Treatment of stage 4 endometriosis

The most terrible disease for women is gynecological disease. Gynecological diseases often bring us a lot of harm. Some gynecological diseases can even cause infertility symptoms in women, which often has a great impact on women's lives. It may deprive women of their right to be mothers and have a relatively large impact on women's physical and mental health. Among them, endometriosis stage 4 is a common disease. We must pay great attention to such problems. Let us learn about the treatment of endometriosis stage 4.

Treatment of stage 4 endometriosis

1. Medication

Drugs are used to counteract or suppress cyclical endocrine stimulation of the ovaries. Initially, testosterone-type male hormones were used, but they had serious side effects and were not strong enough, so they were gradually abandoned. Later, it gradually developed into pseudo-pregnancy therapy and pseudo-menopause therapy.

(1) Pseudo-pregnancy therapy is the use of powerful progestin contraceptive drugs, which are taken continuously for a long time in larger doses to stop menstruation. The endometrium and ectopic endometrium undergo a pregnancy-like reaction under the action of the drugs, so it is also called pseudo-pregnancy therapy. There are many drugs used for this therapy, and they are still being developed. The main ones for oral administration include progesterone acetate, provira, and nemethicone, while the ones for intramuscular injection include progesterone caproate. This treatment must be continued for at least six months before the ectopic endometrium can stop moving and eventually shrink, thus producing therapeutic effects.

(2) Pseudomenopause therapy In the 1970s and 1980s, foreign countries mainly used a drug called danazol, which is a derivative of androgen and has a good effect. It is also being used in my country, but it has relatively large side effects. Since the 1980s, a drug called goserelin has been widely used abroad. It can strongly suppress the function of the ovaries, making them almost completely ineffective, thereby achieving the purpose of treatment. Moreover, since this drug is a long-acting sustained-release preparation, it only needs to be injected subcutaneously once a month, which is very convenient. This type of drug can cause the endometrium to atrophy similar to that of menopausal women, so it is called pseudomenopause therapy.

2. Surgical treatment

It is generally believed that chocolate cysts occurring on the ovaries are often larger in size, or endometriotic nodules occurring in other parts of the body with a diameter of more than 2 cm are difficult to control with drugs and require surgical treatment; or if the condition does not improve after six months or even a year of drug treatment, surgical removal should also be considered. If the patient is young and has no children, surgery usually only removes the endometriosis, while preserving the uterus and normal ovarian tissue. It's called conservative surgery. This surgery preserves the possibility of fertility, but the chance of recurrence is greater. If the patient already has children and is older (35), the uterus can be removed at the same time as the endometriotic lesions are removed, while preserving the normal ovarian tissue. In the long run, this method is better than conservative surgery, but it cannot absolutely prevent recurrence. If the patient is near menopause, or the endometriosis is too extensive to be completely eradicated, the uterus and ovaries should be removed during surgery.

The above is an introduction to the treatment methods for stage 4 endometriosis. When such symptoms occur, we must choose the treatment method based on our age group and whether we are marital status. We must choose a regular specialist hospital for treatment. As women, we must observe our leucorrhea and menstruation more often. If any abnormal problems occur, go to the hospital for consultation and treatment in time.