Treatment of endometriosis. Symptoms and Diagnosis
The treatment of endometriosis is a subject that has many theories based on a lot of trial and error. The reason that there is no clear cut treatment is that no one really knows what causes the disease. Many treatments are used to control the disease and alleviate its symptoms.
Symptoms of endometriosis affect women who suffer differently. Most women notice an increase in symptoms as they approach and begin their menstrual period. In rare cases, symptoms persist throughout the month. Anxiety and pain are usually localized to the chest, abdomen, or lower back. The severity of the pain varies from woman to woman. Endometriosis can also cause severe menstruation and, in severe cases, infertility.
The first step in treating endometriosis is to properly diagnose it. Women who experience symptoms of endometriosis should see their gynecologist. In some cases, ultrasound or MRI may detect a slight increase in endometriosis, but the definitive diagnosis can only be made by laparoscopic surgery. Laparoscopy is a minimally invasive procedure whereby a thin tube with light and a camera is inserted into the abdomen. This gives the physician real-time observation of any endometrial lesions, their size, and their length. After a positive diagnosis, treatment options can be discussed and considered.
Endometriosis treatment – Endometriosis treatment options
When discussing the treatment plan for endometriosis, there are several points that should be considered by the woman and her physician.
• How severe the symptoms are
• What symptoms does she have?
• How old is she
• Is she trying to get pregnant?
• How long will the treatment take?
• What side effects will drug treatment have?
• How much will it cost?
After answering these questions, an endometriosis treatment plan can be developed.
Understanding what causes endometrial cells outside the uterus is important to know why some treatments are better than others. Endometriosis is a disease caused by a woman's hormonal cycle, and particularly estrogen. As a woman's estrogen levels rise within the endometrial tissue of the uterus during the month, she is enriched with a tissue rich in blood and nutrients as she prepares for a fertilized egg. Any endometrial tissue outside the abdomen responds in the same way.
Hormone endometriosis treatment works by limiting or controlling the amount of estrogen produced by a woman's body. Lowering estrogen levels limit the amount of growth that can pass through endometrial cells, thereby limiting the irritation and inflammation they cause.
The hormonal control drugs used in the treatment of endometriosis include:
• Birth pills
• GnRH agonists
• Progesterone hormone tablets
Hormone medication as a treatment for endometriosis is generally intended for women who have mild cases of the disease. Hormone treatment suppresses the ability of endometrial cells to condense blood, thereby promoting symptom relief. By reducing the amount of estrogen, the drugs "starve" the endometrial tissue, which narrows them down and becomes inactive.
Drug treatment only works when a woman is taking medication. It is not a cure, but a means of managing endometriosis. If and when drug treatment is stopped, endometriosis will be active again within 12 to 24 months.
Women with more severe forms of endometriosis should usually consider a surgical treatment for endometriosis. When endometrial lesions over 3 cm in diameter and / or large amounts of adhesion are present, the chances of drug responders are minimal.
The most common treatment for surgical endometriosis is laparoscopy. Also known as pivotal surgery, laparoscopy is a minimally invasive surgical procedure in which a small quarter-inch incision is made under the abdominal button. The laparoscopic instrument, which has a small light and a camera attached, is then inserted into the abdomen, and the surgeon can look for and destroy any endometrial tissue they find.
Endometrial injuries are eliminated using a procedure known as diathermy. The electrical current is transmitted through a thin probe attached to the laparoscopic instrument and is used to remove the surrounding tissue from the burn injury. In some cases lasers are also used for the same effect. Other surgical instruments such as the small scissors and scalp may also be used to remove endometrial tissue. This type of surgery has a 70% success rate in ameliorating the symptoms of endometriosis.
A Laparotomy is a surgical endometriosis treatment used when endometrial injuries and adhesions are widespread and widespread. It requires the surgeon to open the abdominal cavity for better access to the affected areas. This type of surgery carries more risks than a laparoscopic procedure because it is a more serious and involved operation.
The most recent surgical option for women with endometriosis is hysterectomy and oophorectomy. This is the surgical removal of the uterus and ovaries. This is a radical way of treating endometriosis, as this type of surgery will lead a woman to early menopause. The ovaries should be removed as they are responsible for most of the estrogen found in a woman's body, and estrogen is the primary hormone responsible for endometrial inflammation.
Surgical surgical procedures involve a certain risk and should be discussed in detail with a female doctor.
Treatment of endometriosis – conclusion
A woman who is undergoing endometriosis should remember that this disease has no known cause yet and there is no clear cure for the cut. For this reason, there is a likelihood that the symptoms will reappear after stopping a certain treatment regimen. Discussing any and all treatment options with a female gynecologist is the best way to understand what, how and why endometriosis is treated.