Endometriosis treatment is really a subject which has many theories based on plenty of trial and error. The reason there is no clear cut treatment is that nobody really knows what causes this disease. Most treatments are accustomed to help control the disease and mitigate the symptoms it causes.
The symptoms of endometriosis affect the ladies who suffer them in various ways. Most women notice an increase in symptoms as their menstrual period approaches and begins. In rarer cases the outward symptoms persist through the entire month. The discomfort and pain is normally localized in the pelvic, abdominal or lower back regions. The severe nature of the pain caused varies from woman to woman. Endometriosis can also cause heavy menstruation and in severe cases infertility.
The first step to endometriosis treatment gets properly diagnosed. Women who experience endometriosis symptoms should see their gynecologist. In some cases an ultrasound or MRI can detect the tiny endometrial growths but a definitive diagnosis can only be produced through laparoscopic surgery. Laparoscopy is really a minimal invasive procedure in which a thin tube with a light and camera on the finish is inserted into the abdomen. This gives the physician a genuine time view of any endometrial lesions, their size and extant of their growth. Once a confident diagnosis is made treatment options may then be discussed and considered.
Endometriosis Treatment – Choices for Treating Endometriosis
When an endometriosis treatment plan is being discussed there are several points that need to be considered by the woman and her doctor.
? How severe are the symptoms
? What type of symptoms is she having
? How old is she
? Is she looking to get pregnant
? How long should the treatment last
? What side effects will drug treatment have
? How much will it cost
Once these questions are answered cure plan for endometriosis can be made.
Understanding what can cause endometrial cells living beyond your uterus to grow is essential in knowing why certain treatments work better than others. Endometriosis is really a disease driven by way of a woman’s hormonal cycle and specifically estrogen. As a woman’s estrogen levels increase through the month endometrial tissue in the uterus thickens with blood and nutrient rich tissue since it prepares for a fertilized egg. Any endometrial tissue outside the uterus in the abdomen responds in the same fashion.
Hormone endometriosis treatment works by limiting or controlling the quantity of estrogen produced by a woman’s body. Lowering the estrogen level limits the amount of growth the endometrial cells can undergo thereby limiting the inflammation and irritation they cause.
The hormone control drugs found in the treatment of endometriosis include:
? Birth control pills
? GnRH agonists
? Progesterone hormone tablets
Using hormone drugs being an endometriosis treatment is normally prescribed for women who have milder cases of the disease. Hormonal treatments suppress the power of the endometrial cells to thicken with blood thereby assisting to relieve the symptoms. By reducing the number of estrogen the drugs “starve” the endometrial tissue causing them to shrink and become inactive.
Drug treatment only works during the time the girl is taking the medication. It is not a cure but a way of managing the endometriosis. If so when the medications stops the endometriosis can be active again over an interval of 12 to 24 months.
Women with more severe forms of endometriosis normally need to look at the surgical option of endometriosis treatment. Whenever there are endometrial lesions over 3cm in diameter and/or numerous adhesions the probability of those responding to medications are minimal.
The most common form of surgical endometriosis treatment is laparoscopy. Also called keyhole surgery, laparoscopy is really a minimally invasive surgical procedure in which a small quarter inch incision is manufactured just underneath the belly button. The laparoscopic instrument, which has a small light and camera attached, is then inserted into the abdomen and the surgeon can search out and destroy any endometrial tissue they find.
Endometrial lesions are destroyed using a procedure known as diathermy. An electrical current is passed down an excellent probe mounted on the laparoscopic instrument and can be used the burn the lesion off the encompassing tissue. Occasionally signs of endometriosis may also be used to the same effect. Other surgical instruments such as small scissors and scalpels can also be used the take away the endometrial tissue. This kind of surgery includes a 70% success rate in improving the pain causing outward indications of endometriosis.
A Laparotomy is a surgical endometriosis treatment that is used once the endometrial lesions and adhesions are larger and more widespread. It requires the surgeon to open the abdominal cavity for better usage of the affected areas. This kind of surgery carries greater risks then a laparoscopic procedure as it is an operation that is more serious and involved.
The last surgical option for women with endometriosis is hysterectomy and oophorectomy. This can be a surgical removal of the uterus and ovaries. This is usually a radical endometriosis treatment option because this type of surgery will cause a female to get into early menopause. The ovaries should be removed because they are in charge of making much of the estrogen found in a woman’s body and estrogen may be the primary hormone in charge of endometrial flare ups.
Any surgical procedure posesses certain amount of risk and really should be discussed thoroughly with the woman’s physician.
Endometriosis Treatment – Conclusion
Any woman undergoing endometriosis treatment needs to understand that this disease still does not have any identifiable cause nor will there be a clear cut cure. For this reason there is a chance that symptoms will re-occur after a particular treatment regimen is discontinued. Discussing every treatment possibilities with the woman’s gynecologist is the best way to understanding the what, how and why of endometriosis treatment.