Sunday, March 2, 2008

How the treatment of endometriosis?

Endometriosis treatment should be based on a patient's age, fertility requirements, symptoms, lesion location and scope and have complications, Comprehensive analysis to determine the method of treatment. The treatment includes drugs, such as surgery and radiotherapy. Requests to have the fertility of young women, the widespread use of drug therapy or conservative surgery; of age, women with fertility requirements feasible hysterectomy and double Annex resection.
(1) Drug therapy; mainly hormone therapy. Because ectopic endometrial on ovarian endocrine responsive, use of hormone-based treatment has become an important method of treatment. Hormone therapy is mainly caused amenorrhea or inhibit ovulation, ectopic endometrial degeneration occurred, and then necrosis, absorption. After sex hormone therapy after parked about 85% of the patient's symptoms can be alleviated, and some patients were treated pregnancy. But often sex hormone drugs such as varying degrees of reaction, such as anorexia, nausea, abnormal liver function, can disappear after treatment. Some patients also after long-term use, the effect is not stable enough, and easy to relapse after treatment. Therefore hormone therapy should be under the guidance of a doctor. There are now commonly used sex hormone androgen and progesterone, estrogen, such as danazol.
(2) Surgical treatment: drug therapy ineffective, a large ovarian cyst (endometriosis), pelvic lesions serious or serious symptoms, should consider surgery. Surgery can be divided into conservative, semi-radical and conservative three kinds: ① conservative surgery: is stripping or resection of the affected ovarian cyst ovarian endometriosis, pelvic adhesions separation, the removal of pelvic lesions retain reproductive function. This operation more young and requirements in fertility patients. ② radical surgery: including hysterectomy, double annex and removal of pelvic lesions. Mainly used in older postmenopausal patients nearly half after conservative surgery is the removal of the uterus or uterine lesions, with pelvic lesions retain unilateral or bilateral ovarian. Conservative or semi-conservative surgery because retains the ovary, so lesions may relapse, and even to re-operation. These patients usually conservative surgery, the use hormone therapy for some time.

No comments: