑对患者的利弊以及耐受性，仍然是最合适的方法。
