Page 118 - ESHRE2019

Follow‐up
• Completeresponse:
•
1. Repeat endometrial biopsy after 6 months
2. Two consecutive biopsies negativePursue pregnancy:
– earlier rather than later / recurrence rate: up to 40%
– even 1 month after CR
– consider IVF (individualize)
3. Pregnancy delayMaintenance therapy (low‐dose cyclic oral or IUD)
Completion of family planning: – TAH BSO (individualize)
Follow‐up
1. Consider standard treatment (TAH BSO)
• Partial response / non‐responders:
2. Increase oral progestin dosage or use in combination with LNG‐IUDRepeat endometrial biopsy after 6 months
• Persistence disease in biopsies over 12 months:
– Unlikely to respond
– Standard treatment (TAH BSO)
• Progression / Reccurence:
– Standard treatment (TAH BSO)
116
113