Endometriosis is a chronic uncurable condition that claims the health of far too many millions of women annually. It can be an extremely painful condition. The tissue lining the uterus grows outside of the uterus creating lesions. When a woman is diagnosed with endometriosis, the doctor will consider her age, symptoms and desire for pregnancy before determining a proper course of therapy individualized to her needs.
If it is suspected that a patient has endometriosis, they are required to record in a journal their symptoms, especially any abdominal pain at specific moments of the menstrual cycle. During treatment, they describe their symptoms, sites of pain and if the abdominal pain becomes worse during menstruation. A series of routine pelvic exams are needed to diagnose the condition, assess the stage and check for abnormalities such as cysts or scars. Physical examination has its limitations. A abdominal exam alone will not precisely pinpoint what stage a patient is in, the degree of severity or the cause of abdominal pain. Other research may be necessary to confirm endometriosis and the specific stage.
A number of treatment options exist for a patient with endo, but the patient has to weigh the risks versus the benefits. Drugs such as GnRH Agonists and Danazol used to treat endo often put a woman into chemical menopause. Some treatment methods involve an attempt to shrink endo lesions by halting the ovulation process. The side effects may be significant with many of these drugs and recurrence of the symptoms soon after completion of treatment is a real issue.
A doctor may recommend treating endo with surgical treatment that includes the surgical removal of endometrial growths. Medical treatment reduces growth size and provides short term relief. In some cases, a doctor may suggest a combination of surgical and medical treatment that is known as combination treatment. A conservative surgery is another treatment option to remove or destroy endo and restore distorted anatomy. To surgically remove or destroy endo, a doctor will usually perform a procedure called a laparoscopy. During laparoscopy, a slender, light-transmitting tube is inserted into a woman’s abdomen through her navel. The laparoscope allows doctors to see the size and extent of endometrial growths and remove as many of them as possible.
Sometimes, it’s necessary for a woman to choose radical surgery, including removal of the uterus and ovaries, as well as removal of all endometrial growths. This is perhaps the hardest decision that women with endometriosis endure. Other treatment choices include simply treating the pain with painkillers. As endo symptoms often continue even after treatment, some women have found non- traditional means of alleviating symptoms including relaxation techniques and aroma therapy.
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