How to treat endometriosis?

The occurrence of endometriosis will actually affect the pregnancy process for the patient itself, but it is still relatively difficult to treat. There are many treatments for endometriosis, such as conserving surgery, conservative surgery, radical surgery, etc. Radical surgery is more suitable for postmenopausal women or patients who do not respond to drug treatment. Although the treatment of endometriosis is difficult, patients should receive treatment in a timely and active manner to increase the chance of cure, and related nursing work should also be done well.

Treatment of endometriosis

Endometriosis is still a relatively difficult disease to treat at present, but patients should not give up easily. After all, there are still some medical ways to deal with this disease. I hope that women can pay attention to the treatment of endometriosis and actively cooperate with doctors in treatment in order to cure the disease.

Endometriosis Treatment

Surgical treatment, currently used surgical methods:

(1) Conservative surgery: For young patients who desire fertility, the uterus and bilateral or unilateral adnexa are preserved as much as possible while the lesion is removed.

(2) Semi-conservative surgery: For young women who have given birth, the uterus with the disease can be removed, leaving one or both adnexa intact.

(3) Radical surgery: For women near menopause or young patients who have not responded to drug treatment, have extensive lesions, or have severe symptoms, total hysterectomy and bilateral salpingo-oophorectomy should be performed.

Drug treatment. Drug treatments include:

(1) Pseudopregnancy therapy: In the 1950s, pseudopregnancy therapy was the main method used to treat endometriosis. The therapy transformed the ectopic endometrium into decidua, caused interstitial edema, and endometrial necrosis and atrophy. Progesterone was the commonly used drug.

(2) Pseudo-menopause therapy: Pseudo-menopause therapy has been used since the 1980s. It inhibits the secretion of pituitary gonadotropin, thereby suppressing ovarian function, causing endometrial atrophy and resulting in menopause. Commonly used drugs include Danabib, Nemetone, etc.

(3) Drug "ovarian removal": GnRH-A has been used to treat endometriosis since the 1980s with good results. The mechanism of action is that GnRH-A occupies most of the GnRH receptors in the pituitary gland, causing pituitary gonadotropin downregulation and pituitary desensitization. As a result, the secretion of the pituitary gonadotropins FSH and LH is reduced, and ultimately the secretion of sex hormones by the ovaries is reduced to the level of menopause, causing the implanted endometrium to atrophy.