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“As with any other disease, treatment should be based on clarification and support,” said Dr. Jankauskas. To begin with, your doctor will probably suggest that you try antiprostaglandin and anti-inflammatory drugs, an over-the-counter advil or a variant of it that has a stronger effect to relieve pain. But long-term treatment in most cases involves hormone therapy or surgery.
Hormone therapy in the form of birth control pills helps many to prevent endometriosis from developing, says Dr. Jankauska. Most birth control pills include progestin and estrogen, which have been reduced over time. Since it is progestin alone that reduces the manifestations of endometriosis, the amount of estrogen should be minimized. ” Stronger hormone treatments are sometimes prescribed to temporarily improve the condition until surgery is completed or, if you are of an appropriate age, menopause occurs. Pregnancy also inhibits the development of endometriosis, but does not cure it, as previously thought. "On the contrary, says Ballueg, the symptoms recur with renewed vigor a few months after giving birth."
Danazole, a synthetic male hormone, inhibits estrogen production by the ovaries and causes false menopause. But, according to the observations of Dr. Barbo, he often gives undesirable side effects of weight gain, depression, hot flashes. Another Gn-RH agonist (gonadotropin releasing hormone) is used in the same cases, and most women find this drug to be preferable to danazol because it does not have such strong side effects. None of the drugs like danazol can be taken for more than six months, otherwise false menopause and the concomitant process of reducing bone density can begin.
Traditional surgery in the past consisted in opening the abdominal cavity and removing tissue with a scalpel or cauterizing (cauterizing) it. A new high-tech method is called laparoscopy. “Using a device called a laparoscope, a procedure that uses laser or electric cauterization is performed through a small incision in the abdomen,” explains Dr. Barbo. Since the abdominal cavity is not opened, the risk of infection, scarring, bleeding is reduced, there is no severe pain, and the patient can go home the same day. This technique seems to give better results compared to traditional methods in severe cases of endometriosis.
And of course, there is also a hysterectomy removal of the uterus, and with endometriosis of the ovaries. Almost 20 percent of all cases of hysterectomy occur in operations for endometriosis. The attitude towards her is ambiguous. But, as the doctors say, even this radical operation does not completely solve the problem, because small fragments of the ovaries can remain in the body and produce estrogen. Moreover, postoperative estrogen replacement therapy can return endometriosis, especially in severe cases.
See also: Hysterectomy.