How Effectively Do Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) Treat Endometriosis-Associated Pain?
A – There is inconclusive evidence to show whether NSAIDs (specifically naproxen) are effective in managing pain caused by endometriosis. How Effectively Do Hormonal Drugs Treat Endometriosis-Associated Pain? A – Suppression of ovarian function for 6 months reduces endometriosis-associated pain. B – Symptom recurrence is common following medical treatment of endometriosis. Is There a Role For the Levonorgestrel Intrauterine System (LNG-IUS)? A – The LNG-IUS appears to reduce endometriosis-associated pain. Can Bone Mineral Density Loss While Taking a Gonadotrophin-Releasing Hormone (GnRH) Agonist be Prevented Using “Add-Back” Therapy? A – The use of a GnRH agonist with “add-back” (oestrogen and progestogen) therapy protects against bone mineral density loss at the lumbar spine during treatment and for up to 6 months after treatment. Surgical Treatment of Endometriosis-Associated Pain When Should Surgical Treatment Be Considered? Depending upon the severity of disease found, ideal practi