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I was diagnosed with endomitriosis at the age of 20 and have had it for 5yrs now that im aware of. I have had depo shots and laparoscopy. I plan on having kids in the future. What is the best thing to use for pain?

2006-07-06 14:19:54 · 4 answers · asked by Heavenley21 1 in Health Women's Health

4 answers

The tretment of the pain is the treatment of the endomeriosis itself...Currently, there is no cure for endometriosis, though in some patients menopause (natural or surgical) will abate the process. Nevertheless, a hysterectomy or removal of the ovaries will not guarantee that the endometriosis areas and/or the symptoms of endometriosis will not come back. However, endometriosis can be effectively managed in a large majority of patients. Conservative treatments usually try to address pain or infertility issues.

The treatments for endometriosis (pain )include:

NSAIDs and other pain medication: They often work quite well as they not only reduce pain but also menstrual flow. They are commonly used in conjunction with other therapy. For more severe cases narcotic prescription drugs may have to be used.
Gonadotrophin Releasing Hormone (GnRH) Agonist: These agents work by increasing the levels of GnRH. Consistent stimulation of the GnRH receptors results in downregulation. This causes a decrease in FSH and LH, thereby decreasing estrogen and testosterone levels
Hormone suppression therapy: This approach tries to reduce or eliminate menstrual flow and estrogen support. Typically, it needs to be done for several months or even years.
Progesterone or Progestins: Progesterone counteracts estrogen and inhibits the growth of the endometrium. Such therapy can reduce or eliminate menstruation in a controlled and reversible fashion. Progestins are chemical variants of natural progesterone.
Avoiding products with xenoestrogens, which have a similar effect to naturally produced estrogen and can increase growth of the endometrium.
Continuous birth control pills consists of the use of birth control pills without the use of placebo pills. This eliminates monthly bleeding episodes.
Danazol (Danocrine) and gestrinone are a suppressive steroids with some androgenic activity. Both agents inhibits the growth of endometriosis but their use remains limited as they may cause hirsutism. There has been some research done at Case Western Reserve University on a topical Danocrine, applied locally, which has not produced the hirsutism characteristics. The study has not yet been published in a medical journal.
Gonadotropin releasing hormone agonists (GnRH agonists) induce a profound hypoestrogenism by decreasing FSH and LH levels. While quite effective, they induce menopausal symptoms, and over time may lead to osteoporosis. To counteract such side effects some estrogen may have to be given back (add-back therapy).
Aromatase inhibitors are medications that block the formation of estrogen and have become of interest for researchers who are treating endometriosis.[5]
Surgical treatment is usually a good choice if endometriosis is extensive, or very painful. Surgical treatments range from minor to major surgical procedures.
Laparoscopy is very useful not only to diagnose endometriosis, but to treat it. With the use of scissors, cautery, lasers, hydrodissection, or a sonic scalpel, endometriotic tissue can be ablated or removed in an attempt to restore normal anatomy.
Laparotomy can be used for more extensive surgery either in attempt to restore normal anatomy, or at least preserve reproductive potential.
The definitive treatment for endometriosis is a total hysterectomy (removal of the uterus and surrounding tissue) and bilateral salpingoophorectomy (removal of the uterine tubes and ovaries).
For patients with extreme pain, a presacral neurectomy may be indicated where the nerves to the uterus are cut.
A variety of alternative treatments are being used in patients with endometriosis, including acupuncture and nutrition

2006-07-06 14:31:20 · answer #1 · answered by Anonymous · 0 0

There isn't much for the pain but I can tell you from my own personal experience.

Get off the depo shot asap!!

It took me three years to conceive before I got pregnant. The depo shot really messes up your system more...

2006-07-06 21:49:01 · answer #2 · answered by angelsmommy 3 · 0 0

Aspirin, naproxen or ibuprofen

2006-07-06 21:33:41 · answer #3 · answered by bettyboop 6 · 0 0

midal it helps if you can find it use it

2006-07-06 21:24:35 · answer #4 · answered by LENORE P 4 · 0 1

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