N80.0-5/N80.6/N80.9
DESCRIPTION
The presence and proliferation of endometrial tissue outside the uterine cavity, usually within the pelvis. It may manifest as dysmenorrhoea, dyspareunia and chronic pelvic pain. Diagnosis is made by laparoscopy.
MEDICINE TREATMENT
For pain:
- NSAID, oral: e.g.
- Ibuprofen, oral, 400 mg 8 hourly with or after a meal.
AND
- Combined oral contraceptives for 6 months.
OR
- Medroxyprogesterone acetate, oral, 30 mg daily for at least 3 months.
Note: The recurrence of symptoms is common following cessation of treatment.
REFERRAL
- Women with infertility.
- No response to treatment after 3 months.