Ongoing management for endometriosis

Ongoing management of endometriosis depends on treatment response, persisting symptoms, and expected health outcomes. Ongoing management includes:

• liaison with the treating gynaecologist regarding ongoing follow-up of deep endometriosis (including deep infiltrating endometriosis) or endometriomas in individuals who choose not to have surgery
• creating a management plan to help address symptoms and the physical and mental health aspects of endometriosis
• involving a pelvic floor physiotherapist for treatment of pelvic floor muscle dysfunction, persistent pelvic pain and dyspareunia
• referral to a counsellor or psychologist to assess mental and emotional health
• referral to a pain specialist.

There is no established evidence of benefit from complementary therapies in the management of dysmenorrhoea and pain related to endometriosis.