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Prevention of Recurrence After Surgery

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Endometriosis

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Abstract

Recurrence of ovarian endometrioma after excision imposes profound encumbrance on the suffered women, with increasing pain, subfertility/infertility, and a risk of ovarian cancer. Postoperative recurrence is relatively common, the rate ranging from 11 to 32 % in 1–5 years. To date, a number of risk factors for the recurrence have been reported, i.e., younger age, larger cysts, high rASRM scores, previous medical treatment, previous surgery for endometriosis, and short-term postoperative medical treatment. In contrast, postoperative pregnancy reduces the risk. Several biomarkers are suggested to predict the recurrence but not yet validated in clinical practice. Postoperative OC use for a long period has been demonstrated to reduce the recurrence remarkably. Postoperative GnRH analogue use is also effective for the reduction of the recurrence. There still remain some issues on the duration and the drugs most suitable for the prevention.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, School of Medicine, the University of Tokyo, Japan, 7-3-1 Hongo Bunkyo, Tokyo, 113-8655, Japan

    Yutaka Osuga, Yuri Takemura, Masashi Takamura & Kaori Koga

Authors
  1. Yutaka Osuga
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  2. Yuri Takemura
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  3. Masashi Takamura
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  4. Kaori Koga
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Correspondence to Yutaka Osuga .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan

    Tasuku Harada

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© 2014 Springer Japan

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Osuga, Y., Takemura, Y., Takamura, M., Koga, K. (2014). Prevention of Recurrence After Surgery. In: Harada, T. (eds) Endometriosis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54421-0_25

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  • DOI: https://doi.org/10.1007/978-4-431-54421-0_25

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54420-3

  • Online ISBN: 978-4-431-54421-0

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