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      Thank you for your letter entitled “Years of unjustified hypoestrogenism, fear, and stress will not improve the management of chronic pelvic pain!” The goal of our manuscript entitled “Clinical diagnosis of endometriosis: a call to action” 
      • Agarwal S.K.
      • Chapron C.
      • Giudice L.C.
      • et al.
      Clinical diagnosis of endometriosis: a call to action.
      was to highlight the current unacceptable delay in diagnosis and to encourage a focus on pain, functioning, and quality of life, with or without a previous surgical diagnosis endometriosis. We agree with your statement “Even minimally invasive surgery is too invasive to manage minimal endometriosis, which is not always progressive and may heal during medical treatment or even spontaneously.”
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      Reference

        • Agarwal S.K.
        • Chapron C.
        • Giudice L.C.
        • et al.
        Clinical diagnosis of endometriosis: a call to action.
        Am J Obstet Gynecol. 2019; 220: 354-364

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