![]() If you choose to go on the pill, it is important to be prescribed one that is best suited to your condition. The contraceptive pill can help to balance and regulate periods and often eases distressing symptoms. There are a number of different types of hormone treatments that can be used. Medical treatment focuses on relief of symptoms through the use of pain-relieving medications and hormone treatment.įor mild cases of endometriosis, pain medications, eg: non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, alone may be sufficient to adequately relieve symptoms. A treatment plan will consider a number of factors, including: Treatment of endometriosis is aimed at relieving symptoms and minimising complications. Severe or stage IV endometriosis: infiltrative disease affecting the pelvic organs and ovaries, often with distortion of the anatomy and extensive adhesions.There may also be scarring and adhesions. Moderate or stage III endometriosis: sometimes more widespread and starting to infiltrate pelvic organs, pelvic side walls or other structures.Mild or stage II endometriosis: more extensive than stage I but limited infiltration of pelvic organs.Minimal or stage I endometriosis: typically small patches, surface lesions or inflammation on or around organs in the pelvis.The gynaecologist inserts a laparoscope (a long thin tube with a tiny camera at its tip) through a small incision in the tummy button to examine the abdomen and pelvis on a television monitor, looking for endometriosis, scarring and adhesions, or other abnormalities.Įndometriosis is often classified as minimal, mild, moderate, or severe or recorded in clinical notes as stage I to IV based on American Society of Reproductive Medicine (ASRM) guidelines: This is a surgical procedure performed under a general anaesthetic by a specialist gynaecologist. While this is useful, and can identify cysts associated with endometriosis (endometriomas), it is not a diagnostic tool for endometriosis.Įndometriosis can only be definitively diagnosed with a laparoscopy. ![]() Sometimes other tests like an ultrasound are performed to assess the pelvis. To aid diagnosis, a doctor will take a detailed medical history, assess signs and symptoms, and perform a pelvic examination. ![]() For this reason, it is important for a girl or woman to play an active role in seeking help and accessing treatment, starting with talking with a doctor about all of her symptoms. International studies indicate there's often a long delay - averaging eight years - from a first doctor visit with symptoms to diagnosis. The cause is now generally considered to involve a number of factors with a strong genetic link (if a woman’s mother or sister has the condition then her likelihood of also developing endometriosis is increased). Endometriosis New Zealand says research continues around genetic, immunological, and environmental factors. The cause of endometriosis is not fully understood. Symptoms of endometriosis usually improve during pregnancy and after menopause. Not every woman with endometriosis will have regular monthly symptoms. The severity of symptoms experienced is not generally related to the extent of the disease, eg: some women with mild endometriosis can suffer severe symptoms, and vice versa. Cysts on an ovary (endometriomas) may develop in more advanced stages of the disease. Adhesions (fibrous scar tissue that causes internal organs or tissue to stick together) can also form.
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