Abstract
Endometriosis is a disease that is becoming more and more challenging for the medical community. The current therapeutic concepts (surgical therapy and/or hormonal therapies) often do not lead to sufficient pain control, and late diagnosis and high recurrence rates mean that women affected by the disease can suffer for decades before receiving proper treatment. Although the introduction of certified endometriosis centers has created contact points for surgical therapies performed by endometriosis experts, these centers are not sufficient to offer the affected patients the all-encompassing long-term support they need. In recent years, new findings regarding the pathogenesis and correlations of the pain phenomena caused by endometriosis have shown that conventional therapy strategies are not adequate and individual long-term concepts must be developed. Not only can endometriosis cause nociceptive pain, but it can also lead to a nociplastic reaction with central sensitization. Hence, aside from the classic cyclic complaints, patients increasingly suffer from atypical pain. Due to the high number of affected patients who are treated inadequately, it is necessary for gynecologists in private practices to become familiar with multimodal treatment concepts since they are the central point of contact of their patients. The following article will provide an overview of treatment strategies for chronic symptomatic endometriosis.
Highlights
Endometriosis is a disease that is becoming more and more challenging for the medical community
When affected women talk about their pain, their social environment, and their pediatricians, family doctors and, above all, gynecologists tend to accept it—even though this disease often lasts throughout the entire reproductive phase of their lives and in most cases causes complaints well before their 20th birthday [1]
Do people know that diabetes mellitus is a disease, but it is common knowledge that it has to do with an increased blood glucose level that can lead to serious organ damage and can even be fatal, if left untreated [4]
Summary
In this kind of situation, the pain problem should be assessed via an in-depth medical history. It is important to determine whether the pain could be caused by other factors or whether it might be related to surgical problems. Once organ destruction is ruled out, the working hypothesis is that the chronic pain is related to endometriosis. Incorrect and relieving postures can cause muscle cramps, and the chronic inflammation is frequently accompanied by intestinal problems. There are several complementary measures that can be applied to relieve the patients’ pain, such as physiotherapy, osteopathy, acupuncture, dietary changes, etc. As a chronic pain disease, endometriosis is a considerable source of stress. A severe chronic pain syndrome may develop. In this case, inpatient complex therapy might be beneficial (step 7)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
