A patient wrote an email with the question ‘Is it useful to take cortisone and antibiotics for endometriosis’

I do not understand this treatment which is given by some gynaecologists. There is to the best of my knowledge no evidence to support this ; moreover I never heard a rationale in a congress nor seen data in the literature. Also for antibiotic treatment there are no data.

If a treatment with antibiotics is simply not useful, a treatment with cortisone is potentially dangerous especially when given before surgery. It may increase the risk of infection and of  bowel lesion after surgery for deep endometriosis. With the knowledge of today I consider the treatment of endometriosis with corticoids as potentially dangerous ; it is a treatment which even cannot be considered experimental.

P.R. Koninckx

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