Theoretical Perspectives on the Evolution of Endometriosis Management Protocols: A Comprehensive Review

Abstract

This research examines the evolution of endometriosis management protocols through a comprehensive review of theoretical perspectives and empirical evidence published between 2010 and 2025. By synthesizing findings from peer-reviewed journals, clinical guidelines, and systematic reviews, the study explores advancements in diagnosis, therapeutic interventions, and patient-centered care. The methodology relies exclusively on secondary data, with rigorous criteria for inclusion to ensure the selection of relevant and high-quality sources. The review identifies key themes, including diagnostic innovations, hormonal therapies, surgical techniques, and the psychosocial dimensions of care.
The findings highlight significant progress in non-invasive diagnostic tools, such as advanced imaging technologies and biomarkers, which have improved early detection rates and reduced diagnostic delays. Hormonal therapies remain central to managing symptoms and controlling disease progression, with newer treatments offering enhanced efficacy and fewer side effects. Surgical innovations, particularly minimally invasive techniques, have refined the management of severe cases, although challenges such as recurrence persist. Additionally, patient-centered care models, which emphasize shared decision-making and holistic support, have gained prominence as essential elements of effective management.
These advancements reflect the integration of technological, medical, and psychological approaches, aiming to improve patient outcomes and quality of life. However, gaps in global access to care, disparities in diagnostic timelines, and the need for precision medicine remain significant challenges. Addressing these issues will require ongoing research, interdisciplinary collaboration, and targeted policy initiatives.
This study underscores the dynamic interplay of innovation and patient advocacy in shaping endometriosis management. It offers a foundation for future efforts to standardize care, develop curative therapies, and enhance equity in healthcare delivery.