Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1021 |
Resumo: | Endometriosis is a chronic gynecological condition characterized by the presence of tissue similar to the endometrium outside the uterine cavity. The treatment of endometriosis encompasses various approaches, including medicinal, surgical, and multidisciplinary interventions, aiming to alleviate symptoms and improve the patients' quality of life. In the medicinal realm, treatments aim to control the progression of the disease and alleviate associated pain. Hormones such as oral contraceptives, progestogens, and GnRH agonists are frequently prescribed to modulate hormone levels and inhibit the growth of ectopic endometrial tissue. These medications aim to relieve pain, regulate the menstrual cycle, and, in some cases, induce temporary remission of endometriosis. Surgical intervention becomes an option when medicinal therapy is ineffective or when severe complications arise. Laparoscopy is often utilized to remove ectopic endometrial tissue, ovarian cysts, and adhesions. In advanced cases, hysterectomy may be considered, especially for women who have completed their families and do not wish to have more children. The multidisciplinary approach is increasingly recognized as crucial in managing endometriosis. It involves collaboration among gynecologists, pain specialists, physiotherapists, psychologists, and other healthcare professionals. This holistic approach aims not only to address physical symptoms but also to tackle psychosocial aspects, enhancing the overall quality of life for patients. In summary, the treatment of endometriosis is complex and often involves a combination of medicinal, surgical, and multidisciplinary approaches. The choice of treatment depends on the severity of symptoms, the patient's reproductive desires, and other individual factors. Regular follow-ups with specialized healthcare professionals are essential for effective and personalized management of endometriosis. This review provides a comprehensive overview of the diverse treatment approaches for endometriosis, emphasizing the importance of considering not only the physical dimension but also the psychosocial aspects to optimize the quality of life for patients. |
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Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches Tratamentos da Endometriose: Abordagens Medicamentosas, Cirúrgicas e MultidisciplinaresEndometriose; Gestão Terapêutica; Abordagens Multidisciplinares.Endometriosis; Therapeutic Management; Multidisciplinary Approaches.Endometriosis is a chronic gynecological condition characterized by the presence of tissue similar to the endometrium outside the uterine cavity. The treatment of endometriosis encompasses various approaches, including medicinal, surgical, and multidisciplinary interventions, aiming to alleviate symptoms and improve the patients' quality of life. In the medicinal realm, treatments aim to control the progression of the disease and alleviate associated pain. Hormones such as oral contraceptives, progestogens, and GnRH agonists are frequently prescribed to modulate hormone levels and inhibit the growth of ectopic endometrial tissue. These medications aim to relieve pain, regulate the menstrual cycle, and, in some cases, induce temporary remission of endometriosis. Surgical intervention becomes an option when medicinal therapy is ineffective or when severe complications arise. Laparoscopy is often utilized to remove ectopic endometrial tissue, ovarian cysts, and adhesions. In advanced cases, hysterectomy may be considered, especially for women who have completed their families and do not wish to have more children. The multidisciplinary approach is increasingly recognized as crucial in managing endometriosis. It involves collaboration among gynecologists, pain specialists, physiotherapists, psychologists, and other healthcare professionals. This holistic approach aims not only to address physical symptoms but also to tackle psychosocial aspects, enhancing the overall quality of life for patients. In summary, the treatment of endometriosis is complex and often involves a combination of medicinal, surgical, and multidisciplinary approaches. The choice of treatment depends on the severity of symptoms, the patient's reproductive desires, and other individual factors. Regular follow-ups with specialized healthcare professionals are essential for effective and personalized management of endometriosis. This review provides a comprehensive overview of the diverse treatment approaches for endometriosis, emphasizing the importance of considering not only the physical dimension but also the psychosocial aspects to optimize the quality of life for patients.A endometriose é uma condição ginecológica crônica caracterizada pela presença de tecido semelhante ao endométrio fora da cavidade uterina. O tratamento da endometriose abrange diversas abordagens, incluindo intervenções medicamentosas, cirúrgicas e multidisciplinares, buscando alívio dos sintomas e melhoria na qualidade de vida das pacientes. No âmbito medicamentoso, os tratamentos visam controlar a progressão da doença e reduzir a dor associada. Hormônios, como contraceptivos orais, progestágenos e agonistas de GnRH, são frequentemente prescritos para modular os níveis hormonais e inibir o crescimento do tecido endometrial ectópico. Esses medicamentos têm o objetivo de aliviar a dor, regular o ciclo menstrual e, em alguns casos, induzir a remissão temporária da endometriose. A abordagem cirúrgica torna-se uma opção quando a terapia medicamentosa não é eficaz ou quando há complicações graves. A laparoscopia é frequentemente utilizada para realizar a remoção do tecido endometrial ectópico, cistos ovarianos e aderências. Em casos mais avançados, a histerectomia pode ser considerada, especialmente em mulheres que já completaram sua família e não desejam mais filhos. A abordagem multidisciplinar é cada vez mais reconhecida como crucial no manejo da endometriose. Envolve a colaboração entre ginecologistas, especialistas em dor, fisioterapeutas, psicólogos e outros profissionais de saúde. Essa abordagem holística visa não apenas tratar os sintomas físicos, mas também abordar aspectos psicossociais, melhorando a qualidade de vida global das pacientes. Em resumo, o tratamento da endometriose é complexo e muitas vezes envolve uma combinação de abordagens medicamentosas, cirúrgicas e multidisciplinares. A escolha do tratamento depende da gravidade dos sintomas, do desejo reprodutivo da paciente e de outros fatores individuais. O acompanhamento regular com profissionais de saúde especializados é fundamental para uma gestão eficaz e personalizada da endometriose. Esta revisão oferece uma visão abrangente sobre as diversas abordagens no tratamento da endometriose, destacando a importância de considerar não apenas a dimensão física, mas também os aspectos psicossociais para otimizar a qualidade de vida das pacientes. Specialized Dentistry Group2023-12-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/102110.36557/2674-8169.2023v5n5p4969-4984Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4969-4984Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4969-4984Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4969-49842674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1021/1184Copyright (c) 2023 Ana Lucia Fatuch e Silva, Gabryella Miranda Campos , Camilla de Souza Cerqueira , Helmut de Souza Brandt, Paula Paraguassú Brandãohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Fatuch e Silva, Ana LuciaMiranda Campos , Gabryellade Souza Cerqueira , Camillade Souza Brandt, Helmut Paraguassú Brandão, Paula2023-12-09T21:40:52Zoai:ojs.bjihs.emnuvens.com.br:article/1021Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-12-09T21:40:52Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches Tratamentos da Endometriose: Abordagens Medicamentosas, Cirúrgicas e Multidisciplinares |
title |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches |
spellingShingle |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches Fatuch e Silva, Ana Lucia Endometriose; Gestão Terapêutica; Abordagens Multidisciplinares. Endometriosis; Therapeutic Management; Multidisciplinary Approaches. |
title_short |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches |
title_full |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches |
title_fullStr |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches |
title_full_unstemmed |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches |
title_sort |
Endometriosis Treatments: Medicinal, Surgical, and Multidisciplinary Approaches |
author |
Fatuch e Silva, Ana Lucia |
author_facet |
Fatuch e Silva, Ana Lucia Miranda Campos , Gabryella de Souza Cerqueira , Camilla de Souza Brandt, Helmut Paraguassú Brandão, Paula |
author_role |
author |
author2 |
Miranda Campos , Gabryella de Souza Cerqueira , Camilla de Souza Brandt, Helmut Paraguassú Brandão, Paula |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Fatuch e Silva, Ana Lucia Miranda Campos , Gabryella de Souza Cerqueira , Camilla de Souza Brandt, Helmut Paraguassú Brandão, Paula |
dc.subject.por.fl_str_mv |
Endometriose; Gestão Terapêutica; Abordagens Multidisciplinares. Endometriosis; Therapeutic Management; Multidisciplinary Approaches. |
topic |
Endometriose; Gestão Terapêutica; Abordagens Multidisciplinares. Endometriosis; Therapeutic Management; Multidisciplinary Approaches. |
description |
Endometriosis is a chronic gynecological condition characterized by the presence of tissue similar to the endometrium outside the uterine cavity. The treatment of endometriosis encompasses various approaches, including medicinal, surgical, and multidisciplinary interventions, aiming to alleviate symptoms and improve the patients' quality of life. In the medicinal realm, treatments aim to control the progression of the disease and alleviate associated pain. Hormones such as oral contraceptives, progestogens, and GnRH agonists are frequently prescribed to modulate hormone levels and inhibit the growth of ectopic endometrial tissue. These medications aim to relieve pain, regulate the menstrual cycle, and, in some cases, induce temporary remission of endometriosis. Surgical intervention becomes an option when medicinal therapy is ineffective or when severe complications arise. Laparoscopy is often utilized to remove ectopic endometrial tissue, ovarian cysts, and adhesions. In advanced cases, hysterectomy may be considered, especially for women who have completed their families and do not wish to have more children. The multidisciplinary approach is increasingly recognized as crucial in managing endometriosis. It involves collaboration among gynecologists, pain specialists, physiotherapists, psychologists, and other healthcare professionals. This holistic approach aims not only to address physical symptoms but also to tackle psychosocial aspects, enhancing the overall quality of life for patients. In summary, the treatment of endometriosis is complex and often involves a combination of medicinal, surgical, and multidisciplinary approaches. The choice of treatment depends on the severity of symptoms, the patient's reproductive desires, and other individual factors. Regular follow-ups with specialized healthcare professionals are essential for effective and personalized management of endometriosis. This review provides a comprehensive overview of the diverse treatment approaches for endometriosis, emphasizing the importance of considering not only the physical dimension but also the psychosocial aspects to optimize the quality of life for patients. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1021 10.36557/2674-8169.2023v5n5p4969-4984 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1021 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p4969-4984 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1021/1184 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4969-4984 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4969-4984 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4969-4984 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798442094198784 |