Do you have to undergo surgery for endometriosis?

7

Endometriosis is a chronic condition that can cause:

Although endometriosis is one of the most common gynecological diseases, women often have difficulty receiving a diagnosis.

6 years = average time to diagnosis in women

Three out of five women consulted at least three healthcare providers before diagnosis

The earlier the diagnosis is made, the better women can manage their disease.

To relieve pain, women can first take medications that:

Relieve pain

Reduce inflammation

Stop hormone production

Reduce or stop menstruation

Endometriosis medications

Approved by the FDA for endometriosis

Treats pain

Treats diseases

More details

Nonsteroidal anti-inflammatory drugs (NSAIDS)

NO

Yes

NO

Combined oral contraceptives

NO

Yes

NO

Contains progesterone and estrogen

Hormonal IUD

NO

Yes

NO

Thins the endometrium; stops the period

aromatase inhibitors

NO

Yes

Yes

Decreases estrogen production, which reduces the growth and number of lesions; used together with progesterone; Questions about safety and effectiveness

Gestagens (oral)

Yes

Yes

Yes

Progestogens (implants/injections)

NO

Yes

NO

Modified testosterone

Yes

Yes

Yes

Decreases estradiol production; not often recommended

GnRH agonist

Yes

Yes

NO

Injectable

GnRH antagonist

Yes

Yes

Yes

Reduces lesions and relieves pain, including during sex

If the treatment you are using does not relieve your symptoms, talk to your doctor about changing medications or having surgery.

Surgical options for endometriosis

  • Ablation: Uses extreme cold, heat, or high-energy radio frequencies to destroy the uterine lining and control heavy menstrual bleeding
  • Excision: Cuts out lesions and visible areas of disease
  • Adhesion solution: Dissolves adhesions (scar tissue)
  • Presacral neurectomy: Removes the nerves (presacral plexus) that send pain signals from the uterus to the brain
  • Hysterectomy with or without oophorectomy: Removes the uterus with or without ovaries

Dealing with symptoms

There is no cure for endometriosis, but you can manage both the symptoms and the disease with the right treatments. It is important to talk to your doctor to find a treatment that is right for you.

This educational resource was created with the support of Sumitomo Pharma America, Inc., a member of the HealthyWomen Corporate Advisory Council.

From your website articles

Related articles on the Internet

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Accept Read More