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What's new in obstetrics and gynecology(3)
时间:2012.09.28
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Postoperative treatment of endometriosis — Hormonal suppression following surgical treatment of endometriosis has been found to decrease recurrence rates, but a beneficial effect on pain and pregnancy rates remains unproven. A randomized trial found that postoperative insertion of the levonorgestrel-releasing intrauterine device, compared with expectant management, resulted in decreased dysmenorrhea and pelvic pain at one-year follow-up [27]. (See "Overview of the treatment of endometriosis", section on 'Postoperative medical therapy'.)




                           27.Tanmahasamut P, Rattanachaiyanont M, Angsuwathana S, et al. Postoperative levonorgestrel-releasing intrauterine system for pelvic endometriosis-related pain: a randomized controlled trial. Obstet Gynecol 2012; 119:519.