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Correspondence
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Volume 359:2844-2845 December 25, 2008 Number 26
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Gonadotropin-Releasing Hormone Agonists for Endometriosis

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by Olive, D. L.
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To the Editor: In his article on gonadotropin-releasing hormone (GnRH) agonists as a treatment for endometriosis, Olive (Sept. 11 issue)1 describes a 36-year-old woman with pelvic pain who did not have a response to hormonal treatment initiated on a presumption of endometriosis. In our view, all medical treatments resulting in suppression of ovarian function are equally effective for treating endometriosis.2 Hence, the failure of one treatment constitutes reasonable grounds for recommending surgery, which is of proven efficacy for providing lasting relief of pelvic pain.3 Surgery may also prevent disease extension and its possible toll on fecundity.4

When surgery is contraindicated, . . . [Full Text of this Article]



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