Mick Ido, Freger Shay M, van Keizerswaard Jolanda, Gholiof Mahsa, Leonardi Mathew
Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.
Department of Obstetrics and Gynecology, McMaster University, 1280 Main Street West, Hamilton, ON L8N 3Z5, Canada.
Ther Adv Reprod Health. 2024 Sep 23;18:26334941241277759. doi: 10.1177/26334941241277759. eCollection 2024 Jan-Dec.
Endometriosis is a prevalent gynecological disease, leading to chronic pain and inflammation, affecting 1 in 10 individuals presumed female at birth. The diagnostic journey is often arduous, marked by neglect of the right diagnosis and prolonged wait times, significantly compromising the quality of life among those affected. This review provides a nuanced exploration of endometriosis-associated pain management, encompassing medical, surgical, and holistic approaches, all guided by accurate and refined diagnostics. Our paramount goal is to empower physicians as key figures in confronting this intricate challenge with a patient-centric approach, ultimately aiming to improve treatment and quality of life. Acknowledging each patient's unique needs, we emphasize the importance of tailoring a spectrum of options informed by current literature and insights gleaned from our experience in a high-volume tertiary endometriosis center. It is imperative to recognize endometriosis as a complex and chronic disease, often occurring with co-morbid conditions and nuanced complexities, necessitating a long-term personalized multimodal approach for each case. In addition, incorporating principles such as patient autonomy, profound respect for diverse experiences, and practical education on treatment choices is pivotal in enhancing treatment outcomes and overall patient satisfaction.
子宫内膜异位症是一种常见的妇科疾病，会导致慢性疼痛和炎症，在每10名出生时被认定为女性的个体中就有1人受其影响。诊断过程往往很艰难，存在误诊和等待时间过长的问题，严重影响了患者的生活质量。本综述对子宫内膜异位症相关的疼痛管理进行了细致入微的探讨，涵盖了药物、手术和整体治疗方法，所有这些都以准确和精细的诊断为指导。我们的首要目标是让医生成为以患者为中心应对这一复杂挑战的关键人物，最终目的是改善治疗效果和生活质量。认识到每位患者的独特需求，我们强调根据当前文献以及从我们在一家大型三级子宫内膜异位症中心的经验中获得的见解，量身定制一系列治疗方案的重要性。必须认识到子宫内膜异位症是一种复杂的慢性疾病，常伴有合并症和细微的复杂性，因此每个病例都需要长期的个性化多模式治疗方法。此外，纳入患者自主权、对不同经历的深刻尊重以及关于治疗选择的实用教育等原则，对于提高治疗效果和患者总体满意度至关重要。
