Treatment for endometriosis
Endometriosis has no cure, but treatment for endometriosis can help manage the symptoms. Treatment for endometriosis usually involves medication or surgery. The approach you and your doctor choose will depend on how severe your signs and symptoms are and whether you hope to become pregnant.
Doctors typically recommend trying medication treatment for endometriosis first, before opting for surgery if initial treatment fails.
Medications for endometriosis
Medications for endometriosis are one of the most conservative treatments for endometriosis. Medications for endometriosis can help manage pain. The medicines for endometriosis include nonsteroidal anti-inflammatory drugs such as ibuprofen (Advil, Motrin IB, others) as well as hormonal medications that aim to stabilize hormonal balance. Listed below are the most commonly used medications for endometriosis.
Nonsteroidal anti-inflammatory drugs
NSAIDs are a type of pain medication that can help relieve pain caused by endometriosis. They work by stopping the release of prostaglandins, one of the main chemicals responsible for pain in general as well as painful periods. Starting these medications a day or two before your period works best to prevent the production of prostaglandins and therefore reduce period pain. It may take a while, and several doses, for NSAIDs to block the production of prostaglandins and reduce pain. NSAIDs medicines do not diminish or avert the growth of endometrial tissue.
Most NSAIDs are available without a prescription.
Ibuprofen (the generic for Advil, Motrin) – Follow the instructions on the package carefully. In general, two tablets are taken for the first dose and then one tablet every four to six hours as needed. These should be taken with food and perhaps most effective if started a day or two before the pain begins. Doctors can prescribe higher doses.
Naproxen (example of brands: Aleve, Naprosyn) – Follow the instructions on the package as the dose and frequency vary depending on the formulation. In general, two tablets are taken for the first dose and then one tablet every 8-12 hours as needed, depending on the formulation. All tablets should be taken with food and a full glass of water. Like ibuprofen, naproxen may be most effective if started a day or two before the onset of typical menstrual pain. Doctors can prescribe higher doses.
The disadvantage of NSAIDs is that they do not always relieve endometriosis-related pain. NSAIDs are more effective when associated with other forms of treatment, such as hormonal birth control pills. Serious side effects from NSAIDs, although uncommon, include stomach upset, kidney problems, and worsened high blood pressure.
The most common side effects of NSAIDs are:
- Stomach ache
Rare but serious side effects of NSAIDs include:
- Kidney problems
- Anemia (low red blood cell count)
- liver problems
- Skin reactions or increased sensitivity to the sun
- Allergic reactions
Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.
Hormone therapy isn’t a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment. The most common pharmaceutical hormonal drugs used to treat endometriosis are:
- Hormonal contraceptives: Hormonal contraceptives decrease fertility by preventing the monthly growth and buildup of endometrial tissue. Birth control pills, patches, and vaginal rings can reduce or even eliminate the pain in less severe endometriosis. The medroxyprogesterone (Depo-Provera) injection is also effective in stopping menstruation. It stops the growth of endometrial implants. It relieves pain and other symptoms. This may not be your first choice, however, because of the risk of decreased bone production, weight gain, and an increased incidence of depression in some cases.
- Gonadotropin-releasing hormone (GnRH) agonists and antagonists: Women take what are called gonadotropin-releasing hormone (GnRH) agonists and antagonists to block the production of estrogen which stimulate the ovaries. Estrogen is the hormone that’s mainly responsible for the development of female sexual characteristics. Blocking the production of estrogen prevents menstruation and creates artificial menopause. GnRH therapy has side effects like vaginal dryness and hot flashes. Taking small doses of estrogen and progesterone at the same time can help to limit or prevent these symptoms.
- Danazol: Danazol is another medication used to stop menstruation and reduce symptoms. While taking danazol, the disease may continue to progress. Danazol can have side effects, including acne and hirsutism. Hirsutism is abnormal hair growth on your face and body.
Surgery for endometriosis
Surgery for endometriosis is another treatment for endometriosis. If you have endometriosis and are trying to become pregnant, surgery for endometriosis can help remove the endometriosis implants while preserving your uterus and ovaries. If you have severe pain from endometriosis, you may also benefit from surgery for endometriosis.
Endometriosis laparoscopic surgery
During endometriosis laparoscopic surgery, your surgeon inserts a slender viewing instrument (laparoscope) through a small incision near your navel and inserts instruments to remove endometrial tissue through another small incision. After endometriosis laparoscopic surgery, your doctor may recommend taking hormone medication to help improve pain.
However, there are significant risks to all surgery; the most important of which is subsequent adhesion formation. Once the patient has surgery for endometriosis she runs a significant risk of having tethering of the ovaries with subsequent decrease infertility.
The results of surgery can therefore be somewhat variable and can have, in fact, a deleterious effect on the patient’s fertility status. Surgery should therefore be approached with caution but has a place to play in the definitive management of endometriosis.
What is endometriosis?
The definition of endometriosis is a disorder affecting women’s reproductive organs, where cells that resemble the uterus lining, called endometrial cells, grow outside the uterus. The endometrium-like tissue most commonly grows in the pelvis, the ovaries, and the fallopian tubes. In severe cases, it can spread behind the reproductive system.
Approximately 10% of reproductive-aged women have endometriosis. However, the true prevalence is unknown since the diagnosis requires laparoscopy (a surgery where a doctor looks in the abdomen with a camera through the belly button) to visualize and biopsy endometriosis lesions. Endometriosis is seen in 12-32% of women having surgery for pelvic pain and in up to 50% of women having surgery for infertility. Endometriosis is rarely found in girls before they start their period, but it is seen in up to half of young girls and teens with pelvic pain and painful periods.
Endometriosis is the growth of tissue that is normally found in the lining of the uterus (endometrium) in a location outside of the uterine cavity. It can occur on the ovaries, surface of the uterus, intestine, or in other organs. With the changing hormone levels during the menstrual cycle, the tissue may grow and break down, leading to pain and eventual scar formation. This condition is estimated to impact more than 10% of US women ages 15-44.
Types of Endometriosis
There are three main types of endometriosis, based on where it is:
Superficial peritoneal lesion.
This is the most common kind. You have lesions on your peritoneum, a thin film that lines your pelvic cavity.
Endometrioma (ovarian lesion).
These dark, fluid-filled cysts, also called chocolate cysts, form deep in your ovaries. They don’t respond well to treatment and can damage healthy tissue.
Deeply infiltrating endometriosis.
This type grows under your peritoneum and can involve organs near your uteri, such as your bowels or bladder. About 1% to 5% of women with endometriosis have it.
Causes of endometriosis
Doctors don’t know the exact causes of endometriosis. Some experts however believe genes could be one of the causes of endometriosis. If your mom or sister has endometriosis, you’re more likely to get it. Research shows that it tends to get worse from one generation to the next.
Some women with endometriosis also have immune system disorders. But doctors aren’t sure whether there’s a link.
Symptoms of endometriosis
The symptoms of endometriosis vary. Some women experience mild symptoms, but others can have moderate to severe symptoms. The severity of your pain doesn’t indicate the degree or stage of the condition. You may have a mild form of the disease yet experience agonizing pain. It’s also possible to have a severe form and have very little discomfort.
Pelvic pain is the most common symptom of endometriosis. Other symptoms of endometriosis include:
- Painful periods
- Pain in the lower abdomen before and during menstruation
- Cramps one or two weeks around menstruation
- Heavy menstrual bleeding or bleeding between periods
- Pain following sexual intercourse
- Discomfort with bowel movements
- Lower back pain that may occur at any time during your menstrual cycle
Some people do not experience any symptoms of endometriosis. It’s important that you get regular gynecological exams, which will allow your gynecologist to monitor any changes. This is particularly important if you have two or more symptoms.
Who Is at Risk For Endometriosis?
Risk factors for endometriosis vary. It is most common in women:
- Who are in their 30s and 40s
- Who has not given birth
- Who has periods that last longer than 7 days
- Who started menstruating before age 12.
- Who has short menstrual cycles (shorter than 28 days)
- Who has a family history (mother or sister) of the condition
Natural treatment for endometriosis
Natural treatment for endometriosis is a type of treatment for endometriosis
that aims to alleviate the symptoms of endometriosis as well as address the underlying causative factors without causing side effects by using natural remedies and holistic techniques.
Alternative therapies work both to relieve the symptoms of endometriosis and to address the underlying causative factors. As a general rule, there is little scientific evidence to support the use of any alternative therapy in the treatment of endometriosis. That said, the potential damage tends to be low, so it generally won’t make things worse.
Listed below are the most common natural treatments for endometriosis:
Home remedies for endometriosis – the most common natural treatment for endometriosis
Home remedies for endometriosis represent a natural treatment for endometriosis that is easy to achieve at home without costing you much. Listed below are home remedies for endometriosis:
- A study found that massaging the pelvic area, including parts of the abdomen, sides, and back, was helpful in reducing menstrual pain associated with endometriosis. Doing this type of massage shortly before the menstrual period begins may be more comfortable. It may also be useful to use massage oil.
- This home remedy for endometriosis has anti-inflammatory properties. Researchers showed that turmeric might inhibit estradiol, a form of estrogen that may help to prevent growth. Turmeric supplements are available as capsules. The spice is often found in teas and may be added to meals.
- When your pain is at its worst, applying heat to your abdominal area can help. This relaxes your pelvic muscles and keeps the blood flowing, which can reduce cramping.
- This home remedy for endometriosis is similar to a heating pad, a warm bath surrounds your body with heat, which can help you chill out and provide relief for your pain. Throw in a bath bomb with lavender, sage, marjoram, and rose essential oils, which studies have found could reduce menstrual pain.
- A daily multivitamin can help ensure you’re getting a wide variety of vitamins and minerals. Research has shown that supplementing antioxidants such as vitamin E and C can lessen endometriosis pain. Taking a multivitamin may also help increase your chances of getting pregnant. Talk to your doctor to find a combination of vitamins and minerals that works best for you.
Diet for endometriosis – an essential part of any natural treatment for endometriosis
What you eat has a major effect on how you feel. Research has shown that diet for endometriosis can help reduce endometriosis symptoms. Try diet for endometriosis rich in leafy greens and vegetables, omega-3 fatty acids (from foods like fish, nuts, and seeds), and green tea. Try to limit high-FODMAP foods, gluten, and dairy.
Trans fats cause inflammation, even for people without endometriosis, so anyone dealing with the condition should really try to really limit them. Refined carbohydrates could also inflame your gut and cause pain. Research has shown that eating refined foods can also affect your fertility, so it’s especially important to watch your diet if you want to get pregnant.
Herbs for endometriosis – effective home-based natural treatment for endometriosis
Herbs for endometriosis is a form of natural treatment for endometriosis that may help alleviate the symptoms of endometriosis. Listed below are herbs for endometriosis
- This herb for endometriosis can reduce the symptoms of premenstrual syndrome. Some natural healers suggest drinking chamomile tea can help with endometriosis symptoms. A study showed that chrysin, a compound found in chamomile, suppressed the growth of endometrial cells.
- Peppermint has antioxidant properties, this can reduce pelvic pain from endometriosis. Peppermint can also reduce the severity of pain from menstrual cramps.
- This herb for endometriosis is often used as a supplement to help reduce stress. Women with endometriosis had significantly higher cortisol levels, a hormone involved in the stress response than average. Ashwagandha potentially plays a role in reducing the stress that may contribute to the worsening of endometriosis.
Acupuncture and homeopathy for Endometriosis
Endometriosis is a medical condition that is characterized by the spread of the endometrial lining from the uterus to the pelvic organs causing scarring, adhesions, and even blockages. This condition affects women mostly in their 30s and 40s, and it is common to women with fertility-related issues. Endometriosis is also common to women who have never had children.
The major symptom of this condition is pelvic pain which occurs before and during menstrual cycles. The extent of pain felt does not determine the gravity of the condition. Some women with endometriosis feel slight or no pain at all, and their condition is severe while others might feel intense pain but mild endometriosis. Diagnosis of this condition through infertility investigation determines the state of the condition.
The causative factors for endometriosis remain uncertain, but a few things are considered as likely responsible for it. The first is that it is likely caused by changes in antibodies at the cellular and hormonal levels of the body. Another theory suspects a backward flow of the menstrual cycle from the uterus to the pelvis leading to inflammation and thirdly is a genetic flow from mothers to female generational line.
Acupuncture for endometriosis – an ancient Chinese natural treatment for endometriosis
The Traditional Chinese Medicine TCM considers endometriosis as an energy circulation dysfunctionality that can be rectified with acupuncture treatment. The acupuncture treatment is found to be effective in easing the pain and helping the hormones to be stabilized. Acupuncture also helps the body naturally fight pain by the release of endorphins.
Acupuncture procedure involves the insertion of long, thin needles that are sterilized and disposable along meridians associated with endometriosis. The procedure is done between 20 to 45 minutes. Take note that the acupuncture procedure needs to be repeated sometimes for it to be efficient and for the body to maximize its benefits. It is necessary you discuss the number of sessions you will need with your acupuncturist.
Acupuncture for endometriosis can significantly decrease the severity of endometriosis symptoms and its symptoms. Many patients report a decrease in pain after four weekly treatments and continued improvement with subsequent treatments. For changes in menstrual cycle regularity or to treat fertility often requires several months of regular acupuncture.
According to research acupuncture for endometriosis promote blood circulation and regulate hormones. It also appears to have an anti-inflammatory effect and is effective for pain relief because of its effect on blood chemistry and in particular endorphin levels.
Endeavor to employ the service of a certified acupuncturist.
Homeopathy for endometriosis – #1 natural treatment for endometriosis
Treatment with homeopathy for endometriosis takes place at all levels, with locals, generals, nosodes, and constitutions, and is worth considering. Nobody got worse. Patients should be able to reduce or discontinue their conventional medication.
Homeopathy for endometriosis is a natural treatment for endometriosis that offers natural and safe management of endometriosis. They prevent the further progression of the disease.
Homeopathic medicine is one of the most prevalent holistic systems in modern medicine. The selection of a remedy is based on the theory of individualization and similarity of symptoms using a holistic approach. This is the only way to regain full health, removing all signs and symptoms from which the patient is suffering. The goal of homeopathy is not only to treat endometriosis but also to address its cause and individual susceptibility. Thus, the primary aim of homeopathy for endometriosis is to provide both symptomatic reliefs to a patient and at the same time stabilize hormonal levels in women’s reproductive system and thus turn the disease into a self-healing state. In the process, homeopathy for endometriosis also treats related issues, majorly infertility arising from inflammation, adhesions, and scarring within fallopian tubes.
Homeopathic treatment offers a natural and safe treatment for endometriosis. They prevent the further progression of the disease. The primary purpose of homeopathic remedies for endometriosis is to provide symptomatic relief to the patient. They also treat related problems in this process, mainly infertility resulting from inflammation, adhesions, and scarring in the fallopian tubes.
Homeopathy treatment is an alternative treatment that aims to stimulate the body’s defense mechanism which is the immune system to set in motion the body for self-healing. In doing this, some herbs are used to manage the pain experienced in endometriosis, but the treatment aims at addressing the cause of endometriosis which can be traced to hormonal imbalance characterized by emotional instability.
The treatment procedure starts by knowing the medical history of the patient and the current symptoms experienced in the body. Homeopathy treatment is an individually tailored treatment that is not generalized, and with the aid of proper diagnosis and the information given by the patient, a unique treatments plan is put in place to treat the condition of the patient.
Holistic treatment is applied leaving out any form of suppression of disease striking out the possibility of a relapse. This treatment boosts the immunity in the body and the body can self-heal.
Here are few remedies in the Homeopathic treatment of endometriosis:
– Xanthoxylum: It is the best homeopathic remedy for endometriosis when periods are very painful, with excruciating pain in the pelvis, back, thighs and legs.
– Sepia: This remedy treats irregular menses, painful intercourse characterized by clutching pain from navel to pelvis. Sepia is a reliable homeopathic medicine for endometriosis indicated for severe pelvic tenderness. Women prescribed Sepia may also complain of pelvic grasping, stabbing, and grasping pain. Another common complaint specifically to this medicine is painful intercourse.
– Nux Vomica: it treats irregular and painful menses associated with pelvic pain and a constant urge to stool. Patients also show signs of nausea and a feel of a sour taste in the morning.
– Murex: Treats chronic pain, pain in the breasts, and feeling of press on the sore spot of the pelvis during menses. Menses are irregular with heavy flow and clot present.
– Sabina: It is indicated for Endometriosis when colicky or labor-like pains appear in the pelvis.
– Cimicifuga: This is another homeopathic medicine for endometriosis that is used in cases of severe, bearing down pain in the lower abdomen, uterine region, and lower back during periods. It is also prescribed for darting pains in the pelvis from hip to hip.
Treatments are not limited to these few remedies. Many varieties are used to treat each unique case.
Homeopathy offers a natural and safe treatment for endometriosis. Homeopathic medicines are derived from natural sources such as microelements, wildlife, and plants and are therefore non-toxic. They prevent the further progression of the disease. The main goal of homeopathic remedies for endometriosis is to relieve the patient’s symptoms. In doing so, they also treat related problems, mainly infertility resulting from inflammation, adhesions, and scarring within the fallopian tubes.
Homeopathy and Acupuncture in Philadelphia
Philadelphia Homeopathic Clinic is the division of the Philadelphia Holistic Clinic where under the strict supervision of Victor Tsan, MD medical professionals use