Cited by 158Endometriosis Research and TreatmentReproductive Health and ContraceptionGynecological conditions and treatments

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Long-term oral contraceptive pills and postoperative pain management after laparoscopic excision of ovarian endometrioma: a randomized controlled trial

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Abstract

Objective To evaluate postoperative long-term cyclic and continuous administration of combined oral contraceptive (OC) pills in preventing endometriosis-related pain recurrence.Design Prospective, randomized, controlled trial.Setting Tertiary care university hospital.Patient(s) Three hundred eleven women who underwent laparoscopic excision for symptomatic ovarian endometrioma.Intervention(s) Patients were randomly divided into three groups: nonuser group receiving no therapy, and cyclic user group and continuous user group receiving low-dose, monophasic OC pills for 24 months in either cyclic or continuous administration.Main outcome measure(s) Presence and intensity of dysmenorrhea, dyspareunia, and chronic pelvic pain were assessed by a 10-point visual analogue scale (VAS) at 6, 12, 18, and 24 months postoperatively.Result(s) A significant reduction in recurrence rate and VAS scores for dysmenorrhea was evident in the continuous users versus the other groups at 6 months, and in cyclic users versus nonusers at 18 months postoperatively. No significant differences in recurrence rate and VAS scores for dyspareunia and chronic pelvic pain were demonstrated among the groups. The increase of VAS scores from 6-24 months during the study period for dysmenorrhea, dyspareunia, and chronic pelvic pain was significantly higher in nonusers than in the other groups.Conclusion(s) Long-term postoperative use of OC pills can reduce the frequency and the severity of recurrent endometriosis-related dysmenorrhea.

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Metadata

Authors
Seracchioli, R., Mabrouk, M., Frascà, C., Manuzzi, L., Savelli, L., & Venturoli, S.
Affiliations
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
Corresponding author
Seracchioli, Renato
Venue
Fertility and Sterility
Publisher
Elsevier BV
Published
2010-07
Volume
94
Issue
2
Pages
464-471
ISSN
0015-0282 (ISSN-L)
OpenAlex
W2039313615
Cited by
158
References
20
Citations by year
2026: 3 · 2025: 2 · 2024: 7 · 2023: 1 · 2022: 4 · 2021: 9 · 2020: 15 · 2019: 7 · 2018: 9 · 2017: 13 · 2016: 8 · 2015: 22 · 2014: 10 · 2013: 14 · 2012: 11
FWCI
13.35
Type
journal article
Language
en
Open access
Locations
  • Fertility and Sterility (publishedVersion)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Keywords
oral contraceptives, combined oral contraceptives, endometrioma, endometriosis recurrence, postoperative pain management, laparoscopic resection, dysmenorrhea, dyspareunia, chronic pelvic pain
MeSH terms
Adult, Chronic Disease, Contraceptives, Oral, Dysmenorrhea, Dyspareunia, Endometriosis, Female, Humans, Ovarian Diseases, Postoperative Pain, Laparoscopy, Time Factors, Treatment Outcome, Disease-Free Survival, Kaplan-Meier Estimate, Secondary Prevention, Young Adult

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