Treating Endometriosis
If you’re diagnosed with endometriosis, the best treatment depends on your stage in life, how severe your symptoms are, and whether you want to have children.
Our skilled healthcare providers will guide you to the best choices to manage pain and fertility.
Pain Medications
If over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs, don't give you relief, your doctor may recommend prescription opioids.
However, neither of these medicines will slow or prevent endometrial tissue growth.
Hormone Therapies
If you’re not trying to get pregnant, hormone therapies are often the first prescribed treatment. These therapies may ease pain, slow the growth of existing and new endometrial lesions, or shrink existing ones.
Prescribed hormone treatments may stop your hormone production, may lighten or stop your periods, may prevent ovulation, and include:
- Oral contraceptives containing estrogen and progestin
- Gonadotropin-releasing hormone agonists taken by injection or nasal spray
- Progesterone and progestin taken orally, by injection or via intrauterine device (IUD)
When you stop taking the hormones, your endometriosis symptoms will return.
Surgery
Especially during your reproductive years, surgery is often the last treatment your healthcare provider will recommend. The pain and other symptoms will be relieved but may return.
A laparoscopy is a minimally invasive surgery, performed to remove lesions without harming healthy surrounding tissue.
A laparotomy is major abdominal surgery and is performed as a last resort. In addition to lesions, your surgeon may remove the uterus, called a hysterectomy; or the uterus, ovaries, and fallopian tubes, called a total hysterectomy with bilateral salpingo-oophrectomy.