Endometriosis Treatments

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 womans 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 womans 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.

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 doesnt guarantee complete recovery. Endometriosis can recur even after a hysterectomy.

Nutritional Therapy
Each of us requires proper nutrition. The correct balance of daily nutrients helps improve our general health.
For those who suffer from endometriosis, proper diet may increase her ability to tolerate medical treatments, helps to cope with potential side effects of treatment, increase her energy, and enhance her ability to think clearly.

Complementary Therapies
Remember about the chronic and recurrent nature of endometriosis, sometimes it may be useful to consider therapies beyond the traditional medicine.

There is no medical evidence that such therapies are effective. But some women suffering from endometriosis have achieved significant symptom relief by using homeopathy, osteopathy, herbs, and Traditional Chinese Medicine.

An exercise program and relaxation techniques may help to strengthen pelvic floor muscles, reduce pain, and manage stress and anxiety. Postoperative rehabilitation in the form of gentle exercises, yoga, or Pilates will help the body get back into shape.

A Multi-disciplinary Approach
To help women to cope with endometriosis, a team of medical professionals may be involved in holistic treatment, including:
– general practitioners
– gynaecologists
– surgeons (from a number of disciplines)
– reproductive endocrinologists
– immunologists
– nutritionists/dieticians
– nurses
– psychologists
– counsellors
– pain specialists
– physiotherapists

Psychologists and counsellors are included into this list not accidentally. Such disease as endometriosis affects not only the physical body but also damage the psychological state. Specific support groups help to cope with endometriosis and may be able to provide information about national or regional centres, that specialise in the treatment of endometriosis.