How to treat endometriosis

Patients with endometriosis can be treated with non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, contraceptives such as ethinyl estradiol complex, progestins such as medroxyprogesterone, and surgery. 1. Drug treatment: mild patients are usually treated with drugs first after a clear diagnosis. (1) Non-steroidal anti-inflammatory drugs: such as ibuprofen, indomethacin, naproxen, etc., can be used for the treatment of pain symptoms caused by endometriosis. (2) Contraceptives: suitable for the treatment of mild endometriosis, such as low-dose high-efficiency progesterone and ethinyl estradiol combination preparation, which can reduce the level of pituitary gonadotropins and act directly on the endometrium and ectopic endometrium to cause atrophy of the endometrium and reduction of menstrual flow. (3) Progesterone: such as medroxyprogesterone, medroxyprogesterone and norethindrone can be used to treat increased menstrual flow and prolonged menstrual period caused by endometriosis. In addition, patients can also be treated with progesterone or gonadotropin-releasing hormone agonists. 2. Surgical treatment: patients with severe conditions can usually undergo surgery to preserve fertility or ovarian function, combined with medication; severe patients without fertility requirements can undergo hysterectomy and double adnexectomy. The treatment plan for endometriosis generally needs to be used under the guidance of a doctor according to the patient’s age, symptoms, extent of lesions and fertility requirements, and medications need to be applied under the guidance of a doctor. In addition, medications are not recommended for women with fertility needs, and surgical or assisted reproduction treatments are recommended.