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Hysterectomy Article Endometriosis - Hysterectomy the Answer?

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What is endometriosis and what are the treatment options?

Endometriosis is a condition in which endometrial tissue grows outside the uterus, usually in the pelvic cavity. It is not a malignant or premalignant condition

Symptoms of endometriosis is characterized by pain: pain with menstruation, pain with sexual intercourse and increasingly severe pelvic pain.

The intensity of suffering caused by endometriosis varies from woman to woman. For most women a hysterectomy is not necessary to treat endometriosis and its milder symptoms.

Non-Surgical Treatment Options for Endometriosis
  • Continuous low-dosage combined oral contraceptives
  • Progestational agents such as medroxyprogesterone acetate (by daily pills or injection every three months)
  • Formulations of gonadotropin-releasing hormone (GnRH) agonists by monthly injections
  • Danazol - a weak compound with androgenic effects

Surgical Treatment Options for Endometriosis
  • Laproscopic surgery to observe endometriosis and remove if possible
  • Hysterectomy - removal of uterus and ovaries is used as a last resort for treatment. Although rare, some women's endometriosis is not cured with a hysterectomy.

Ideas to Consider

Endometriosis treatment is generally approached in stages. From less invasive to more aggressive.

Mild endometriosis can usually be treated with conservative measures (medications) but moderate to severe endometriosis which is likely to involve pelvic adhesions or large endometriomas more often require surgery.

Endometriosis is diagnosed by biopsy or suspected areas or visually identifying endo during laproscopic surgery.

In some rare cases, hysterectomy and removal of ovaries does not cure endometriosis.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.







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Margate FL 33063
954 974 5190
Wilfredo R. Ramos, M.D.
5301 F Street, Suite 210
Sacramento CA 95819
(916) 453-3440
Jonathan Y Song, M.D.
2455 Dean St.
Suite A
St. Charles IL 60175
(630) 513-9160
Gerald Harkins, M.D.
Department of OB-Gyn
P.O. Box 850, H-103
Hershey PA 17033
717-531-6447
Sherri Levin, M.D.
929 Gessner Suite 2100
Houston TX 77024
713-464-4111
David Zisow, M.D.
2005 Rock Spring Rd Ste. 3
Forest Hill - Baltimore MD 21050
410-879-1139
Albert Steren, M.D.
6301 Executive Blvd.
Rockville MD 20852
301-770-4967
Jennifer Cova, M.D.
7700 Washington Village Drive Suite 210
Dayton OH 45459
937-433-6513
Todd A Drexel, M.D.
201 Park St
Bowling Green KY 42101
270-783-3331


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