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Srpski arhiv za celokupno lekarstvo 2017 Volume 145, Issue 1-2, Pages: 89-94
https://doi.org/10.2298/SARH160404019S
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Diagnostic and treatment of endometriosis - recommendations for clinical practice

Spremović-Rađenović Svetlana ORCID iD icon (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade)
Bila Jovan (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade)
Vidaković Snežana (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade)
Radunović Nebojša (School of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Gynecology and Obstetrics, Belgrade)

Endometriosis is characterized by endometrial tissue found outside of the uterus (primarily in the pelvic cavity), causing chronic inflammatory reaction, infertility, and pain. The impact of endometriosis on different aspects of women’s life is important, including family and social life, work, and reproduction. The usual way of examining endometriosis is history taking, recognition of typical symptoms, clinical examination, and the use of imaging techniques, but the diagnosis is made by histopathology findings, usually after laparoscopy. The aim is to represent current recommendations and guidelines referring to endometriosis diagnostics and therapy, proposed by two major societies dealing with reproductive medicine: European Society for Human Reproduction and Embryology (ESHRE) and American Society of Reproductive Medicine (ASRM). The recommendations refer primarily to the therapeutic modalities in infertility and pain problems caused by endometriosis, and represent the basis of appropriate strategy for overcoming numerous problems linked with this chronic illness.

Keywords: endometriosis, therapy, infertility, pain, laparoscopy, assisted reproductive technologies