Abstract:
This consensus statement has been developed by the Thai Interest Group for Endometriosis (TIGE) for use by Thai clinicians in the diagnosis and management of endometriosis. TIGE is a group of clinical and academic gynaecologists with a particular interest in endometriosis. Endometriosis is an oestrogen-dependent inflammatory disease which causes chronic symptoms such as dysmenorrhoea, chronic pelvic pain, dyspareunia and subfertility, and it is common in reproductive-age women. There is limited overall data on its prevalence in different clinical settings in Thailand, but it is clear that the disease causes significant problems for patients in terms of their working lives, fertility, and quality of life, as well as placing a great burden on national healthcare resources. Decisions about selecting the appropriate treatment for women with endometriosis depend on many factors including the age of the patient, the extent and severity of disease, concomitant conditions, economic status, patient preference, access to medication, and fertility need. Several hormonal treatments are available but no consensus has been reached about the best option for long-term prevention of recurrence. Bearing in mind differences in environment, genetics, and access to the healthcare system, this treatment guideline has been tailored to the particular circumstances of Thai women.
摘要:
泰国子宫内膜异位症兴趣小组(TIGE)制定了该共识声明,供泰国临床医生用于子宫内膜异位症的诊断和管理。TIGE是一组对子宫内膜异位症特别感兴趣的临床和学术妇科医生。子宫内膜异位症是一种雌激素依赖性炎性疾病,可引起痛经等慢性症状,慢性盆腔疼痛,性交困难和不孕,这在育龄妇女中很常见。在泰国不同的临床环境中,关于其患病率的总体数据有限,但很明显,这种疾病给患者的工作生活带来了重大问题,生育力,和生活质量,以及给国家医疗资源带来沉重负担。为子宫内膜异位症妇女选择适当治疗的决定取决于许多因素,包括患者的年龄,疾病的程度和严重程度,伴随的条件,经济地位,患者偏好,获得药物,生育需要。有几种激素治疗方法可用,但尚未就长期预防复发的最佳选择达成共识。考虑到环境的差异,遗传学,进入医疗保健系统,本治疗指南是针对泰国妇女的特殊情况量身定制的.