Abstract:

Endometriosis (EMs) suffers from abnormal anatomical relationship of pelvic adhesions, incomplete removal of occult lesions, and unclear surgical field boundaries. After surgery and standard drug treatment, the symptoms eliminate or alleviate for half a year. After that, the clinical symptoms reappear and return to the pre-treatment level or aggravate, which is called recurrent EMs. The etiology of recurrent EMs is still unclear. Although the thoroughness of the initial surgery and standardized medication can reduce recurrence, there are still many refractory cases in clinic. Based on the complexity and uncertainty of the disease, comprehensive consideration of patients with ovarian function, eliminate malignant and prevent recurrence and other factors, to find the best treatment is the key issues to be resolved. This article aims to review the new progress in the diagnosis and treatment of recurrent EMs and provide an important basis for selecting the best treatment options.

Key words: Endometriosis, Recurrence, Drug therapy, Gynecologic surgical procedures, Diagnosis