| Endometriosis may be treated with drugs and/or surgery in an effort to reduce or relieve symptoms and eliminate or reduce growths. Some treatment options include: - Pain medication: Over-the-counter or prescription drugs may be used to treat the pain resulting from endometriosis.
- Hormone Therapy: Birth control pills or another category of drugs which block the production of estrogen, called gonadtropin releasing hormone (GnRH) agonists may be prescribed. GnRH agonists have been used to reduce pain and make surgery easier by reducing the inflammation related to endometriosis.
- Laparoscopic Ablation: This procedure is used to remove the top layer of tissue in an affected area.
- Laparoscopic Excision: Cutting and removal of local areas of endometriosis.
- UPLIFT Procedure: Sometimes the scarring from endometriosis pushes the uterus into a tipped position. Women with a tipped uterus may experience pain during their periods or intercourse, because the penis hits the uterus and/or the endometrial implants. The UPLIFT procedure, which is performed laparoscopically, restores the uterus to its proper anatomical position. Women who have had the procedure have reported a reduction in pain during intercourse and menstruation.
- Uteral Sacral Nerve Ablation: In this procedure the nerves running to the uterus are severed in an attempt to eliminate pain and cramping.
- Presacral Neurectomy: In cases of severe pain, the sensory nerves leading to the pelvis are severed.
- Hysterectomy: In severe cases of endometriosis, a hysterectomy, including removal of all growths and the ovaries, may also be recommended. It should be noted that hysterectomy does not always eliminate endometriosis because the lesions may not be confined to the reproductive organs.
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