Endometriosis Pain Management: a Review

Purpose of Review The purpose of this review is to summarize the up-to-date pain management options and recommendations for the challenging disease, endometriosis. Recent Findings The mainstays of endometriosis advances of both surgical and medical management continue to evolve. Experimental pharmaceuticals include Gestirone, and aromatase inhibitors have shown promise but are still under scrutiny. Surgical techniques include laparoscopic uterosacral nerve ablation/resection and presacral neurectomy. Summary No studies have directly compared medical versus surgical management, and as such, no one treatment modality can be recommend as superior to the other. Patients may initially be given a medical diagnosis and treated with nonsteroidal anti-inflammatory drugs, neurolepitcs, OCP, GNRH agonists/antagonists, and Danazol. Assessing the success of these regimens has proved difficult. Surgical management relies on various methods including excision/ablation of the lesions, nerve ablation, neurectomy, hysterectomy, and oophorectomy. Similar content being viewed by others

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Additional information Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This article is part of the Topical Collection on Other Pain Rights and permissions About this article Cite this article Carlyle, D., Khader, T., Lam, D. et al. Endometriosis Pain Management: a Review. Curr Pain Headache Rep 24, 49 (2020). https://doi.org/10.1007/s11916-020-00884-6 Published: Version of record: DOI: https://doi.org/10.1007/s11916-020-00884-6