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Treating Endometriosis


 

Endometriosis can be treated with hormone therapy, surgery, or a combination of both. Talk to your health care provider to see which treatment is best for your condition

Take your hormone therapy medication as directed by your health care provider.

Hormone Therapy

Hormone therapy regulates or blocks the hormones  that control your menstrual cycle. This means it can limit the swelling of your endometrium and extra endometrial tissue (implants). This treatment may be used before, instead of, or after surgery. Following are different types of hormone therapies:

  • GnRH Agonists and FSH and LH Inhibitors stop or lower the production of estrogen and progesterone hormones.
  • Birth control pills contain estrogen and progesterone. Birth control pills help to regulate the levels of estrogen and progesterone in your body.
  • Progestins are a form of progesterone. Progestins help keep estrogen levels low.
  • Danazol is a hormone that stops or lowers the production of estrogen and progesterone.

Surgery

Surgery can be used to remove implants of endometrial tissue or for removal of the reproductive organs.

  • With laparoscopy a laparoscope (a thin, lighted tube) is inserted through a small incision in your abdomen. Your doctor uses the laparoscope and another small instrument to remove the implants.
  • Laparotomy is open surgery to remove large implants that can't be reached with the laparoscope or when pelvic organs such as your bowel are involved.
  • Hysterectomy is the surgical removal of your uterus. Any implants or adhesions in your pelvic cavity will also be removed.
  • During a Total Hysterectomy with Bilateral Salpingo-oophorectomy procedure, your uterus, ovaries, and fallopian tubes are removed. Any implants or adhesions in nearby tissue are also removed.
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