Abstract

DE LOS RIOS, José Fernando  and  MOLINA, Erika. Managing endometriosis pain symptoms with a levonorgestrel intrauterine device in a patient suffering from frozen pelvis: a case report. Rev Colomb Obstet Ginecol [online]. 2006, vol.57, n.3, pp.211-215. ISSN 0034-7434.

Medical management of pain in patient’s suffering endometriosis is a controversial topic in gynaecology. Most regimens offer patients different degrees of improvement whilst they are on them but they are accompanied by many adverse effects and there will probably be a recurrence of pain after they have been discontinued. Most treatment is expensive and should not be taken for long periods of time due to concomitant adverse effects. Some patients, having no further wish to bear children, will benefit from hysterectomy with bilateral salpingo-oophorectomy. Such surgery can improve their quality of life after suffering from pain throughout their reproductive years. Surgery can be very difficult in advanced endometriosis and can become dangerous for other pelvic organs. The case of a patient in which surgery was impossible due to a frozen pelvis is described here. Successful symptom control was finally achieved by choosing to manage her pain by applying a levonorgestrel intrauterine device (Mirena).

Keywords : severe endometriosis; frozen pelvis; levonorgestrel intrauterine device; Mirena^®.

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