Post Date June, 25 2023
Endometriosis is a disease that we should pay attention to, and it can also occur in our daily lives. Patients must actively and reasonably treat it after falling ill.
What should I do if I get endometriosis?
The treatment of endometriosis should be selected based on the patient's age, symptoms, lesion location and scope, as well as fertility requirements, in order to reduce and eliminate the lesion, reduce and control pain, treat and promote fertility, and prevent and reduce 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: reduce pituitary gonadal hormone levels, directly affect the endometrium and ectopic endometrium, resulting in endometrial atrophy and decreased 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. Progesterone: Using artificially synthesized and highly effective progesterone alone, it inhibits the secretion of pituitary gonadotropins, resulting in an acyclic low estrogen state. It works in conjunction with endogenous estrogen to cause high progesterone induced amenorrhea and endometrial decidualization to form pseudo pregnancy. The dosage used is 3-4 times the contraceptive dose, and it is 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: By inhibiting hormones and directly binding to estrogen and progesterone receptors in the endometrium, it inhibits endometrial cell proliferation, ultimately leading to 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
