[Endometriosis and chronic XXXX ].

@entity1 @entity2588 @entity75 @entity1834 @entity2371 @entity46 @entity2531 @entity158 @entity546 @entity1118
OBJECTIVES: To analyse pathophysiology and clinical symptoms of chronic @entity2371 and their therapeutic care. MATERIAL AND METHODS: Review of articles and consensus conferences published on this subject in the Medline(  ) (PubMed(  )) database. RESULTS: @entity158 importance and @entity75 size are somewhat linked. In the case of @entity1118 , @entity46 lesions are not always the only cause of the @entity158 . Imaging consists mostly of MRI and transvaginal ultrasonography. Treatment must be offered to @entity1 with painful @entity46 . Hormonal treatment meant to cause @entity2588 is recommended to improve @entity1834 , @entity546 and @entity1118 . Endometriosis should be confirmed by pathological or surgical findings, before prolonged treatment is undergone. Prolonged postoperative @entity2588 significantly decreases @entity158 and lesion relapse. Surgical treatment is effective on @entity2531 and is recommended in the event of painful @entity46 . Undergoing surgery is recommended only if individual benefit exceeds risk. CONCLUSIONS: Surgical treatment should aim at improving symptoms rather than systematically removing every @entity75 . Diagnosis of @entity75 at an early stage is currently a major part of public health policy.
