The emergence of endometriosis, especially when undergoing treatment, requires a reasonable selection of treatment methods based on one's own condition. In addition, attention should also be paid to daily care.
Treatment of endometriosis
The treatment of endometriosis should be selected based on the patient's age, symptoms, location and extent of the lesion, as well as fertility requirements, in order to achieve the goals of reducing and clearing the lesion, reducing and controlling pain, treating and promoting fertility, and preventing and reducing recurrence. The lesion can be removed surgically or controlled by medication.
Patients with mild endometriosis should prioritize treatment. Follow up regularly to treat mild menstrual abdominal pain caused by pathological changes symptomatically. Prostaglandin synthetase inhibitors can be given, such as indomethacin, coagulant, ibuprofen, etc. Women preparing to conceive should avoid taking medication and promote pregnancy as soon as possible. After pregnancy, the ectopic endometrium lesions necrosis and atrophy, and it is expected that postpartum symptoms will ease and cure.
Drug therapy for endometriosis
1. Oral contraceptive pills: They can lower the levels of pituitary gonadotropins and directly affect the endometrium and ectopic endometrium, leading to endometrial atrophy and reduced menstrual flow. At present, low-dose and high-efficiency progesterone ethinylestradiol composite preparations are commonly used in clinical practice, with a daily dosage of 1 tablet and continuous use for 6-9 months. It is suitable for patients with mild endometriosis.
2. Pregnancy hormone: By artificially synthesizing high-efficiency pregnancy hormone, it inhibits the secretion of pituitary gonadotropins, forming an acyclic low estrogen state. It works together with endogenous estrogen, causing high pregnancy hormone amenorrhea and endometrial detachment to form pregnancy. The dosage used is 3-4 times the contraceptive dosage, used continuously for 6 months.
3. Pregnancy trione: It has anti pregnancy hormone, severe anti estrogen, and anti glandular effects, reducing estrogen levels in the body, causing ectopic endometrium atrophy and absorption. Take 2.5mg twice a week, starting from the first day of menstruation, for a course of 6 months.
4. Danazol: Inhibits hormones, directly binds to female and pregnancy hormone receptors in the endometrium, inhibits endometrial cell proliferation, and ultimately causes endometrial atrophy and amenorrhea. Suitable for patients with mild and severe endometriosis and obvious dysmenorrhea. Starting from the first day of menstruation, take 200mg orally 2-3 times a day for 6 months.