Svetlana Dubrovina*

Professor, Rostov State Medical Institute, Rostov-on-Don, Russia

*Corresponding Author: Svetlana Dubrovina, Professor, Rostov State Medical Institute, Rostov-on-Don, Russia.

Received: March 13, 2024; Published: April 12, 2024

Abstract

Endometriosis is a chronic disease that is associated with pelvic pain and infertility. It affects from 10 to 15% of women of reproductive age and is prone to recurrences. Combination of surgery with postoperative medicinal therapy is considered to be the most effective way to avoid endometriosis recurrence.

The Aim: This research was to study the causes of endometriosis recurrences and to evaluate the effectiveness of postoperative medicinal therapy options in the decrease of recurrence risk.

Materials and Methods: Actual and relevant publications in PubMed and eLibrary databases were studied.

Results: It was demonstrated that the risk of endometriosis recurrence can be significantly decreased by combination of surgery with postoperative therapy. Postoperative medicinal therapy should be prescribed even during pregnancy to increase the effectiveness of surgery. The prescription of the effective postoperative therapy taking into account individual characteristics of patients can help them to avoid self-refusal from the therapy decreasing the risk of recurrences.

Conclusion: The risk of the endometriosis recurrence can be significantly decreased by properly selected postoperative therapy. Dydrogesterone as a highly effective progestogen with a favorable safety profile approved for use in endometriosis postoperative therapy even during pregnancy is used to be the medicine of choice in endometriosis treatment.

Keywords: Endometriosis Recurrences; Hormone Therapy; Combined Oral Contraceptives (COC); Dydrogesterone; Gonadotropin-Releasing Hormone (GnRH) Agonists

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Citation

Citation: Svetlana Dubrovina. “Postoperative Hormonal Therapy - An Effective Way to Decrease the Risk of Endometriosis Recurrence"Acta Scientific Women's Health 6.5 (2024): 14-19.

Copyright

Copyright: © 2024 Svetlana Dubrovina. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.