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Endometriosis - Management
How should I manage relapse?
- If the woman has been successfully treated for endometriosis, but the symptoms have returned:
- Exclude other conditions with similar symptoms.
- Explain that relapse is common.
- Management options include:
- Treatment with a nonsteroidal anti-inflammatory drug, simple analgesia, and/or medical treatment (such as combined oral contraception for symptomatic relief; particularly if this has worked well in the past and contraception is required). Refer the woman if such strategies prove ineffective.
- Referral, if subfertility is a problem.
- Further hormonal treatment under specialist supervision (referral required) or on specialist advice.
- Surgery.
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