Endometriosis Treatment
At The Endometriosis Clinic we provide an integrated approach to the treatment of women with endometriosis with a multi-disciplinary team made up of highly experienced specialists.
Endometriosis is divided into four stages: stage (severe) to stage 4 (most severe). The aim of treating is to alleviate the symptoms caused by endometriosis and to improve fertility which is often affected by the disease. In the majority of cases we achieve this by surgery which involves removal of endometriosis and reduces the need for medical therapy such as Zoladex, Prostap or Synarel.
For cases where a woman is suffering significant pain or has fertility problems, the most effective treatment is the meticulous removal of the disease through laparoscopic excision carried out by highly experienced, specialist surgeons.
Treatment options for mild endometriosis
Painkillers
Pain is the most common symptom for many women with endometriosis. If the pain is relatively mild, regular painkillers during your period may be enough. Pain killers vary simple analgesic (such as aspirin and paracetamol), through compound analgesics (which combination of drugs often including aspirin or paracetamol and a mild narcotic such as codeine) through to non-steroidal anti-inflammatory drugs (such as Nurofen, Ponstan and Voltarol) and narcotic analgestics (similar to morphine or Tramadol).
Hormone therapy
Hormone therapy can help to reduce the endometriosis from growing by preventing the body from making the female sex hormones (particularly oestrogen) that stimulate the growth. However, hormones do not remove the condition, they only suppress it, leading to a return of symptoms as soon as the hormone therapy is stopped. In addition, patients can sometimes experience unpleasant side effects such as a 'medical menopause' brought on artificially by hormone therapy.
Surgical Therapy
Having treated endometriosis for more than a combined total of 30 years, we have found that the most effective treatment for the disease is surgical excision. This applied to moderate, mild and severe endometriosis and is the most thorough way of ensuring long-term relief from symptoms and improvement in fertility. It also increases the likelihood of the patient not having to take drugs which often cause significant side effects whilst not treating the cause of the disease (ie, without removing or eradicating the endometriosis). The technique of surgical excision involves removal of the lesions of endometriosis and, in the majority of cases (98 - 99%), this is performed laparoscopically, even if it involves removal of endometriosis on the bladder or bowel. We remove the endometriosis using very fine scissors that are placed into the abdomen through very small incisions (around 1cm in size) and we aim to remove all of the disease in order to eradicate symptoms of pain, increase fertility and reduce the likelihood of disease ever returning.
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