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Endometriosis Woman

Hormonal Medications Used to Treat Endometriosis

Endometriosis is a female reproductive disease characterised by chronic pelvic pain, whether during menstrual cycles or sexual activities, as well as by irregular internal bleeding and infertility. Luckily, there are many ways to detect and treat it. More recently, however, interest in hormonal medications for endometriosis is rising. If you’re also one of those looking to treat the disorder through hormone-centred drugs, then below is a list of them for your convenience.

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Hysterectomy is dead!

Of course this is an overstatement, but even though an exaggeration, it makes a firm point. I have been a gynaecologist for over 30 years and in that time-span, the practice of gynaecology has been transformed. It is now a great rarity to need to remove a uterus other than for malignant disease, severe endometriosis, prolapse, or enormous size. There are simply less risky, less painful ways of dealing with period problems and pelvic pain.

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Uterine Fibroids

Minimally invasive uterine and fibroid morcellation warnings

In recent months there have been a number of warnings issued about uterine polyp and fibroid morcellation during laparascopic hysterectomy or myomectomy, most notably by the FDA in the United States. It’s come about because in a small number of cases the fibroids being removed were shown to be malignant after the surgery, something that was not known prior to the operation. In a few of these cases women went on to develop leiomyosarcoma (cancer of the uterine wall).

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Magnetic resonance focused ultrasound fibroid treatment

Magnetic resonance focused ultrasound fibroid treatment is an alternative option for women who have fibroids. It can be an effective treatment for those who might otherwise have a hysterectomy, myomectomy or uterine artery embolisation. The procedure is non-invasive, requires no general anaesthetic or overnight hospitalisation which means patients may be able to return to work within a few days.

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Laser and Thermal Balloon Ablation

It has been suggested that laser therapy and thermal balloon ablation are promising new procedures in the treatment of heavy bleeding.

Thermal balloon ablation is a second generation endometrial ablation technique and involves the insertion into the uterus of a balloon filled with hot water which will remove the endometrium from the Uterus.  This technique is approved by the US Food and Drug Administration for the treatment of heavy bleeding.

Laser surgery is another form of endometrial ablation and is a simple procedure in which the doctor looks through a hysterscope and removes the uterine lining.  The procedure is very rapid and will enable a patient to leave hospital within a few hours in most cases. There is frequently a vaginal discharge for several days but significant problems with recovery such as pain, infection, or bleeding are rare.

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