Treatment for endometriosis includes medications or surgery. The doctors initially recommend conservative treatment and surgery is usually the last resort. Treatment is influence by many factors which include the severity of your signs and symptoms and whether you want to conceive.
Over-the-counter pain reliever, such as ibuprofen may be given to reduce painful menstrual cramps. However, if it does not provide full relief, you may need other medications to manage your signs and symptoms.
Hormone therapy is at times effective in reducing or controlling pain of endometriosis. It is helpful as changes in hormone levels during the menstrual cycle cause endometrial implants to thicken, break down and bleed. Commonly prescribed hormonal therapies for treatment of endometriosis include:
Hormonal therapies may control symptoms during treatment and for a few months after it but they may not be permanent fix for endometriosis in some women. Many women experience recurrence of symptoms after stopping treatment.
Women with endometriosis who are trying to become pregnant, may be recommended surgery to remove endometrial implants. It may increase the chances of conceiving. Women with severe pain from endometriosis, may also benefit from surgery. In conservative surgery the endometrial growths, scar tissue and adhesions are removed without removing the reproductive organs (uterus, cervix and ovary). The procedure may be done laparoscopically or through traditional abdominal surgery.
Women with severe endometriosis, may be recommended hysterectomy (surgery to remove the uterus and cervix). The ovaries are also removed as hysterectomy alone is not effective. Ooestrogen is produced by the ovaries and if they are not removed it can stimulate any remaining endometriosis and cause pain to persist.
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