Obstetrics & Gynaecology
Endometriosis Management
NICE NG73 — clinical / imaging diagnosis, hormonal therapy, surgical management for refractory / fertility.
Source: NICE NG73 (2017)
Step 1 of ~2
info
Recognise + Investigate
Suspect: chronic pelvic pain, cyclical dysmenorrhoea (worsening), dyspareunia (deep), cyclical GI symptoms (dyschezia, bloating), cyclical haematuria, infertility, fatigue. Examination: posterior fornix nodularity, adnexal tenderness, fixed retroverted uterus.
Investigations:
• Pelvic USS — identifies endometriomas + deep infiltrating endometriosis (DIE) but normal USS does NOT exclude.
• MRI for DIE assessment + surgical planning.
• CA-125 may be raised (non-specific — not for diagnosis or screening).
• Definitive diagnosis: laparoscopy + histology — gold standard but not always required for empirical treatment.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Abiraterone Acetate · CYP17 Inhibitor (Hormonal Therapy)
- Tranexamic Acid (ICU/Trauma/Surgical) · Antifibrinolytic
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Ranolazine · Refractory Stable Angina
- Combined Oral Contraceptive Pill (COCP) · Combined Hormonal Contraceptive (Oestrogen + Progestogen)
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.