Session Information
ASRM 65th Annual Meeting
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Endometriosis: In Search of Optimal Treatment
Track : PG Track Three
Program Code: PG04
Date: Saturday, October 17, 2009
Time: 8:15 AM to 5:00 PM  EST
Location: C204
CHAIR :
Dan I. Lebovic, M.D.. M.A.
SPEAKER (S):
Ian S. Fraser, M.D.
Paolo Vercellini, M.D.
Sangeeta Senapati, M.D., M.S.
Description
The bane of endometriosis is its incessant, recalcitrant and chronic nature. This is distressing both from the perspective of the patient suffering from the disease and for the practitioner attempting to offer options for mitigation. The challenges of treating endometriosis have yet to be conquered; and this course will attempt to provide participants with the best available evidence for several angles of endometriosis.

Treatment modalities to assuage endometriotic lesions require costly, invasive surgery or medical approaches that are often counterproductive to fertility. Most drug therapies lead to cessation of menstrual cyclicity thereby delaying desired conception. Moreover, regardless of the treatment approach, endometriotic lesions spontaneously and often rapidly recur, accompanied by ongoing pain and/or infertility.

This one-day course for gynecologists and reproductive endocrinologists is designed to critically address the current knowledge of mechanisms of pain in endometriosis as well as current recommendations for surgical and medical
treatment. Topics to be discussed include: (1) endometrial nerve fibers, (2) approach to treatment, including IUDs and
innovative medical treatment both strictly for pain as well as with respect to fertility, (3) managing rectovaginal and bladder endometriosis, (4) relationship between endometriosis and cancer and a (5) discussion on the role of robot-assisted laparoscopy in endometriosis. Coherent summaries with key learning points will be provided and reinforced during the last session of case reports to be discussed among faculty and participants.


LEARNING OBJECTIVES

At the conclusion of this course, participants should be able to:
1. Compare and contrast feasible medical and surgical therapies for endometriosis, including robotic-assisted laparoscopy.
2. Discuss the scientific basis and clinical implications of endometrial nerve fibers in endometriosis.
3. Describe the options for managing rectovaginal and bladder endometriosis.

To purchase a downloadable PDF of the PG course syllabus or syllabi, click here.


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(Code: PG04M/PG04)
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