How should I treat endometriosis?

The answer to that question is totally dependent upon what your goals are. Initially, pain control is most important. Reductions in pain can sometimes be obtained by simply taking noncylic low dose birth control pills. (Skip the inactive last seven pills and have no periods). Endometriosis can be suspected clinically, but can only be diagnosed with laparoscopy.

Endometriosis can also be treated laparoscopically by destroying visible endometriosis with electrical energy (heat), excision, or by laser. Pain is often reduced but microscopic endometriosis is not treated. Endometriosis needs estrogen to grow and remain active. There are hormone treatments which will induce a month by month menopause.

With low estrogen levels you will have hot flashes, but the pain should resolve. Lupron is the most commonly used medication. Unfortunately many women with endometriosis will have recurring pain with the above mentioned conservative treatments. These treatments may be repeated, and may be effective each time.

Eventually, when your family is complete and if pain has returned, many women resort to hysterectomy, probably with removal of the ovaries. That is a dramatic step, but does in most all cases end the pain from endometriosis. Hormone replacement is possible and it is uncommon to have recurrences on reasonable doses of hormone replacement. There is hope. You can be free from pain.

Unfortunately, until the final definitive treatment, it is also likely to be a recurring problem. It is for that reason that I say that endometriosis treatment should be goal oriented, depending upon where you are in your life. It's not OK to have a hysterectomy when you want to have children. It may never be OK with you to have hysterectomy and lose your ovaries.

These are the topics you need to take the time to explore with your gynecologist. Don't accept only one proposal of treatment without considering your other options.

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Your gynecologic health matters at every age. Dr. Paul Daum provides you with a full range of women’s services that address your health and well-being so that you can be the best you can be. Planning for or pregnant with a little one? Our caring staff are here to support you through the pregnancy journey, while Dr. Daum will deliver your baby and care for you in early motherhood. We deliver complete obstetrical care for the women with normal and high risk pregnancies from prenatal care, to delivery, and postpartum care.

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Congratulations on Your Pregnancy

Pregnancy will be an exciting time for you, filled with new experiences and challenges. Dr. Daum and...

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At Mansfield Miracles, we are devoted to providing the full range of gynecologic services. Our providers and...

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Important Part Of Your Pregnancy Care

Laboratory tests are an important part of your pregnancy care. At Mansfield Miracles, we offer routine,...

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Laparoscopic HysterectomyLaparoscopically assisted vaginal hysterectomy is performed using a scope and high resolution camera in your belly...

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A typical U.S. woman is fertile about 40 years — half of her expected lifespan. If you...

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Pregnancy is a remarkable time in a womans life.  It is  filled with joy and anticipation but...

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Caring for Women at Every Stage of Life

A woman needs OB/GYN services for every stage of her life... when she’s pregnant and when she’s not. Dr. Paul Daum and his staff are passionate about providing personalized quality health care to women of all ages. We are committed to giving all patients compassionate and comprehensive obstetric and gynecologic care. We offer outstanding and caring obstetrical care, guiding our patients through healthy and successful pregnancies.

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