ENDOMETRİYOZİS TEDAVİSİNDE GÜNCEL YAKLAŞIM

Abstract

Endometriyozis, genelde kronik pelvik ağrıya ve infertiliteye yol açan kronik jinekolojik bir hastalıktır. Hastanın hayat kalitesi üzerinde olumsuz etkileri vardır. Cerrahi yaklaşımla hastalığın kesin tanısı konabilir. Yardımcı üreme teknikleri endometriyozisin tedavisinde başarılı sonuçlar sağlar. Cerrahi yaklaşım over rezervini azaltabileceğinden endometriyomaların yönetimi özellikle karmaşıktır. Endometriyozise bağlı kronik pelvik ağrının hem medikal hem cerrahi yönetimi genelde sadece kısa dönemli başarılıdır. Her iki yaklaşımda da ağrıda tekrarlama sıklıkla görülür. Hormonal kontraseptifler gibi baskılayıcı medikal tedaviler, cerrahi yaklaşım sonrası ağrı tekrarlama riskini azaltabilir. Bu derlemede amaç, endometriyozis hastalarında görülen değişik peritoneal bozuklukları irdelerken, endometriyozisin etkin ve güvenli klinik yönetiminde güncel yaklaşımlara ışık tutmaktır.

Anahtar Kelimeler: endometriyozis; medikal yönetim; cerrahi yönetim 

Keywords

• endometriyozis, medikal yönetim, cerrahi yönetim

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