Endometriosis
Description Medicine treatment Referral ICD-10 code: N80.0-6/N80.8-9 DESCRIPTION The presence and proliferation of endometrial tissue outside the uterine cavity, usually within the pelvis. It may manifest as dysmenorrhoea, dyspareunia and chronic pelvic pain. Diagnosis is made by laparoscopy. MEDICINE TREATMENT For pain: NSAID, oral: e.g. Ibuprofen, oral, 400 mg 8 hourly with or after a mea
ICD-10 code: N80.0-6/N80.8-9
DESCRIPTION
The presence and proliferation of endometrial tissue outside the uterine cavity, usually within the pelvis. It may manifest as dysmenorrhoea, dyspareunia and chronic pelvic pain. Diagnosis is made by laparoscopy.
MEDICINE TREATMENT
For pain:
- NSAID, oral: e.g.
- Ibuprofen, oral, 400 mg 8 hourly with or after a meal.
AND
- Combined oral contraceptives for 6 months.
OR
- Medroxyprogesterone acetate, oral, 30 mg daily for at least 3 months.
Note:
The recurrence of symptoms is common following cessation of treatment.
REFERRAL
- Women with infertility.
- No response to treatment after 3 months.
Standard Treatment Guidelines and Essential Medicines List for South Africa Adult Hospital _Chapter 5: Gynaecology; Version 1.0, 2020-4_June 2024
Drugs mentioned
ICD-10 codes
- N80.0Endometriosis of uterus
- N80.1Endometriosis of ovary
- N80.2Endometriosis of fallopian tube
- N80.3Endometriosis of pelvic peritoneum
- N80.4Endometriosis of rectovaginal septum and vagina
- N80.5Endometriosis of intestine
- N80.6Endometriosis in cutaneous scar
- N80.8Other endometriosis
- N80.9Endometriosis, unspecified