In case of "juvenile cystic adenomyoma", laparoscopic enucleation results in a statistically and clinically significant reduction in dysmenorrhea, ease in any chronic pelvic pain and low risk of recurrence.
The specific therapeutic effects of acupuncture were small, whereas its clinically relevant benefits were mostly due to contextual and psychosocial circumstances.
It also has direct spasmolytic effects on bladder smooth muscle as a calcium antagonist and local anesthetic, but at concentrations far above those used clinically.
To do what we can effectively hope to given the prevailing circumstances, the problemsof misinformation, mixed messages, mythopoesis and mythomania have to be clinically addressed.
It is estimated that between 2 and 3 kg each of phenacetin or aspirin must be consumed before evidence of analgesic nephropathy becomes clinically apparent.