How to treat endometrial translocation

Endometrial translocation is a relatively common disease. For patients with endometrial translocation, it is necessary to understand the relevant treatment methods of endometrial translocation. So how to treat endometrial translocation? What are the treatments for endometrial translocation? Next, this article will introduce the treatment methods of endometrial translocation for your reference only. Friends who want to know how to treat endometrial translocation can continue reading!

How is endometrial translocation treated? Endometriosis is a common gynecological disease in women caused by the implantation of endometrial cells in abnormal locations. Endometrial cells should grow in the uterine cavity, but because the uterine cavity is connected to the pelvic cavity through the fallopian tube, endometrial cells can enter the pelvic cavity through the fallopian tube and grow ectopically. There are many theories about the pathogenesis of this disease, among which the endometrial implantation theory is widely accepted. In addition, the occurrence of endometriosis is also related to the body's immune function, genetic factors, and environmental factors.

1. Drug treatment

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: It is a method of using powerful progestin contraceptive drugs, taken continuously for a long time in larger doses, which stops menstruation. The endometrium and ectopic endometrium react like pregnancy under the action of the drugs, so it is also called pseudo-pregnancy therapy. 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, during surgery only the endometriosis lesions are removed, while the uterus and normal ovarian tissue are preserved. This is 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 how to treat endometrial translocation. I believe that after reading the above introduction, you will have a better understanding of the relevant treatment methods for endometrial translocation. In fact, there are many treatments for endometrial translocation. As for which treatment plan to choose, it needs to be formulated based on the patient's specific condition.