Paolo Vercellini, M.D., Laura Buggio, M.D., Edgardo Somigliana, M.D.

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Presentation transcript:

Role of medical therapy in the management of deep rectovaginal endometriosis Paolo Vercellini, M.D., Laura Buggio, M.D., Edgardo Somigliana, M.D. Fertility and Sterility Volume 108, Issue 6, Pages 913-930 (December 2017) DOI: 10.1016/j.fertnstert.2017.08.038 Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Top: Colposcopic appearance of an endometriotic nodule in the retro-cervical area. Bottom: A biopsy of the nodule is taken. Fertility and Sterility 2017 108, 913-930DOI: (10.1016/j.fertnstert.2017.08.038) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Suggested algorithm for individualized treatment of endometriosis-associated pain by means of a lesion-based, three-tiered risk stratification system and a stepwise pharmacologic approach (81) in women not seeking conception and preferring medical therapy rather than surgery. Fertility and Sterility 2017 108, 913-930DOI: (10.1016/j.fertnstert.2017.08.038) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions