How to treat endometriosis

summary

The occurrence of endometriosis in life has seriously affected the healthy life of female friends, the treatment of endometriosis mainly includes drug treatment and surgical treatment, it is a relatively difficult to cure a good disease, but because the cause is not clear, there is no drug that can cure endometriosis. The main purpose of drug therapy is to inhibit ovarian function, resulting in pseudo pregnancy or pseudo menopause. The following is a detailed description of drug treatment and surgical treatment.

How to treat endometriosis

First: the drug treatment of endometriosis, the cause of endometriosis is unclear, there is no radical drug. Because endometriosis is a hormone dependent disease, the main purpose of drug treatment is to inhibit ovarian function, cause pseudopregnancy or pseudomenopause, reduce the activity of endometriosis lesions and reduce the formation of adhesion, relieve pain, inhibit postoperative residual lesions, prevent recurrence and shorten the recurrence interval. Promote fertility. The main side effects are as follows: 1. Oral contraceptives: continuous or periodic use for 6 months, less side effects, gastrointestinal symptoms or liver dysfunction. 2. Progesterone: mainly breakthrough bleeding, breast pain, weight gain, gastrointestinal symptoms and liver dysfunction. 3. Gestrinone: mainly androgen like effect, such as hair increase, voice coarsening, facial acne, weight gain, abnormal liver function. 4. GnRHa: this drug is the first choice for young patients who need to have children for 3-6 months. The side effects are mainly due to hot flashes, vaginal dryness, decreased libido, insomnia and depression caused by hypoestrogenemia. Long term application can cause osteoporosis. 5. TCM treatment. Traditional Chinese medicine has a long history, and it also has its unique curative effect in relieving the symptoms of endometriosis.

For those who have no pelvic tenderness nodule or adnexal mass, but only mild dysmenorrhea, they can choose analgesic drugs, oral contraceptives, progesterone treatment, regular follow-up. Laparoscopic surgery was performed in patients with no response. 2. Patients with pelvic tenderness nodule, adnexal mass and infertility should be diagnosed by operation. Experimental treatment of drugs is not advocated. Postoperative drug adjuvant therapy and assisted reproductive therapy. 3. For patients with extensive and severe lesions, the operation is difficult. GnRH-a can also be used for 3 months before operation to reduce the lesion, intraoperative bleeding and operation difficulty. 4. The purpose of treatment: reduce and eliminate the focus, relieve pain and other symptoms, improve and promote health Yu, reduce and avoid recurrence.

The third: what preparation should be made before the operation of endometriosis? 1. 2. After admission, the patients and their families signed informed consent to fully understand the risk of surgery (endometriosis, severe abdominal adhesion, surgery is easy to damage the surrounding organs). 3. Patients with lesions involving the rectum need intestinal preparation, two and a half days before surgery, one day before surgery, cleaning the bowel, oral antibiotics, indwelling gastric tube on the day of surgery. 4. Ureteral stent should be placed in patients with urinary tract involvement. 5. For those who need to resect the Zi uterus, they should be rinsed for two days before operation.

matters needing attention

The 5-year recurrence rate of endometriosis was 30-40%, of which 12% needed reoperation. The treatment after recurrence is more difficult. Surgery and postoperative drug treatment are still available for ovarian endometriosis cyst, but premature ovarian failure may occur. The cyst volume is small, it can be used for ultrasound-guided puncture to help pregnancy, but it is easy to relapse.