What is the typical first-line therapy for endometriosis?

The typical first-line therapy for endometriosis focuses on alleviating symptoms and managing the condition effectively. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used initially to address pain associated with endometriosis, as they help reduce inflammation and alleviate menstrual cramps.

While continuous hormonal therapy and combination oral contraceptive pills (cOCP) are also important treatment options for endometriosis, they are generally considered when NSAIDs alone do not provide adequate relief. Hormonal therapies work by suppressing menstruation and reducing the endometrial tissue's activity, which can be particularly beneficial for chronic management but may not be the first step for every patient.

Bromocriptine, a dopamine agonist primarily used in treating conditions like hyperprolactinemia, is not a standard treatment for endometriosis. Its mechanisms and indications do not directly address the pathophysiology of endometriosis-related pain.

In summary, NSAIDs are often the initial intervention for managing symptoms while evaluating and discussing further treatment options with patients.