scientific program • symposia - American Society for Reproductive ...

SCIENTIFIC PROGRAM • SYMPOSIA
Monday, October 17, 2011 7:00 am – 8:45 am
Symposium
Continental Breakfast Provided.
LONG-TERM MANAGEMENT OF SYMPTOMS
OF ENDOMETRIOSIS
Robert S. Schenken, M.D. (Chair)
The University of Texas Health Science Center
Serdar E. Bulun, M.D.
Northwestern University
John F. Steege, M.D.
University of North Carolina Medical School
Needs Assessment and Description
Endometriosis is a chronic disease that can be treated
both surgically and medically. A current ASRM Practice
Committee Guideline states that “Endometriosis should
be viewed as a chronic disease that requires a life-long
pain management plan with the goal of maximizing the
use of medical treatment and avoiding repeated surgical
procedures.” In a 2009 survey of the ASRM membership,
about one-third believes they need additional information
about the management of women with endometriosis.
The American College of Obstetrician and Gynecologists
(ACOG) released a practice bulletin in July 2010
“recommending conservative nonsurgical treatment
approach for treating women with endometriosis-associated
pain followed by more invasive procedures if these fail to
alleviate pain”. This symposium will address the long-term
management of endometriosis, with detailed discussion of
the benefits and risks of surgical versus medical therapies in
designing long-term treatment plans for patients suffering
from endometriosis.
Learning Objectives
At the conclusion of this session, participants should be able
to:
1. Differentiate various causes of pelvic pain prior to any
therapy specific for endometriosis.
2. Discuss the benefits and risks of surgery versus medical
therapies such as GnRH agonists with or without “addback”
therapy, oral contraceptives, progestogens, or
danazol for long-term treatment of symptoms associated
with endometriosis.
3. Counsel patients on the efficacy of available long-term
pain treatment options.
4. Design and develop long-term treatment plans for
women suffering from endometriosis.
Valencia Ballroom
Supported by an independent educational grant from Abbott Laboratories.
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ACGME COMPETENCY
Medical Knowledge
Patient Care
TEST QUESTION:
After participating in this session, in my practice I will:
A. Use leuprolide acetate to treat an endometrioma
diagnosed by ultrasound.
B. Perform laparoscopy and aspirate an endometrioma.
C. Perform laparoscopy, aspirate the endometrioma and
ablate the base.
D. Expectantly manage a suspected endometrioma in a
patient with pelvic pain.
E. Perform laparoscopy and resect an endometrioma.
F. Not applicable to my area of practice.