Conservative (if reproductivity is to be preserved): Laparoscopic lysis of adhesions and implants

Definitive: Total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO)


Maximum time on estrogen suppression should be 6 months due to adverse effects.

The pulsatile fashion of endogenous GnRH stimulates FSH secretion. GnRH agonists are not pulsatile and therefore end up suppressing FSH.

Pseudomenopause— I FSH/LH rather than T FSH/LH as seen in "real" menopause.

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