Ovulation suppression occurs with medical management. Menses usually becomes suppressed. Medication management beyond pain control is outside the scope of emergency medicine. Gynecologic follow-up is required because endometriosis is progressive and can result in chronic pain and infertility. It does, however, preserve the potential for conception.
Pregnancy is possible but depends upon the severity of the disease.
Signs and symptoms generally regress with the onset of menopause. Prior to ascribing the patient's abdominal or pelvic pain to endometriosis, the clinician should consider other important causes of such pain, including ectopic pregnancy, pelvic infection, and ovarian torsion. New principles in the management of endometriosis. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.