Emerging therapy for endometriosis.

Expert Opin Emerg Drugs 2015 Sep 11;20(3):449-61. Epub 2015 Jun 11.

a 1 University of Connecticut School of Medicine, Department of Obstetrics and Gynecology , 263 Farmington Avenue, Farmington, CT 06303-2947, USA.

Introduction: Endometriosis is a chronic disease manifested by pain and infertility due to ectopic implantation of endometrial glands and stroma causing inflammation. Treatment of endometriosis utilizes a significant amount of health-care resources and requires chronic therapy. Management involves a combination of surgical and medical interventions and requires long-term treatment to avoid repeated surgeries.

Areas Covered: Whereas medical therapies exist for management of endometriosis-related pain, each class has its limitations including side effects, cost, and known duration of relief of symptoms. Development of effective, well-tolerated medical therapies that are appropriate for long-term use is crucial to provide adequate treatment for this chronic disease. This review discusses the various medical therapies available, their limitations, and emerging therapies being developed to address many of these concerns.

Expert Opinion: The authors recommend chronic suppressive therapy for management of endometriosis symptoms, particularly in the postoperative setting. Empiric treatment is appropriate for those patients without evidence of severe disease. Currently available option may not be effective for nor tolerated by all patients. Newer compounds, including gonadotropin-releasing antagonists and aromatase inhibitors combined with hormonal contraceptives, offer possible alternatives to currently available therapies.

Download full-text PDF

Source
http://dx.doi.org/10.1517/14728214.2015.1051966DOI Listing
September 2015
23 Reads

Publication Analysis

Top Keywords

medical therapies
12
therapy management
8
chronic disease
8
therapies
5
cost duration
4
option effective
4
including side
4
effective tolerated
4
side effects
4
effects cost
4
duration relief
4
currently option
4
well-tolerated medical
4
therapies appropriate
4
effective well-tolerated
4
development effective
4
symptoms development
4
relief symptoms
4
limitations including
4
postoperative setting
4

References

(Supplied by CrossRef)

Santulli P et al.
J Clin Endocrinol Metab 2014

Similar Publications