Endometriosis treatment is a subject which has many theories based on many trial and error. The reason there is no clear cut treatment is that nobody really knows what causes this disease. Most treatments are used to help control the condition and mitigate the symptoms it causes.
The symptoms of endometriosis affect the women who suffer them in different ways. Most women notice a rise in symptoms as their menstrual period approaches and begins. In rarer cases the outward symptoms persist throughout the month. The discomfort and pain is generally 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 is getting properly diagnosed. Women who experience endometriosis symptoms should see their gynecologist. Occasionally an ultrasound or MRI can detect the tiny endometrial growths but a definitive diagnosis can only just be produced through laparoscopic surgery. Laparoscopy is 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 real time view of any endometrial lesions, their size and extant of their growth. Once a positive diagnosis is made treatment options may then be discussed and considered.
Endometriosis Treatment – Options for Treating Endometriosis
When an endometriosis treatment plan is being discussed there are lots of points that need to be considered by the girl and her doctor.
? How severe will be the symptoms
? Which kind of symptoms is she having
? How old is she
? Is she trying 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 outside the uterus to grow is essential in knowing why certain treatments are better than others. Endometriosis is a disease driven by way of a woman’s hormonal cycle and in particular estrogen. As a woman’s estrogen levels increase through the month endometrial tissue in the uterus thickens with blood and nutrient rich tissue as it prepares for a fertilized egg. Any endometrial tissue outside the uterus in the abdomen responds in exactly the same fashion.
Hormone endometriosis treatment works by limiting or controlling the amount of estrogen produced by a woman’s body. Lowering the estrogen level limits the number of growth the endometrial cells can undergo thereby limiting the irritation and inflammation they cause.
The hormone control drugs used in the treatment of endometriosis include:
? Birth control pills
? GnRH agonists
? Progesterone hormone tablets
Using hormone drugs as an endometriosis treatment is generally prescribed for women who’ve milder cases of the condition. Hormonal treatments suppress the power of the endometrial cells to thicken with blood thereby assisting to relieve the outward symptoms. By reducing how much estrogen the drugs “starve” the endometrial tissue causing them to shrink and become inactive.
Drug treatment only works at that time the girl is taking the medication. It isn’t a cure but a way of managing the endometriosis. If and when the drug treatment stops the endometriosis will become active again over a period of 12 to 24 months.
Women with more severe forms of endometriosis normally need to look at the surgical option of endometriosis treatment. When there are endometrial lesions over 3cm in diameter and/or numerous adhesions the probability of those responding to drug treatment are minimal.
The most common form of surgical endometriosis treatment is laparoscopy. Also known as keyhole surgery, laparoscopy is really a minimally invasive surgical procedure when a small quarter inch incision is made just underneath the belly button. The laparoscopic instrument, that includes a small light and camera attached, is then inserted in to the abdomen and the surgeon can look for and destroy any endometrial tissue they find.
Endometrial lesions are destroyed utilizing a procedure known as diathermy. An electrical current is passed down a fine probe mounted on the laparoscopic instrument and is used the burn the lesion off the surrounding tissue. In some instances lasers may also be used to the same effect. signs of endometriosis as for example small scissors and scalpels could also be used the take away the endometrial tissue. This type of surgery includes a 70% success rate in improving the pain causing outward indications of endometriosis.
A Laparotomy is really a surgical endometriosis treatment that is used when the endometrial lesions and adhesions are larger and much 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 can be an operation that is more serious and involved.
The final surgical option for women with endometriosis is hysterectomy and oophorectomy. Here is the surgical removal of the uterus and ovaries. This can be a radical endometriosis treatment option because this type of surgery will cause a woman to go into early menopause. The ovaries should be removed because they are in charge of making a lot of the estrogen found in a woman’s body and estrogen may be the primary hormone responsible for endometrial flare ups.
Any surgical procedure carries a certain amount of risk and really should be discussed thoroughly with the woman’s physician.
Endometriosis Treatment – Conclusion
Any woman undergoing endometriosis treatment must understand that this disease still does not have any identifiable cause nor is there a clear cut cure. For this reason there exists a chance that symptoms will re-occur following a particular treatment regimen is discontinued. Discussing every treatment possibilities with the girl gynecologist is the best solution to understanding the what, how and why of endometriosis treatment.