The list of treatments mentioned in various sources for Endometriosis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Endometriosis may include:
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Treatment varies according to the disease’s stage and the patient’s age and desire to have children. Conservative therapy for young women who want to have children includes androgens, such as danazol, which produce a temporary remission in Stages I and II. Progestins and hormonal contraceptives also relieve symptoms. Gonadotropin-releasing hormone agonists, by inducing a pseudomenopause and, thus, a “medical oophorectomy,” may cause a remission of disease and are commonly used. However, medical therapy remains inadequate.
When ovarian masses are present, surgery must rule out cancer. Conservative surgery includes laparoscopic removal of endometrial implants with conventional or laser techniques and presacral neurectomy for severe dysmenorrhea. The treatment of choice for women who don’t want to bear children or for extensive disease is a total abdominal hysterectomy with bilateral salpingo-oophorectomy.
Source: Professional Guide to Diseases (Eighth Edition), 2005
The stage of the disease and the patient’s age and desire to have children are treatment considerations for endometriosis. In stages I and II (mild forms with superficial endometria and filmy adhesions), conservative therapy for young women who want to have children includes androgens such as danazol, which produce a temporary remission. Progestins and hormonal contraceptives also relieve symptoms. Gonadotropin-releasing hormone agonists, by inducing a pseudomenopause and, thus, a “medical oophorectomy,” have shown a remission of disease and are commonly used.
UNDER STUDY: Hormonal therapy that directly attacks endometriosis lesions or indirectly acts by inhibiting endometrial proliferation through estrogenic deprivation has been effective in the treatment of endometriosis in infertile women. Leuprorelin acetate depot and danazol have also been effective in studies. The hypoestrogenic adverse effects of leuprorelin may be better tolerated than the androgenic, anabolic effects of danazol.
When ovarian masses are present (stages III and IV), surgery must rule out cancer. Conservative surgery is possible. Radical treatment consists of hysterectomy and, possibly, bilateral salpingo-oophorectomy in severe cases.
Source: Handbook of Diseases, 2003
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