Endometriosis
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Treatment of Endometriosis |
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Treatment depends on the age of the patient, severity of the symptoms and the extent of the disease and her desire for conception. Women with mild symptoms may just be monitored and examined regularly to see for the progression of the disease. The different
Medical therapy
Hormonal Therapy Danazol (Danocrine) Oral contraceptive pills These drugs act by suppressing ovulation (Production of egg by the ovaries). As a result, there is reduction in the production of the hormone oestrogen by the ovaries leading to shrinkage of the endometrial implants. The common side effects are, weight gain, breast tenderness and nausea GnRH agonists (gonadotropin releasing hormone agonists) These drugs act by suppressing menstrual periods (Artificial menopause), thereby suppressing the production of oestrogen and shrinkage of the endometrial implants. The common side effects are-hot flushes, dyspareunia, vaginal dryness, loss of libido and mood swings. Long-term use may lead to bone loss and osteoporosis. Medroxyprogesterone acetate (Depo-provera) Produces shrinkage of the endometrial tissue by suppressing ovulation and menstruation and thereby suppressing the production of oestrogen. The common side effects are, breast tenderness, uterine bleeding, and depression. Surgical treatment is usually indicated if endometriosis is extensive, with distortion of the pelvic anatomy. This can be conservative (where the pelvic anatomy is restored) or radical (removal of the reproductive organs. Laparoscopy- is a key hole procedure, where a fiber optic tube with a small lens is introduced into the abdomen through small incisions. It is a very useful procedure not only to diagnose endometriosis, but also to treat it. Adhesions can be lysed using sharp and blunt dissection, endometrial lesions can be cauterised, endometriomas (endometriotic cysts in the ovary) can be removed and laser can be used to vaporise the endometriotic implants. Laparotomy- is a procedure where the abdominal cavity is visualised after making an incision over the abdominal wall. It is usually performed for a more extensive surgery Endometrial lesions are destroyed, adhesions released, large endometriomas are removed and repair of any damaged organs is done. Hysterectomy(removal of the uterus) and bilateral salpingo-ophorectomy (removal of fallopian tubes and ovaries) is the definitive treatment for endometriosis. This is done as a last resort in women with long standing endometriosis, those with severe pain and those who do not respond to other forms of treatment.
Before going for surgery use the following strategies to help you recover better. These include-
Spend quality time with your family and loved ones. |
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Posted by:
saminda89
Posted on: 03/15/2012 I have had surgery for endometriosis over a year ago , and have really had not a lot af relief from it, I am now being put on some heavy drugs such as morphine, Im 22 and would love to have a baby in the next year or so but im so scared i wont be able to , more to the point does anyone go back to a normal sex life ever?! i feel im losing my partner , like we are not as close anymore . I hate this disease and am desperatley looking for some alternative therapies ?
thanks
sam
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Posted by:
unicornkari
Posted on: 01/07/2012 I found out i have endometriosis 5 months ago, i took the birth control but have had no improvement ;[ im trying to become pregnant but its so difficult having so much pain. is there any kind of diet i should be on? pleeease help!! ive suffered for 15 yrs now!
Posted by:
chotu
Posted on: 04/13/2011 i am 23 years old. I have an abortion in aug 2009. thats my first pregnancy. and i didnt get periods for 4months. then i got a loop by a doctor because my endometic layer size is very thin. i used some pills of estrogen and progesterone for 4 months. now iam getting periods for 36 days cycle. i am continuing my loop now also. i am planning to remove my loop in aug 2012. is there any problem by continuing this loop for the next year also. i am planning to get pregnant in the next year itself. and its not possible to remove my loop in this year because i am in abroad now. suggest me, there is any problem to get pregnant and in my health as well as my child's health. is there any food to improve my health and periods cycle. suggest me please. but its not possible to come to india and remove the loop in this year. so i am planning to next year. suggest me please please. i think you can understand my problem and give better suggestion for me.
many many thanks in advance.
Posted by:
sunny1
Posted on: 03/22/2008 Endometriosis is one of the most difficult condtions. It often mimics other condtions and sometimes it is difficult to differntiate from cancer. The surgery of the condition is also difficult.
Posted by:
adriabold
Posted on: 05/19/2011 A couple of years ago I found outstanding results from
treatments for endometriosis for my fibroids. It is also recommended for endometriosis. You may want to consider finding a Treatment of Endometriosis then explore the resources on treatments for endometriosis which include nutritional, complementary, and multi-disciplinary approaches to management of this condition.
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Posted by:
guest
Posted on: 04/16/2007 I had a hysterectomy 3 years ago and thats when my OBGYN found my endimetriosis and it has attached to my bowel and cannot be removed because it has hardened i also didnt know that it can still spread to any organ i am also at high risk for lupus, arthritis, and other stuff the only person i can talk to about it is my husband he is my rock i dont know what i'd do without him. Is there anyone I can talk to to help ease the worry of the things that i am high risk for. Thank you for letting me send a comment. |