Tratamiento de la endometriosis I y II. Revisión de la literatura
DOI:
https://doi.org/10.18597/rcog.407Palabras clave:
endometriosis leve, endometriosis mínima, tratamiento quirúrgico, tratamiento médicoResumen
Objetivo: el objetivo de este manuscrito es hacer una revisión de la literatura disponible que aborde el tratamiento de la endometriosis I y II para el manejo del dolor, de la infertilidad y como coadyuvante en las técnicas de reproducción asistida.
Metodología: se realizó una revisión de la literatura disponible en las bases de datos PubMed/Medline con énfasis en guías de manejo desde 1992 hasta 2007.
Resultados: en el tratamiento del dolor en endometriosis I y II, tanto el manejo médico como quirúrgico es efectivo. No hay diferencia entre los diversos tratamientos médicos en la disminución del dolor; su elección estará determinada por la edad, el deseo de fertilidad de la paciente y los efectos secundarios de los mismos. Para el tratamiento de la infertilidad asociada a endometriosis, el tratamiento médico no es efectivo, pero el manejo quirúrgico parece benéfico para los estadios I y II, eliminando los focos de la enfermedad.
Conclusión: se requieren más estudios aleatorios controlados, comparando su uso con placebo o sin tratamiento. La cirugía también ha demostrado mejoría, pero no existen estudios que comparen el manejo médico con el quirúrgico.
Biografía del autor/a
Ivonne Jeannette Díaz-Yamal
Alef Tsade Sanabria-Gaitán
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