Do I have the appointment of hormone therapy for endometriosis ?
Questions Gynecologist / / August 12, 2017
Today panacea in treatment of endometriosis is not.Keeping the patient depends on the location of endometriotic lesions, clinical manifestations, age, desire or reluctance to have a pregnancy.For external endometriosis surgery is performed, followed by readings assigned hormonal therapy.
Using hormone therapy to temporarily shut down menstruation, t. E. Create a reversible drug menopause.For this purpose modern drugs - analogs of GnRH.
GnRH - a hypothalamic hormone which is produced in the pulse mode, stimulates the pituitary gland, and ovaries respectively.The constant presence of this hormone in the blood, which is provided by its depot form, on the contrary blocks the function of stimulating the pituitary gland to the ovaries.The ovaries do not produce estrogen, estrogen occurs without expansion of cyclical changes and mucosa (endometrium) into the uterine cavity and endometrial foci respectively located outside of the uterus.It is necessary for extensive dissemination
When menopause drug remaining foci undergo atrophic changes (thinner, do not function, as there is no hormonal effects from the ovary).Such therapy may also be used in endometriosis and uterine body.
We would like to draw your attention to the fact that there is some precise treatment regimens endometriosis uterine body, which can be assigned to any patient.Treatment is carried out strictly individually, taking into account all the characteristics of a particular patient.In severe clinical manifestations (severe pain, bleeding), a large degree of germination of endometrial lesions in the muscle tissue of the uterus, endometrial education units performed surgery.
Hormone in the treatment of endometriosis, uterine body can be very diverse: from mikrodozirovannyh combined contraceptives, progesterone drugs to GnRH analogues mentioned above.
Endometriosis uterine body can not be completely cured.
task to suspend the treatment centers of the germination process, to facilitate the patient's complaints.Often we are approached by patients who have been diagnosed with endometriosis, uterine body only on the basis of ultrasound.
A detailed survey is not possible to identify at least some complaints during the inspection, even finding fault, it is difficult to find any changes on the part of the uterus;but in the history of their lives can be specified on abortion, intrauterine devices, infections, inflammatory diseases of the pelvic organs.What to do in such cases?Hormones, observation or other treatments ... Which way is correct?It is strange the way all three in their own correct.For a woman - a hormone, for another - complex anti-inflammatory therapy, for the third - the alternation of hormonal and other treatments, for the fourth - monitoring, etc. But for all clear -.. Prevention of unwanted pregnancies, infection prevention, dynamic monitoring specialist.