This is particularly important if you have two or more symptoms.
Pelvic exam Pelvic exam In a pelvic exam, your physician inserts two gloved fingers inside your vagina. While simultaneously pressing down on your abdomen, he or she can examine your uterus, ovaries and other organs.
Transvaginal ultrasound Transvaginal ultrasound During a transvaginal ultrasound, your doctor or a medical technician inserts a wandlike device transducer into your vagina while you are positioned on an exam table.
The transducer emits sound waves that generate images of your uterus, ovaries and fallopian tubes. To diagnose endometriosis and other conditions that can cause pelvic pain, your doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.
Tests to check for physical clues of endometriosis include: During a pelvic exam, your doctor manually feels palpates areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.
This test uses high-frequency sound waves to create images of the inside of your body. To capture the images, a device called a transducer is either pressed against your abdomen or inserted into your vagina transvaginal ultrasound.
Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell your doctor whether you have endometriosis, but it can identify cysts associated with endometriosis endometriomas.
Magnetic resonance imaging MRI. An MRI is an exam that uses a magnetic field and radio waves to create detailed images of the organs and tissues within your body. For some women, an MRI helps with surgical planning, giving your surgeon detailed information about the location and size of endometrial implants.
In some cases, your doctor may refer you to a surgeon for a procedure laparoscopy that allows the surgeon to view inside your abdomen. While you're under general anesthesia, your surgeon makes a tiny incision near your navel and inserts a slender viewing instrument laparoscopelooking for signs of endometrial tissue outside the uterus.
A laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options. Your surgeon may take a tissue sample biopsy for further testing.
Often, with proper surgical planning, your surgeon can fully treat endometriosis during the laparoscopy so that you only need one surgery. Treatment 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 conservative treatment approaches first, opting for surgery if initial treatment fails. Pain medication Your doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs NSAIDs ibuprofen Advil, Motrin IB, others or naproxen sodium Aleve, othersto help ease painful menstrual cramps.
If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.
Hormone therapy 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. Therapies used to treat endometriosis include: Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month.
Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive.
Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate pain for some women. Gonadotropin-releasing hormone Gn-RH agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation.
This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss.
Your periods and the ability to get pregnant return when you stop taking the medication. A variety of progestin therapies, including an intrauterine device Mirenacontraceptive implant, contraceptive injection Depo-Provera or progestin pills, can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.
Aromatase inhibitors are a class of medicines that reduce the amount of estrogen in your body. Your doctor may recommend an aromatase inhibitor along with a progestin or combination hormonal contraceptive to treat endometriosis.Causes of endometriosis aren't certain. However, hormonal factors, retrograde menstruation, immune system disorders, and surgery may cause endometriosis.
Although the exact cause of endometriosis isn't known, female hormones, especially estrogen has an important role to play. Jan 31, · There is currently no cure for endometriosis, but there are treatment options for pain and infertility related to endometriosis. Understanding which drugs relieve pain associated with endometriosis could also shed light on how endometriosis causes pain.
1,2. symptoms may return and pregnancy is possible. 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 . Causes. Although the exact cause of endometriosis is not certain, possible explanations include: Retrograde menstruation.
In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. In this article, we explore how to identify endometriosis fatigue, other causes of fatigue, and treatments for this symptom.
Endometriosis is common, and symptoms include painful periods and heavy. Endometriosis is the development of uterine-lining tissue outside the uterus. Symptoms may include abdominal pain, heavy periods, and infertility.
Treatment options include pain relievers.