Abstract
　　Objective: To improve the understanding of endometriosis and toprovide evidence-based guidelines for the diagnosis andmanagement of endometriosis.

　　Outcomes: Outcomes evaluated include the impact of the medicaland surgical management of endometriosis on women’sexperience of morbidity and infertility.

　　Methods: Members of the guideline committee were selected on thebasis of individual expertise to represent a range of practical andacademic experience in terms of both location in Canada and typeof practice, as well as subspecialty expertise along with generalgynaecology background. The committee reviewed all availableevidence in the English and French medical literature andavailable data from a survey of Canadian women.

　　Recommendations were established as consensus statements.The final document was reviewed and approved by the Executiveand Council of the SOGC.

　　Results: This document provides a summary of up-to-date evidenceregarding diagnosis, investigations, and medical and surgicalmanagement of endometriosis. The resulting recommendationsmay be adapted by individual health care workers when servingwomen with this condition.

　　Conclusions: Endometriosis is a common and sometimesdebilitating condition for women of reproductive age. Amultidisciplinary approach involving a combination of lifestylemodifications, medications, and allied health services should beused to limit the impact of this condition on activities of daily livingand fertility. In some circumstances surgery is required to confirmthe diagnosis and provide therapy to achieve the desired goal ofpain relief or improved fecundity. Women who find an acceptablemanagement strategy for this condition may have an improvedquality of life or attain their goal of successful pregnancy.

　　Evidence: Medline and Cochrane databases were searched forarticles in English and French on subjects related toendometriosis, pelvic pain, and infertility from January 1999 toOctober 2009 in order to prepare a Canadian consensus guidelineon the management of endometriosis.

　　Values: The quality of evidence was rated with use of the criteriadescribed by the Canadian Task Force on Preventive Health Care.Recommendations for practice were ranked according to themethod described by the Task Force. See Table 1.

　　Benefits, harms, and costs: Implementation of the guidelinerecommendations will improve the care of women with pain andinfertility associated with endometriosis.
完整版下载2010 SOGC子宫内膜异位症：诊断和治疗