Role of Conservative Management in Endometriosis Patient

Open Access

Abstract

Background: Endometriosis is a chronic gynecological disorder characterized by ectopic endometrial tissue causing pelvic pain, dysmenorrhea, and infertility. Conservative management aims to control symptoms and preserve reproductive function without surgical intervention. Aim of the study: To evaluate the effectiveness of conservative management in patients with endometriosis with regard to symptom relief, disease control, and improvement in quality of life. Methods & Materials: This prospective observational study was conducted in the outdoor Department of Obstetrics and Gynaecology, Bangladesh Medical University and Universal Medical College Hospital, Dhaka, Bangladesh from July 2024 to June 2025. A total of 50 women aged 18–45 years diagnosed with endometriosis were enrolled using purposive sampling. All patients received conservative management including NSAIDs, hormonal therapy (oral contraceptives or progestins), and GnRH analogues when indicated. Clinical symptoms and quality of life were assessed using the Visual Analog Scale (VAS) and SF-36 questionnaire at baseline, 3 months, and 6 months. Statistical analysis was performed using SPSS version 26, with p ≤0.05 considered statistically significant. Result: The mean age of participants was 31.2 ± 5.6 years. Dysmenorrhea (84%) and chronic pelvic pain (70%) were the most common presenting symptoms. Significant improvement was observed in dysmenorrhea (VAS 7.2 ± 1.1 to 3.1 ± 1.0), chronic pelvic pain (6.5 ± 1.3 to 2.9 ± 1.0), and dyspareunia (5.8 ± 1.5 to 3.0 ± 1.1) over six months (p<0.001). Quality-of-life scores increased from 55.2 ± 8.5 to 71.5 ± 6.8 (p<0.001). Patient satisfaction was reported in 80% of cases, while only 8% required surgical intervention. Conclusion: Conservative management is an effective approach for reducing symptoms and improving quality of life in patients with endometriosis. It may serve as a valuable first-line treatment strategy, particularly for women seeking fertility preservation and in settings with limited surgical resources.