Advances in endometriosis management, diagnosis, treatment, and impacts on fertility: A literature review
DOI:
https://doi.org/10.62827/fb.v26i5.1103Keywords:
Endometriosis; Fertility; Disease Management; Diagnostic Techniques; Physical Therapy.Abstract
Introduction: Endometriosis is a chronic gynecological disease that affects women's fertility, quality of life, and well-being, requiring early diagnosis and individualized management strategies. In addition to the medical approach, physical therapy plays a complementary role in pain reduction and functional rehabilitation. Objective: A literature review was conducted on advances in the diagnosis, treatment, and impact of endometriosis on fertility, emphasizing surgical approaches, hormonal therapies, clinical follow-up, and rehabilitation strategies. Methods: A descriptive and analytical literature review was conducted based on national and international publications available in the Virtual Health Library (VHL), Scientific Electronic Library Online (SciELO), and PubMed databases. Studies published between 2013 and 2023 in Portuguese and English were included, covering reviews, clinical studies, narrative studies, and observational studies. Interviews, isolated opinion reports, and duplicate materials were excluded. The selection took place in three stages: identification, screening of titles and abstracts, and full reading of eligible texts. Results: The literature shows that integrated strategies, combining early diagnosis, minimally invasive surgical interventions, individualized hormone therapies, continuous clinical follow-up, and physiotherapeutic support, promote pain reduction, fertility preservation, and improved quality of life. Advanced technologies, such as robotic surgery and intrauterine hormonal devices, have demonstrated a positive impact on clinical and reproductive outcomes. The main barriers include delayed diagnosis, unequal access to specialized procedures, and partial adherence to therapies. Conclusion: Effective management of endometriosis requires a multidisciplinary and individualized approach, integrating medicine and physical therapy, clinical protocols, modern technologies, and continuous monitoring. Investments in professional training, health education, and structuring of care flows are essential to optimize clinical and reproductive outcomes.
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