Clinical and endocrine effects of pharmacological therapy in endometriosis: a systematic review and meta-analysis - Takeaways - MDSpire

Clinical and endocrine effects of pharmacological therapy in endometriosis: a systematic review and meta-analysis

  • By

  • Ronghua Sun

  • Hongyun Xu

  • Rui Ma

  • Juan Xu

  • Yong Liu

  • Dongwei Mao

  • April 1, 2026

  • 0 min

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  • 1

    Endometriosis affects approximately 10% of women of reproductive age, causing chronic pelvic pain and significantly reducing quality of life.

  • 2

    Hormonal treatments, including COCs and progestins, effectively reduce pelvic pain and menstrual irregularities in endometriosis patients.

  • 3

    Dienogest has been identified as particularly effective for alleviating dysmenorrhea, with a standardized mean difference of -0.58.

  • 4

    Relugolix combined therapy significantly reduces endometriosis-related pain, achieving a standardized mean difference of -0.72.

  • 5

    Adjunctive therapies like antioxidants and digital therapeutics also provide additional pain relief and improve quality of life for patients.

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