Endometriosis: Surgical Management When Empiric or Medical Therapy Is Insufficient

This protocol applies to patients with endometriosis for whom surgical intervention is the indicated next step in care.

Clinical Scenario

Surgical management is considered when empiric therapy has been ineffective, when medical management is not tolerated, or when there is an immediate clinical need — such as the presence of an adnexal mass or the goal of treating infertility.

Approach

The protocol centres on a laparoscopic intervention carried out by a gynecologist. The specific surgical options, referral criteria, and procedural details are outlined in the full structured regimen.

Complete algorithm available below →

Instant Access to Structured Evidence-Based Regimens

References

Surgical management is indicated if empiric therapy is ineffective, if medical management is not tolerated, or to immediately diagnose and treat the patient, as in the case of an adnexal mass or treatment of infertility.

View source ↗