Endometriosis: Treatment options without surgery

Currently, there are various treatments for endometriosis, including drug use and surgery. Although surgery is considered the most effective treatment, doctors recommend that patients prioritize the first use of the drug.

1. What is endometriosis?

Endometriosis occurs when endometrial tissue does not work as it should. During the menstrual cycle, instead of escaping out of the body along with menstrual blood, these tissues reflux again and stagum at other locations outside the uterus, such as the ovaries, ovate, ureter, bladder or rectum,… This condition can cause internal bleeding, inflammation and the formation of scar tissue that makes it difficult for you to get pregnant.

2. Symptoms of endometriosis

When you have endometriosis, you may experience the following symptoms:

  • Severe abdominal pain during menstruation
  • Lumbar pain
  • Pelvic pain
  • The pain increases over time and there are no signs of remission
  • Pain during and after sex
  • Abdominal pain before or during menstruation
  • Pain during urination or urination
  • Vaginal bleeding after sex
  • Stool or urine with blood
  • Menstrual disorders, irregular menstruation
  • Tired body
  • Constipation, flatulence, diarrhea, nausea
  • Can't get pregnant

Be careful when suffering from dyserhea, lower abdominal pain

Pelvic abdominal pain warns of gynecology in women

These are common signs of endometriosis, which can manifest it from mild to severe levels, depending on the location and degree of development of "stray" tissues in the body. Although endometriosis is a benign disease, it still causes painful and unpleasant sensations for women during the "red light" days. If these symptoms are not controlled and treated early can cause more dangerous complications, even leading to infertility. Therefore, when there are any signs of endometriosis, you should actively go to the doctor as soon as possible to be diagnosed and find the appropriate treatment.

3. Causes of endometriosis

Endometriosis can be derived from a variety of factors, including:

  • Menstrual reflux: This is the most common cause of endometriosis. Endometriosis cells reflux into the body and adhere to the pelvic cavity.
  • Abnormal immune system: Makes it difficult for the body to recognize and remove abnormal endometriosis tissue.
  • Have a history of surgery: Scars left after you perform surgeries such as a cesarean section or cesarean section can cause endometrial cells to stick to it and lead to endometriosis.
  • Abnormally active estrogen and progesterone hormones in the body are also one of the main causes of endometriosis
  • Genetics from family members, such as grandmothers, mothers, sisters, sisters
  • High exposure to toxic chemicals, especially dioxin.
  • Early experience
  • The shape and size of the uterus are abnormal


Genetic factors that cause endometriosis

4. Non-surgical endometriosis treatment options

Treatments for endometriosis will be selected based on the condition of each person. The overall goal of treatment is to control and eliminate endometriosis, while helping to preserve fertility for patients.

Experts often advise patients to opt for endometriosis treatment with drugs first, if this treatment does not achieve an effect to switch to surgical methods. Here are some options for treating endometriosis without surgery:

4.1 Use of painkillers

If the disease manifests only mild symptoms, your doctor may prescribe you analgesic medication. Painkillers include:

  • Non-steroidal anti-inflammatory drugs: including diclophenac, ibuprofen, or meloxicam drugs.
  • Antipyretics, analgesics: for example aspirin, paracetamol.
  • Opioid analgesics: include drugs tramadol, hydrocodone, or fentanyl.

These painkillers can be used individually or in combination to increase the effectiveness of treatment, helping patients manage the pain caused by endometriosis.

4.2 Hormone therapy

Hormone therapy helps relieve the symptoms of pain or severe menstrual bleeding caused by endometriosis. The most common hormone therapys include:

  • Contraceptive pills, patches or vaginal rings: Is a combination of estrogen and progestin, or only progestin. The drug is used in the form of injections or tablets.
  • GnRH erm: if the pains cannot be controlled with NSAIDS or by hormone therapy, the doctor may prescribe the patient to use an active substance similar to the hormone that releases gonadotropin (GnRH). This drug causes the ovaries to stop producing estrogen, which in turns causing endometriosis tissue to shrink. According to statistics, more than 80% of women after using this treatment have significantly reduced pain conditions, including those with severe pain.
  • Danazol (Danocrine): This drug has the effect of preventing the release of hormones and ovulation, while increasing the body's immune system. If the mother is pregnant at the time of using danazol, it can cause the baby girl to develop the characteristics of men.
  • Aromatase Inhibitors: Helps the body limit the production of estrogen. These inhibitors are often combined for use with contraceptives in cases where other treatments for endometriosis are not effective.


Patients should see a doctor for advice on how to treat endometriosis

5. Side effects of the use of drugs for endometriosis

Although analgesic drugs are useful in the treatment of endometriosis, they can bring undesirable side effects to the person. Specifically:

  • Causes peptic ulcer or high blood pressure if painkillers are used for a long time
  • Causes drowsiness, nausea, dizziness, even respiratory failure when using opioid painkillers.
  • Contraceptive medications can cause users to experience symptoms such as headache, chest tightness, abnormal bleeding, weight gain or mood changes.
  • Causes vaginal dryness, decreased libido, decreased bone density or insomnia when using gnRH edict drugs.
  • Edema, acne growth, or the appearance of male properties such as dense, deep voice when using danazol drugs.
  • Causes osteoporosis if aromatase inhibitors are used for a long time.

To limit the above side effects, you should use the drug in the correct dosage that the doctor has prescribed, absolutely do not use the drug yourself.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

Article reference source: Webmd.com


  • Normal indicators of thyroid hormones T3, T4
  • What is Progestin?
  • Find out more about GnRH Hormones

About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


Leave a Comment