Continuous and cyclic low dose oral contraceptive pills after laparoscopic oophorocystectomy and recurrence of ovarian endometriosis
- Author:
Icamina Mary Karen Veronica R.
;
De Guia-Fuerte Blanca
- Publication Type:Journal Article
- MeSH:
Human;
ENDOMETRIOSIS;
RECURRENCE;
PELVIC PAIN;
LAPAROSCOPY;
CONTRACEPTIVES, ORAL
- From:
Philippine Journal of Reproductive Endocrinology and Infertility
2010;7():7-13
- CountryPhilippines
- Language:English
-
Abstract:
Conservative surgery is the treatment of choice for pelvic endometriosis. However, one of the most frustrating aspects of treating pelvic endometriosis is disease recurrence. As endometriotic tissue is hormonally sensitive, postoperative cyclic or continuous low dose monophasic oral contraceptive pills may be effective in preventing or delaying recurrence. Our results showed no statistically significant difference between the recurrence rates of patients who were cyclic or continuous OCP users. Symptom and bigger anatomic recurrences were observed among cyclic OCP users. Post operative OCP use and duration of treatment did not significantly influence time to disease recurrence. The risk of recurrence of endometriotic cyst seemed higher among cyclic OCP users. Further, statistically powered randomized controlled trials with bigger sample size, long term use and longer follow up period are necessary to better provide recommendations regarding the OCP administration regimen.
