( S ) Few studies of medical therapies for endometriosis report outcomes that are relevant to patients , and many women gain only limited or intermittent benefit from treatment
OBJECTIVE To assess patient response rates to medical therapies used to treat endometriosis-associated pain .
Continuous versus cyclic use of oral contraceptives after surgery for symptomatic endometriosis: a prospective cohort study.
OBJECTIVE To evaluate the efficacy of continuous oral contraceptive ( OC ) use versus the usual cyclic fashion in the recurrence of endometriosis-related symptoms after surgery . DESIGN Prospect i ve cohort trial involving patients in two tertiary care units . SETTING Academic institution in collaboration with a private hospital . PATIENT(S ) 356 patients underwent surgical treatment by laparoscopy for symptomatic endometriosis . INTERVENTION(S ) After surgical treatment for endometriosis , patients offered 6-month course of cyclic OC ( including a 7-day pill-free period ) or continuous OC . MAIN OUTCOME MEASURE(S ) Recurrence rate of endometriosis-related symptoms and endometriomas after fertility-sparing surgery . RESULT ( S ) Out of 356 patients , 167 were placed on the usual cyclic OC course  and 85 on  continuous OC for a minimum of 6 months . The continuous OC group experienced a statistically significant reduction in recurrence rates for endometrioma , dysmenorrhea , and non-menstrual pelvic pain as compared with the cyclic OC group . There was no reduction in the recurrence of dyspareunia between the two groups . CONCLUSION ( S ) After surgical treatment of endometriosis , the use of both cyclic and continuous OC improves pain symptoms when compared with preoperative scores . Continuous OC appears to be associated with a reduced recurrence rate for dysmenorrhea , non-menstrual pelvic pain , and endometrioma but not for dyspareunia as compared with cyclic OC
( S ) Few studies of medical therapies for endometriosis report outcomes that are relevant to patients , and many women gain only limited or intermittent benefit from treatment
OBJECTIVE To assess patient response rates to medical therapies used to treat endometriosis-associated pain .