Is dienogest a convenient treatment option for cesarean scar endometriosis or should it be treated surgically?

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dc.contributor.authorSeckin, Kerem Doga
dc.contributor.authorKadirogullari, Pinar
dc.date.accessioned2024-05-19T14:40:50Z
dc.date.available2024-05-19T14:40:50Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjectives: Endometriosis-related conditions such as subcutaneous endometriosis have been frequently seen in recent years, and dienogest or surgical excision is generally preferred as a treatment option. Our aim in this study is to determine which treatment option will be more effective in reducing the symptoms of patients with cesarean scar endometriosis.Study designThis prospective study was performed with 21 patients diagnosed with cesarean scar endometriosis. The de-mographic features of the patients, lesion sizes before and after medical and surgical treatment, VAS scores and Ca-125 levels were recorded. VAS scores and lesion sizes were compared before-after medical treatment and before-after surgery in same group.Results: A total of 18 women were identified, with a mean age of 32.3 +/- 5.7 years. No significant decrease in lesion size was observed in the 1st and 6th-month controls after the use of dienogest (p > 0,05), while a sig-nificant decrease in VAS scores was detected (p < 0,05). After surgery, the decrease in both lesion size and VAS scores was found statistically significant (p < 0,05).Conclusion: Dienogest, which is frequently used in the medical treatment of pelvic and ovarian endometriosis, reduces pain minimally in cesarean scar endometriosis but does not provide a change in lesion size. Therefore, surgical treatment of cesarean scar endometriosis seems to be more effective in reducing pain and decreasing the size of the lesions.en_US
dc.identifier.doi10.1016/j.ejogrb.2023.01.025
dc.identifier.endpage115en_US
dc.identifier.issn0301-2115
dc.identifier.issn1872-7654
dc.identifier.pmid36706661en_US
dc.identifier.scopus2-s2.0-85146657450en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage110en_US
dc.identifier.urihttps://doi.org10.1016/j.ejogrb.2023.01.025
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5022
dc.identifier.volume282en_US
dc.identifier.wosWOS:000964856400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofEuropean Journal of Obstetrics & Gynecology and Reproductive Biologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectDienogesten_US
dc.subjectLesion Painen_US
dc.subjectCesarean Scar Endometriosisen_US
dc.subjectVas Scoresen_US
dc.titleIs dienogest a convenient treatment option for cesarean scar endometriosis or should it be treated surgically?en_US
dc.typeArticleen_US

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