Abstract
Pain is a cardinal symptom of endometriosis and its management can be challenging. Analgesics are commonly used as first line treatment for endometriosis-associated pain, despite there being a paucity of evidence regarding their use for this indication. Clinicians are advised to consider NSAIDs or other analgesics to reduced endometriosis-associated pain due to the known benefit of NSAIDs in primary dysmenorrhea (ESHRE guideline "Management of women with endometriosis." Dunselman et al., Hum Reprod. 2014; 29(3):400-12). Women who fail to respond to conservative treatments and who have completed their family may be offered hysterectomy with removal of the ovaries and all visible endometriosis lesions, alongside advice that hysterectomy will not necessarily cure the symptoms or the disease.
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