Combination Therapy
Our presented technique is based on minimal surgery with ovary
suppression with regard to endometriosis stage.
Combination therapy has been adopted as an approach for the management
of endometriosis over the past 25
years(3). Given the lack of evidence on
how estrogen levels affect endometriosis management, second and third
look laparoscopy is suggested to follow the endometriosis lesion changes
three and six months after GnRH agonist treatment, which is really
helpful to decrease the endometriosis spots and lesions, deep
penetration, and frozen pelvic (4).
GnRh-a pre-treatment leads to the resolution of lesions, decreases
operation time and the occurrence of complications, which is useful to
completely clear the tissue from serious infiltration or small
retroperitoneal lesions through laparoscopic surgery.