【Objective】In the treatment of endometriosis, improve dysmenorrhea is an important task. The patient of endometriosis with dysmenorrhea often has deep infiltrating endometriosis (DIE). We select hormonal therapy at first in these cases. Surgery for the patient with dysmenorrhea, especially who are not effective the hormonal therapy, we resect endometriosis lesions including DIE. In this study, we examined dysmenorrhea improvement effect of DIE resection surgery and hormonal therapy.
【Method】The subjects of this study were targeted 18 patients who received DIE resection surgery and follow-up more than 1 year after surgery in our hospital. We conducted a retrospective study to compare the change of dysmenorrhea before and after surgery by Visual analog scale (VAS) score. It was also similarly examined the effect of the presence or absence of hormonal therapy.
【Results】Surgery complications such as organ damage and massive bleeding were not observed. Dysmenorrhea was disappeared (VAS 0) after surgery in 10 cases (56%). The patients who underwent hysterectomy was disappeared dysmenorrhea in 6/7cases(86%). On the other hand, Patients who had not received hysterectomy was 50%. In these cases, there was no difference in improvement rate of dysmenorrhea whether they received hormonal therapy or not.
【Conclusion】DIE resection surgery especially with hysterectomy was effective against dysmenorrhea. Whether the patient received hormonal therapy or not, it was no diferrence in outcome of the surgery.

THE DYSMENORRHEA IMPROVEMENT EFFECT OF RESECTION OF DEEP INFILTRATING ENDOMETRIOSIS AFTER CONTINUOUS HORMONAL THERAPY