Endometriosis Treatment- Success and Complications
Endometriosis treatment usually involves medications and surgery. Endometriosis is the condition in which the endometrial tissues which are normally found in the uterus present outside the uterine body. The pain and other symptoms of the condition affect daily routines. For the condition, surgery is suggested if other endometrial treatments are not effective.
Treatment of Endometriosis– success:
- Pain medications
Usually, the doctors are advised to take an over-the-counter pain reliever. Nonsteroidal anti-inflammatory drugs (NSAIDs), Ibuprofen or naproxen sodium are commonly used to ease painful menstrual cramps.
- Hormone therapy:
Supplemental hormones are sometimes used to reduce the pain. Hormonal variations are the reason for the endometrial implants to thicken and bleed. Hormone therapy prevents this growth. It is not a permanent solution. The symptoms could return when you stop the treatment.
- Hormonal contraceptives
Birth control pills, vaginal rings, and birth control patches, which control the hormones responsible for endometrial tissue growth. Use of hormonal contraceptives makes the menstrual flow lighter and shorter, and its continuous use helps to reduce the pain.
- Gonadotropin-releasing hormone (Gn-RH)—agonists and antagonists
These drugs block the production of ovarian stimulating hormone and estrogen and also prevents menstruation. It causes a shrinking of endometrial tissues. By lowering the level of estrogen it causes artificial menopause and reduces the side effects of menopause like hot flush, vaginal dryness, etc. The menstrual period will return when you stop the drugs.
- Progestin therapy
Progestin therapies include an intrauterine device with levonorgestrel, contraceptive injection, contraceptive implants which can stop menstrual periods and relieves signs and symptoms of endometriosis.
- Aromatase inhibitors
These drugs reduce the level of estrogen. It can be used with progestin or as a combination with hormonal contraceptives for endometriosis treatment.
- Conservative surgery
This is a surgical procedure in which the endometrial implants are removed by conserving the uterus and ovaries. In the procedure, the surgeon inserts a laparoscope through an incision near the navel. Then the implants are removed by inserting instruments through another incision. The surgery reduces pain.
- Fertility treatment
Patients of endometriosis may have difficulty in conceiving. Fertility treatment stimulates the ovaries to produce more eggs, which is beneficial for in-vitro fertilization.
- Hysterectomy with removal of ovaries
Removal of ovaries causes menopause. Lack of hormones produced by ovaries can reduce the pain of endometriosis up to a limit. But sometimes the symptoms persist if there are endometrial tissues. Early menopause has a risk of heart disease and sometimes early death.
Removal of the uterus can reduce the signs and symptoms of endometriosis. Even when the ovaries are left in place and the uterus is removed, it gives long term effect on your health.
Endometriosis treatment– complications:
- Fertility problems
Endometriosis can cause infertility. It is because of the damage of fallopian tubes and ovary. There is a lower chance to get pregnant for a person with moderate or severe endometriosis.
- Adhesions and ovarian cysts
There may be adhesions of endometrial tissues with other organs. And also fluid-filled cysts present in the ovaries causes severe pain. These occur when the endometriosis is near the ovaries. It can be treated with surgery.
- Surgery complications
-Damage to an organ, accidentally made, such as a hole in the bladder or bowel.
-Severe bleeding inside the abdomen
-Blood clots in legs and lungs
-Bruising around the wound
- Bladder and bowel problems
Surgery of endometriosis may cause cutting away of a part of the bladder and also the bowel.
The complications can be handled up to a limit. But if other organs are affected, then it will be more difficult to manage.