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“As in the case of any other disease, treatment should be based on clarification and support, says Dr. Jankauskas. For starters, your doctor will probably suggest that you try antiprostaglandin and anti-inflammatory drugs, over-the-counter advil, or a more potent version of it, 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 to prevent endometriosis from developing to many people, says Dr. Jankauska. The majority of birth control pills include progestin and estrogen, the content of which has been reduced over time. Since it is progestin that reduces the manifestations of endometriosis, the amount of estrogen should be minimized. " Sometimes, a stronger hormone treatment is prescribed to temporarily improve the condition until surgery is performed or, if you are of the appropriate age, there is no menopause. Pregnancy also inhibits the development of endometriosis, but does not cure it, as previously thought. "On the contrary, says Ballueg, the symptoms recur with a new force several months after delivery."
Danazol, a synthetic male hormone, inhibits the production of estrogen by the ovaries and causes a false menopause. But, according to Dr. Barbeau's observations, he often gives undesirable side effects of weight gain, depression, and hot flashes. Another Gn-RH agonist (gonadotropin-releasing hormone) is used in the same cases, and most women find that this medicine is preferable to danazol because it does not produce such strong side effects. None of the drugs like danazol should be taken for more than six months, otherwise a false menopause and the concomitant process of reducing bone density can begin.
Traditional surgery in the past was to open the abdominal cavity and remove tissue with a scalpel or cauterization (cauterization) of it. A new high-tech method is called laparoscopy. “Performed with a device called a laparoscope, a procedure that uses laser or electrical cauterization is done through a small incision in the abdomen, explains Dr. Barbo. Since the abdominal cavity is not opened, the risk of infection, scarring, bleeding, there is no severe pain, and the patient can go home the same day. This technique, apparently, gives the best results in comparison with traditional methods in severe cases of endometriosis.
And of course, there is still a hysterectomy, removal of the uterus, and in case of endometriosis of the ovaries. Nearly 20 percent of all cases of hysterectomy occur in endometriosis operations. The attitude towards her is ambiguous. But, as 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.