5 Ways To Manage Endometriosis

By Hafsa Hafeez

9 December 2022

Medication or surgery is typically wont to treat endometriosis. The course of action you and your doctor take will depend upon the severity of your symptoms and whether or not you want to get pregnant.

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Doctors often advise trying conservative treatment methods first and only resorting to surgery if such methods fail.

•      Painkillers

Your doctor could advise you to use an over-the-counter pain medicine, like ibuprofen (Advil, Motrin IB, and other NSAIDs) or Aleve (Aleve), to assist with uncomfortable menstrual cramps.

If you are not trying to get pregnant, your doctor might advise hormone therapy together with painkillers.

•      Hormone Treatment

Endometriosis discomfort can occasionally be lessened or eliminated with the assistance of additional hormones. Endometrial implants thicken, degrade, and bleed as a result of the hormonal fluctuations that occur during the menstrual cycle. Hormone therapy may inhibit endometrial tissue growth and stop the new implantation of endometrial tissue.

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Endometriosis can't be permanently treated with hormone therapy. Following the top of your treatment, your symptoms can come.

Endometriosis is treated with the subsequent methods:

1.      Hormonal contraception.

Birth control pills, patches, and vaginal rings assist regulate the hormones that cause the monthly accumulation of endometrial tissue. When employing a hormonal contraceptive, many ladies experience lighter and shorter menstrual cycles. In some circumstances, using hormonal contraceptives, particularly continuous-cycle regimens, may lessen or eliminate pain.

2.      Progestin Therapy.

Numerous progestin treatments, like an intrauterine device with levonorgestrel (Mirena, Skyla), a contraceptive implant (Nexplanon), an intravenous contraceptive (Depo-Provera), or a progestin pill (Camila), can stop menstruation and therefore the development of endometrial implants, which can alleviate the signs and symptoms of endometriosis.

3.      Anti-aromatase drugs.

A group of medications known as aromatase inhibitors works to lower the level of estrogen in your body. to manage endometriosis, your doctor may advise employing a combination hormonal contraception that combines an aromatase inhibitor with a progestin.

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•      Conventional Surgery

If you've got endometriosis and are attempting to get pregnant, you'll have a better chance of success if you have "conservative surgery" to remove the endometriosis implants while keeping your uterus and ovaries. Although endometriosis and pain may return after surgery, it's going to help if you have severe endometriosis-related pain.

Your doctor may do that treatment laparoscopically or, in additional severe circumstances, by standard abdominal surgery. the bulk of endometriosis cases can be managed with laparoscopic surgery, including severe people.

In laparoscopic surgery, your doctor makes a little incision close to your navel through which a thin viewing instrument (laparoscope) is inserted. A second small incision is employed to enter tools for removing endometrial tissue. Your doctor could advise using hormone therapy after surgery to reduce pain.

•      Fertility Therapy

Problems conceiving are often brought on by endometriosis. Your doctor might suggest fertility treatment overseen by a fertility specialist if you're having trouble conceiving. In vitro fertilization and hormone therapy are both sorts of fertility treatments. the simplest course of treatment for you will depend on your unique circumstances.

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•      Hysterectomy With Removal of the Ovaries

The removal of your ovaries causes menopause. Some people may experience less discomfort from endometriosis as a result of the ovaries no longer producing hormones, except for some people, post-operative endometriosis still causes symptoms. Early menopause also increases the danger of cardiovascular diseases, specific metabolic disorders, and early death.

If a woman doesn't want to get pregnant, endometriosis signs and symptoms like heavy monthly bleeding and painful menses brought on by uterine cramps could also be treated with a hysterectomy. A hysterectomy may nevertheless have a long-term impact on your health, whether or not the ovaries are left in situ, particularly if you've got the procedure performed before the age of 35.

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