Non-pharm et options
Epub Mar 3. Electronic address: jean-michel. DOI: Pain assessment in all of its dimensions, as well as assessing the consequences of pain is therefore a crucial part of therapeutic management.
Conventional analgesics are commonly used although studies demonstrating their efficacy in the treatment of endometriosis-related pelvic pain are lacking. Non-steroid anti-inflammatory drugs NSAIDsknown to be effective in dysmenorrhea unrelated to endometriosis, have not been recently re-assessed in patients with endometriosis. Following rigorous assessment, the characterization of neuropathic components of endometriosis-related pelvic pain may lead to treatment with antiepileptic of antidepressant drugs, although gabapentin and amitriptyline have yet to be specifically assessed in the setting of endometriosis-related pain.
Other pharmacologically active compounds have been tested to treat endometriosis-related pain but did not demonstrate efficacy with sufficient level of evidence. Conclusion: The complexity of managing endometriosis-related pain requires a holistic approach with non-pharm et options attention to the patient.
Treatments, either pharmacologic or non-pharmacologic, including adjuvant therapies, associate a technical expertise to which a human approach must be added in order to bring value to these treatments.
Keywords: Chronic pain; Complementary treatment; Douleur chronique; Douleur pelvienne; Endometriosis; Endométriose; Pain treatment; Pelvic pain; Traitement complémentaire; Traitement de la douleur. All rights reserved.