Treatment of endometriosis consists of blocking the function of ovarian hormones (menstrual cycle is disrupted), which stops the evolution of endometriosis. Drugs given by a gynecologist is in the form of progestogen, contraceptive pills taken without a break or other drugs that induce an “artificial menopause”. But they also have side effects such as hot flashes.
During hormonal treatment, the patient cannot conceive. Pain is likely to recur even after hormone treatment. Surgery allows removal of lesions affecting the tissues.
Surgery is recommended for cysts, severe pain and infertility. In severe and rare cases, surgery consists of a small incision in the abdomen and is performed laparoscopically. After treatment, patients are more likely to conceive.
A simple pelvic examination certainly can not diagnose endometriosis. It is necessary to perform other examinations such as ultrasound and especially laparoscopy. This technique requires a short hospital stay and involves inserting a small tube adapted to a camera inside the abdomen to view the damage.
Although surgery does not cure the endometriosis, it may have beneficial effects for a short period of time for most women and a longer period of time only for some.
Between 70% and 100% of women reported pain relief within the first month after surgery. However in 45% of women symptoms recur in the first year after surgery. This number increases with time.
Infertility – Removal of moderate or severe endometriosis favors increased chances of getting pregnant.
Removal of uterus and ovaries (hysterectomy and oophorectomy) is considered an extreme option for pain relief in endometriosis. However, pain occurs in more than 15% of women. After this procedure a woman can get pregnant.
Surgery is usually recommended for endometriosis when:
– Hormonal therapy does not control symptoms, and they affect the daily lives of women
– Endometrial implants or scars lining (adhesions) interfere with the function of other abdominal organs
– Endometriosis causes infertility.
Although ruled out the diagnosis of endometriosis is sure never-proliferation endometrium, small and hidden implants can escape them advice.
– Remove any growth that sees endometrial or uterine lining wound which can cause pain or infertility. Your doctor may use one or more methods to remove endometriosis, including cutting and removing growths (implants), excision or destruction by laser or electric current (electrocautery). If endometrial cyst is present in the ovaries (ovarian endometriosis), it is removed by the same method.
Hysterectomy with ophorectomy cause pain relief for a long time in women who did not wish to become pregnant in the future. After removing the ovaries side effects of low estrogen levels are more unpredictable and severe symptoms than natural menopause occurred due to installation. When menopause is installed early, the risk of developing osteoporosis is increased in the future especially if treatment is not recommended to protect bones.
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