A 40-year-old primiparous woman suspected to be suffering from endometriosis is subjected to diagnostic laparoscopy. Findings indicate - uterus normal, both the ovaries show presence of chocolate cysts; endometriotic deposits are seen on the round ligament right side, both the fallopian tubes and the pouch of Douglas; moderately dense adhesions are present between the fallopian tubes and the pouch of Douglas. The treatment of choice in this case is :
Surgery indications Severe symptoms unresponsive to hormone therapy Severe and deeply infiltrating endometriosis which disto pelvic anatomy Endometriomas > 4cms Laparoscopy is done to destroy endometriotic lesions by excision or ablation or electrodiatherapy,or laser vaporization. Conservative surgical treatment improves feility outcome. D.C.DUTTA&;S TEXTBOOK OF GYNAECOLOGY,Pg no:312,6th edition
Total hysterectomy with bilateral salpingo-oophorectomy
Danazol therapy
Progesterone therapy
Fulguration of endometriotic deposits
Endometriosis and dysmenorrhea