What is the best treatment for endometriosis?

Endometriosis is a disease that troubles many women. This disease not only brings great pain to patients, but also leads to infertility in severe cases. Therefore, it is also one of the important causes of infertility. The treatment of endometriosis is also quite difficult. Understanding the specifics of endometriosis can lead to better treatment. Below we will introduce the treatment methods for endometriosis.

There are many drug treatments for endometriosis. The more commonly used ones are pseudo-pregnancy therapy and pseudo-menopause therapy, high-efficiency progesterone therapy, androgens, gonadotropin-releasing hormone agonists, and Nametabolic. Regardless of the method, the goal is to cause the ectopic endometrium to shrink and fall off.

⑴ False pregnancy therapy:

The principle of "pseudo-pregnancy therapy" is to give patients progesterone drugs to simulate the hormonal conditions during pregnancy, causing the endometrium and ectopic endometrium to undergo a decidual reaction similar to pregnancy, followed by atrophy, shedding and absorption. Commonly used 18-methylnorgestrel and ethinyl estradiol. The symptom relief rate after taking the medicine reaches 80%, and the pregnancy rate is 20%-40%, but there are side effects such as nausea and vomiting.

⑵ Pseudomenopause therapy:

"Pseudo-menopause therapy" is a method of using anti-estrogen drugs to stop the ovaries from ovulating, causing hormone levels to drop to levels similar to those after menopause, and causing the endometrium to shrink and absorb. Commonly used drugs include danazol, which has mild androgenic effects. Side effects include weight gain, hirsutism, and voice changes, but the incidence is low. People with liver damage should not take it. The dosage is 400 mg, starting from the first day of menstruation and continued for 6 months.

⑶Progesterone:

Medroxyprogesterone and progesterone are commonly used. The pregnancy rate is higher than that of pseudopregnancy therapy.

⑷Androgen:

Generally, taking a small dose sublingually can relieve dysmenorrhea but does not inhibit ovulation. After conception, it should be discontinued immediately to avoid masculinization of the female fetus.

⑸Gonadotropin-releasing hormone agonists:

Also called "drug-induced ovarian failure".

The above article introduces some methods for treating endometriosis, but prevention is also very important. Especially during menstruation, we should avoid excessive fatigue and pay special attention to personal menstrual hygiene. Do not have sex during menstruation. Also, do not engage in strenuous exercise during menstruation. Pay attention to bed rest and healthy diet.