Endometriosis and Ovarian Cysts

Medications for treatment of Endometriosis

Treatment of endometriosis is aimed at alleviating symptoms and improving quality of life.

1. Painkillers – help to stop mild menstruation pain
2. Hormonal treatments – reduce pain and correct heavy or irregular menstrual flow.
   • Oral contraceptive pills
   • Progesterone drugs
   • Danazol (testosterone derivative)
   • GnRH analogues (menopause inducing injection)

Surgery for treatment of Endometriosis

Laparoscopy (keyhole surgery) can:

1. Remove ovarian endometriomas
2. Remove endometriotic spots
3. Remove scarring (adhesions) caused by endometriosis
4. Repair the damage endometriosis has caused to the tubes and hence restore normal anatomy to improve fertility
5. Remove the womb and both ovaries (definitive cure, generally reserved for patients who have completed their family and are near menopause)

Sometimes open (conventional) surgery may be required.