Evidence map›Paper›PMID 42158782›Full record

ReviewCureus2026

Medical and Surgical Management of Endometriosis: A Narrative Review of Clinical Outcomes.

Ashmitaa Srianand, Devi Priya R, Saumya, Pragati Sakhuja, Nikeeta Ashokrao Khanorkar, Sumit Sukla Das

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ashmitaa SrianandDepartment of Obstetrics and Gynaecology, Kauvery Hospital, Chennai, IND.
Devi Priya RDepartment of Obstetrics and Gynaecology, ACS Medical College and Hospital, Dr. M.G. Ramachandran Educational and Research Institute, Chennai, IND.
SaumyaDepartment of Obstetrics and Gynaecology, Government Medical College, Satna, Satna, IND.
Pragati SakhujaSchool of Civil and Chemical Engineering, Manipal Institute of Technology, Manipal, IND.
Nikeeta Ashokrao KhanorkarDepartment of Obstetrics and Gynaecology, Government Medical College, Nagpur, Nagpur, IND.
Sumit Sukla DasDepartment of Obstetrics and Gynaecology, Agartala Government Medical College (AGMC), Agartala, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometriosis is a chronic, estrogen-dependent, and heterogeneous gynecologic disorder associated with persistent pain, infertility, and substantial impairment in quality of life (QoL), necessitating individualized and evidence-based management. This narrative review synthesizes contemporary evidence on the clinical outcomes of medical and surgical management of endometriosis, with particular emphasis on pain control, fertility outcomes, disease recurrence, QoL, and treatment safety. A structured literature search of PubMed/MEDLINE, Embase, Scopus, and the Cochrane Library was conducted for studies published between 2015 and 2025, including randomized controlled trials, observational studies, and high-quality reviews reporting clinically relevant outcomes following medical and/or surgical interventions. Medical therapies, including hormonal suppression strategies, are consistently effective in reducing dysmenorrhea and chronic pelvic pain; however, they are limited by treatment-related adverse effects, symptom recurrence after discontinuation, and lack of sustained fertility benefit. Surgical management, particularly laparoscopic excision, demonstrates significant improvements in pain and spontaneous conception rates in selected patients; however, risks of recurrence, surgical complications, and reduction in ovarian reserve remain important considerations. Postoperative hormonal suppression is associated with prolonged recurrence-free intervals and improved long-term symptom control. Patient-reported outcome measures highlight meaningful improvements in QoL across treatment modalities but also underscore variability in long-term outcomes. Optimal management of endometriosis requires a multidisciplinary, patient-centered approach that integrates medical and surgical strategies, fertility preservation considerations, and long-term outcome monitoring to address the complex and recurrent nature of the disease.

Indexed as

endometriosisfertility outcomesmedical managementquality of lifesurgical management

Identifiers

PMID42158782
PMCPMC13181350

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.