If therapy is certainly not taken, symptoms will worsen and general health declines. Often there are cases where by endometrial growth has spread out further from pelvic region.
Regrettably, medical professionals are yet to discover a medicine or therapy to cure this woman reproductive dysfunction.
Nonetheless, there are medicines available that could successfully control the symptoms and therefore reduce the pain.
At this moment, there is virtually no cure for endometriosis. Therapy is aimed at maintaining the symptoms; or to impede the spread and growth of endometrial cells at areas other than the uterus; or for improving ability to conceive.
In certain mild cases, wait and observe policy is said to be most amazing, if the problem is not producing much physical pain or discomfort and if there are no fertility problems.
The technique of treatment is decided according to the age of the woman, fertility problems, severity of symptoms, how severe the disorder is and if the patient wants babies or not.
Diagnosis of this condition is done by means of laparoscopy, which assists a visual observation of the pelvic and abdominal cavity.
In the course of laparoscopy, tissue samples can also be taken for biopsy. Once the condition is identified as endometriosis, treatment can be determined. Generally, treatment comprises of use of pain medication, hormone therapy, or surgical option.
For Easing Pain
If the patient does not have any intention to conceive sooner or later, but wants a treatment to relieve pain, then the following are some of the existing options.
In this circumstance, pain and related discomfort can be fixed with NSAIDs, which are anti-inflammatory drugs that eliminate pain, bleeding, and inflammation.
Hormonal birth control is also used for treating endometriosis patients with mild signs and symptoms.
These hormones, as found in contraceptive pills and patches, help to alleviate pain, as they cause weakening of the endometrial cells.
It is said that birth control hormones are also highly effective in suppressing the condition from further declining.
Drug treatment is beneficial, if the symptoms are mild. Painkillers are ordinarily administered to reduce the pain. Women diagnosed with moderate endometriosis can get pregnant.
If the symptoms are critical, medical operation is used to take off uterus or both the ovaries. Surgery is effective for people with severe pain due to endometriosis.
Research suggests that some surgical treatments can provide significant, although transitory, pain relief from endometriosis, so medical experts may advocate surgery to treat severe pain from endometriosis.
In the course of the operation, the surgeon can locate any areas of endometriosis and examine the size and degree of growth; and also may remove the endometriosis patches at that time.
It is essential to grasp and know what is planned during surgery as some procedures cannot be upturned and others can affect a woman’s fertility.
Therefore, a woman should have a detailed discussion with a health professional regarding available options prior to making final decisions about treatment.
This involves taking hormonal medicines to ease symptoms and reduce discomfort. The aim is to reduce the size of endometrial growth.
This can be accomplished by taking oral contraceptives, androgens and progestogens. Complementary therapies such as aromatherapy and homeopathy are also useful to boost the condition of the patient.
Oral contraceptive pills (OCPs)
suppress LH and FSH and forestall ovulation. These assist to make menstrual period lighter, more regular and shorter. Women administered contraceptives also report relief from pain.
Generally speaking, the therapy contains two hormones – estrogen and progestin, a progesterone-like hormone.
Women who can’t take estrogen because of heart disease or hazard of blood clots can use progestin-only pills to reduce menstrual flow.
An IUD containing progestin, for instance Mirena®, may be effective in reducing endometriosis-associated pain. It reduces the size of lesions and reduces menstrual flow (one third of women seldom get their period after a year of use).
As an injection taken every 3 months, these hormones usually terminate menstrual flow. Nonetheless, one-third of women bleed several times in the first year of administering injection. Pain may occur during these times of bleeding.
Moreover, it could take a couple of months for the period to reappear after quitting the injections. The chance to get pregnant returns when menstruation commences again. Women taking these hormones may gain weight, feel depressed or have abnormal vaginal bleeding.
Is almost the same as danazol, but you only need to take it twice a week instead of daily. Danazol treatment stops the release of hormones that are involved in the menstrual cycle.
Despite the fact that taking this drug, women will have a period only now and then or occasionally not at all. Typical negative effects involve oily skin, pimples or acne, weight gain, muscle cramps, tiredness, smaller breasts and sore breasts.
Headaches, dizziness, weakness, hot flashes, or a deepening of the voice may also take place while on this treatment. Danazol’s side effects are more severe than those from other hormone treatment methods.
Danazol can hurt a developing unborn child. Therefore, it is recommended to prevent pregnancy while on this medication. Hormonal contraceptive methods are not recommended while on danazol. Instead, therapists recommend using barrier methods of birth control, such as condoms or a diaphragm.
Stronger hormone therapy
such as therapy with a gonadotropin-releasing hormone agonist (GnRH-a), high-dose progestin may also be administered. It could be that, people who have severe symptoms of endometriosis do not respond to some treatments.
In such cases, other kinds of stronger hormone therapy are suggested. They include gonadotropin-releasing hormone agonist (GnRH-a), progestin, progestin intrauterine device, danazol, and aromatase inhibitors. In some cases, stronger hormone therapies may not work.
Such women will need surgical option for relief from endometriosis. Surgery is also done in women with very severe symptoms.
Surgery is principally geared toward taking off the endometrial growths or scars. Such operation may also include elimination of the uterus (hysterectomy) and the ovaries.
Caffeine, sugar and alcohol
Are the three quite often cited items that women have stripped away from their diets to deal with endometriosis.
For Fertility problems
In women with fertility problems resulting from endometriosis, treatment can be slightly complicated. People who have milder conditions may not require any treatment.
However, women with moderate to severe endometriosis may need treatment to enhance their odds of getting pregnant. In this circumstance, surgery is undoubtedly a perfect treatment option for endometrial growths.
The endometrial cells, together with the scar tissues (especially, on the ovaries and fallopian tubes) are removed surgically, in like manner improve the possibility of getting pregnant.
Other treatment options include In Vitro Fertilization (IVF), artificial insemination and medication for promoting ovulation.
Hormonal treatment is not appropriate for women, who are planning to get pregnant. Often, a short-period of hormonal therapy followed by fertility treatment may boost the chances of getting pregnant.
Usually, treatment will not be needed for those with mild endometriosis and people who are getting to menopause. Even pregnancy greatly improves symptoms connected with this malady.
Some women resort to methods of natural treatment, like aromatherapy, acupuncture, homeopathy and herbal solutions.
Some choose to go on special diet to reduce or eliminate the effects of endometriosis while some altogether avoid food known to cause hormonal imbalance.
There is no scientific support to prove the overall impact of such treatment. So, you can discuss with your health care provider, and decide the right treatment for you.
Finding a treatment which makes you feel cozy is critical to handle this medical condition. Home remedies such as heating pads and warm baths can also help to relieve pelvic pain.