How is endometriosis treated? Is it possible to get rid of it?
The treatment is twofold. Whether conservative or surgical. It may still be considered combined. Although conservative treatment is highly effective, 25-50% of cases may report a return of difficulty within a year of stopping treatment. Therefore, access to treatment is also a highly individual matter.
The conservative type of treatment for peritoneal foci is highest. In other forms, the success rate decreases. Of course, treatment is also dependent on the manifestations of the disease. Hormone therapy uses ovulation blockade. Progestins, hormonal contraceptives, non-steroidal anti-inflammatory drugs, GnRH analogs, and other drugs are used.
Homeopathy, acupuncture, but also diet can be helpful. It is important to increase the intake of B, C, E vitamins and also a higher intake of magnesium. A separate group is the treatment of infertility in addition to endometriosis. The exact cause of infertility plays a role in its treatment. Another species is chosen if it is an obstacle (growth) or hormonal or other factors.
Treatment is also possible with surgery. Surgical removal of endometriosis lesions is most often performed. These are where they shouldn't be. Thanks to laparoscopic surgery, the rate of invasive interventions is reduced.
This shortens the patient's recovery time after surgery. In the case of large or unfavorable lesions, the ovaries must be removed or a hysterectomy is required. This radical method is chosen especially for women who are no longer planning a pregnancy.
Removing the ovaries means stopping the hormonal cycle, but also the impossibility of having a child in the future. Drug treatment can be used alone or as part of postoperative treatment, with the aim of blocking the hormonal cycle and regressing endometrial foci. Combinations of estrogens and progestogens are used, and this treatment is relatively successful in smaller foci. Unlike surgical removal, however, there is a risk of recurrence.