When Endometrial Surgery Isn't Enough

Surgery for endometriosis isn’t always curative, and often other measures, such as aromatase inhibitors and progestins, are needed postoperatively to prevent recurrence. However, drug adverse effects can make it hard for patients to adhere to long-term treatment. One solution may be a levonorgestrel-releasing intrauterine system (IUS), suggest researchers from MahidolUniversity, Bangkok, Thailand. These researchers suggest it would release the drug more slowly, potentially reducing adverse effects, and would render the compliance issue moot for at least 5 years.