Treatments · Endometriosis
Endometriosis: what it is and how it is treated
In endometriosis, tissue similar to the lining of the uterus grows outside it. It can cause very painful periods and difficulty getting pregnant. Treatment depends on two things: how much the symptoms affect you and whether you want to become pregnant.
First, understanding what is going on
Is it normal for a period to hurt this much? If the pain interrupts your day, it is worth checking.
We start by listening: where it hurts and when. Your symptoms guide us as much as the tests.
Then comes an exam and an ultrasound. Ultrasound alone does not confirm endometriosis, but it does show the cysts it often forms on the ovaries.
The only way to confirm it fully is surgery through very small cuts, called laparoscopy. It is not always necessary to go that far: treatment often starts with medication.
For pain, pain relievers are used and, if you are not trying to get pregnant, hormone treatment. It helps while you take it, but it is not a permanent fix: symptoms can come back after you stop.
When that is not enough, surgery removes the endometriosis tissue while keeping the uterus and ovaries. It can ease pain and improve the chances of pregnancy, although endometriosis can come back over time.
If you are trying for a pregnancy and it does not happen, there are fertility treatments. Having endometriosis does not mean you cannot get pregnant.
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What patients ask most
Does endometriosis prevent pregnancy?
It can make it harder, but not always: many women with mild endometriosis get pregnant without trouble. Depending on your case, surgery or fertility treatment is considered.
Can it be cured?
There is no cure, but there is treatment. The goal is to control the pain and protect your fertility.
Do I need surgery to know whether I have it?
To confirm it fully, yes. But it is not always needed: sometimes your symptoms, the exam and the ultrasound are enough to suspect it and start treatment.
Can it be checked and treated in one surgery?
Often, yes. With good planning, endometriosis can be treated during the same laparoscopy in which it is examined.
Sources
This page is for information only and does not replace a medical evaluation. It was prepared based on:
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