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- laparoscopic surgery can relieve symptoms of dysmenorrhoea, dyspareunia
and pelvic pain associated with endometriosis. There is no reliable evidence to
currently suggest whether surgical treatment is better, or worse, than medical
treatment for endometriosis related pain.
surgery may improve fertility in cases of endometriosis. A randomised controlled
trial investigated laparoscopic surgery (surgical resection or laser ablation)
in women undergoing diagnostic laparoscopy for infertility and who were found
to have mild or minimal endometriosis.
- 31% of women who had had surgical
destruction of endometriosis became pregnant within 9 months
- 18% of control
group who only underwent diagnostic laparoscopy became pregnant
- the trial
is controversial because the women were told which treatment they had received
and this could have affected the blinding of the trial
is evidence that combined laparoscopic ablation of endometrial deposits and uterine
nerve is likely to be a beneficial intervention the management of endometriosis
- New England Journal of Medicine 1997; 337:217-22.
- Clinical Evidence
(March 2005). Endometriosis
Last reviewed 01/2018