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What is Drug commonly used in t/t of endometriosis - and explain in detail?
Ans. is 'b' i.e., GnRH [Ref: Shaw's Gynae 15th/ e p. 473) Both B and C are correct. However- Commonly used is B. Treatment of endometriosis Asymptomatic minimal cases:- Observe for 6-8 months & investigate infertility Symptomatic cases:- Drug treatment OCPs Mirena lUCD Progesterone Androgens GnRH analogues Aromatase inhibitors (eg:- letrozole) RU-486 Minimal invasive surgery (Laproscopy) Destruction by cautery, laser vaporization Excision of cyst Adhesiolysis Presacra! neurectomy LUNA (laproscopic uterosacral nerve ablation) C) Surgery (laprotomy) Incision of chocolate cyst & removal of lining Salpingo-oophorectomy Hysterectomy & unilateral or bilateral salpingo-oophorectomy Excision of scar endometriosis