Despite the fact that the cause of endometriosis remains unknown, doctors have developed effective enough treatment to help women suffering from endometriosis. But there is no medical evidence that one type of endometriosis treatment prevails over others.
The choice of a treatment depends on the individual woman's needs, her symptoms, age, and her fertility wishes. She should discuss all these points with her physician so that they together determine duration and the most suitable for her needs type of the treatment plan. Usually it means combination of more than one treatment over longer periods of time.
Pain Relief
The most common presentation of endometriosis in many women is pain. Physicians may prescribe such pain killers as:
• simple analgesics (such as aspirin and paracetamol),
• compound analgesics (which are a combination of either aspirin or paracetamol and a mild narcotic such as codeine)
• narcotic analgesics (similar to morphine),
• non-steroidal anti-inflammatory drugs (such as nurofen, ponstan, voltaren, etc).
Hormonal Treatments
As it was proved by many researches oestrogen complicates symptoms of endometriosis. Hormonal treatments are called to regulate oestrogen production in a woman's body and relieve her symptoms in that way.
 Hormonal therapy may include birth control pills, progestins, a class of drugs known as GnRH-agonists, and danazol (though this is seldom used any more).
The combined oral contraceptive pills
- Progestins
- Mirena
- GnRH-agonists
- Danazol
- Aromatase inhibitors [still somewhat experimental]
Unfortunately hormonal therapies have different side effects, and achieved pain relief tends to be only temporary for many girls and women.
Surgery
As many doctors say laparoscopic surgery is the only conclusive way to diagnose endometriosis. It has additional advantage as the disease can be diagnosed and treated in the same procedure. The skill of the surgeon and the carefulness of the surgery play crucial role in the success of surgery. If all endometriosis lesions, cysts, and adhesions have been removed there are a lot of chances to get rid of the disease.
Modern endometriosis surgery is performed through the laparoscope. Nevertheless in rare cases for extensive disease or bowel resections surgeons apply a full abdominal incision called a laparotomy.
Unfortunately even such extreme surgery as hysterectomy doesn't guarantee complete recovery. Endometriosis can recur even after a hysterectomy.
| 
