Endometriosis can sometimes become incidental finding and no treatment may be needed if the woman is completely free of symptoms. When treatment is required it is important to have a multidisciplinary approach to ensuring that women have access to proper surgical expertise or medical care, pain management, psychological support, and advice fertility.
For this reason in many countries, there is a tendency to establish endometriosis centers where patients can find all this expertise in one place. You can visit endometriosisassn to get information about the variety of options for the treatments of endometriosis.
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These centers usually have a gynecological surgeon with advanced minimal access (keyhole) surgery experience, colorectal and urological surgeons, fertility, pain management specialists, psychologists or counselors, clinical specialist nurses, and medical practitioners sometimes free.
Surgical treatment of endometriosis
Surgical treatment of endometriosis is probably the most effective form of treatment. There is evidence from randomized controlled trials that surgical treatment is effective in improving pain associated with endometriosis. The comparative tests showed an increase in pain or quality of life in approximately 60-70% of women after the surgical treatment of endometriosis.
Surgery may also increase the likelihood of natural pregnancy in couples who have endometriosis-related infertility. A review of randomized controlled trials showed about 1.6 times higher rate of spontaneous pregnancy after surgery for early endometriosis compared with no treatment.
Endometriosis and infertility treatment
Some women with endometriosis will have trouble fertility. The medical (hormonal) treatment has no place in the treatment of endometriosis-related infertility. They all have a contraceptive effect and will delay pregnancy; they do not increase the chances of pregnancy after cessation of treatment either.