Endometriosis: therapy

Which therapy for the treatment of endometriosis is there?

Only in endometrial herds that cause no discomfort and show no growth tendency may possibly be dispensed with a treatment.

In general, however, the sooner treatment is given, the better the chances of long-term alopecia and healing - even in small flocks.

Which therapy is ultimately chosen depends on the following factors:

  • Extent of the disease
  • Localization of the disease
  • Age of those affected
  • existing child wish

In principle, drug and surgical treatment options are available that can be used individually or combined with each other.

Medical therapy

Different hormones interrupt more or less the menstrual cycle and the maturation, so that in the uterus no mucous membrane is built up. As a result, the endometrial foci are also immobilized and often even develop back.

A criterion for the choice of the drug should always be the consideration of the side effects, as these are in part not insignificant. The sole hormone therapy is rather used in mild, less pronounced Endometriosen, with the disadvantage that it comes relatively often after discontinuation of hormones for the recurrence of Endometrioseherden. Most of the hormonal therapy is combined with operative removal of the focus.

Medical therapy also includes the use of painkillers, which can achieve pain relief in the short term. However, a treatment of the cause does not take place.

Operative and combined therapy

Severe endometriosis or endometriosis-related infertility will always focus on surgical treatment. The endometrial implants are removed by laser, heat or with a scalpel. Mostly, this is done in the context of a laparoscopy, rarely is an abdominal incision necessary.

As a rule, hormones are used after the procedure for three to six months to support surgical therapy, usually followed by surgical removal. Here, the long-term successes are best, and the majority of women with unmet desire to conceive become pregnant afterwards. But even after this treatment, it can come in the long term to the recurrence of the disease.

By the way: After pregnancy, endometriosis is better in many cases.

Prevention of endometriosis

Preventing endometriosis is currently not possible. But women themselves can help make the diagnosis early and thus improve their healing prospects. Women should not accept pain, which becomes stronger and weaker depending on the menstrual cycle, but draw attention to it at an early stage by their treating gynecologist.

Although it has been taught to many women for decades: Menstruation does not mean that a woman is in pain!

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