Daily Vaginal Application of Dienogest (Visanne©) for 3 Months in Symptomatic Deeply Infiltrating Rectovaginal Endometriosis: A Possible New Treatment Approach?

Figure 2

(a) Vaginal ultrasound appearance of the rectovaginal bowel involvement before the start of treatment in the symptomatic patient. (b) No change in the vaginal ultrasound findings after 3 months of vaginal dienogest administration (2 mg/d) in the patient who was now de facto asymptomatic.

(a)

(b)