Post Date November, 17 2024
The emergence of endometriosis has caused great distress to many patients. We must take this disease seriously and provide targeted treatment based on our own condition when treating it.
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, with a 6-month course of treatment.
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 200 milligrams orally 2-3 times a day for 6 months.
Surgical treatment of endometriosis
1. Fertility preserving surgery: Resection or destruction of all ectopic endometrial lesions in the courseware, separation of adhesions, restoration of normal anatomical structure, but preservation of the uterus, one or both ovaries, and at least partial preservation of ovarian tissue.
2. Ovarian preservation surgery: Resection of pelvic lesions and uterus, preserving at least one or part of the ovaries. Suitable for patients under 45 years old with obvious symptoms and no fertility requirements, with a postoperative recurrence rate of approximately 5%.
3. Radical surgery: removal of all ectopic endometrial lesions in the uterus, double appendages, and pelvic cavity, suitable for critically ill patients over 45 years old.
Dietary therapy for endometriosis
1. Black Chicken Soup
Ingredients: 1000-1500g sliced black chicken, 100g astragalus, with plenty of seasoning.
