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April 9, 1949

SURGICAL TREATMENT OF ENDOMETRIOSISWith Special Reference to Conservative Surgery in Young Women

Author Affiliations


From the Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia.

JAMA. 1949;139(15):971-972. doi:10.1001/jama.1949.02900320001001

In the past twenty-five years abundant information regarding the behavior of endometriosis has been acquired. Enlightenment is so far from complete that the variegated pattern of this disease leads to a "wide open" field in fundamental research.

This common gynecologic lesion has undeniably been dealt with satisfactorily in many instances, long before the entity endometriosis was known to exist. The empiric treatment of dysmenorrhea has in the past and is now relieving many patients suffering from endometriosis. Nature (since the beginning of time) has employed an efficient prophylactic and curative measure for endometriosis, i. e., pregnancy. It is noteworthy that the frequency with which the diagnosis of endometriosis is made parallels the increased use of contraception, the emancipation or rise of womankind to careers and/or late marriage with late childbearing.

As observations on the behavior of endometriosis increase, the indications for surgical treatment decline. Medical and hormonal therapy have played

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