The basis of symptom control and treatment for patients with endometriosis is to reduce the perceived irritation due to chronic inflammation caused by the presence of numerous active deposits of endometriosis.
Medication for treating endometriosis symptoms
Symptom control is vastly different from disease-process control. At the simplest end of the spectrum, analgesic medications are available over the counter at the local chemist. Provided these are not used excessively in the short term, no harm will occur. Heartburn, reflux, irritated stomach and diarrhoea are side effects that can occur with frequent or prolonged usage.
Stronger medications are available and frequently required for patients with the most severe symptoms.
Medications with a hormone basis are variably effective at controlling symptoms too, but none are curative.
Effective surgical treatment for endometriosis
In the situation when symptoms such as pelvic pain, back pain and sex pain continue to escalate, consideration for ’disease control‘ by carefully planned laparoscopic surgery is the next step. This surgery is optimally undertaken by excising the lesions using electrosurgical energy – a little like using a fine-tipped knife to cut through butter. This simple analogy explains how the abnormal tissue along with the roots is optimally removed during surgery.
Electrosurgical excision of endometriotic deposits (as opposed to diathermy or laser ablation) will produce the best chance of removing the cause of pain completely.