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  Pain Treatment
 
 

Pain treatment is done by using pain medications.
For women with mild symptoms, doctors may suggest taking over-the-counter pain relievers to help ease painful menstrual cramps and pelvic pain.
These include nonsteroidal anti-inflammatory drugs (NSAIDs): ibuprofen (Advil and Motrin) or naproxen sodium (Aleve).

These analgesic medications have no effect on the endometrial implants.
However, they do decrease prostaglandin production, and prostaglandins are well-known to have a role in production of pain sensation.

There are many women who are suspected of having endometriosis based on the nature of their pelvic pain symptoms, but the diagnosis of endometriosis is only definite after a woman undergoes surgery.
In such a situation, `NSAID's are the most common treatment used.
If they work to control pain, no other procedures or medical treatments are needed.
If they do not relieve the pain, additional evaluation and treatment generally occur.

When these medicines don't help, doctors may advise using stronger pain relievers available by prescription.

  • Medroxyprogesterone acetate (Danazol),
  • GnRH agonists with add-back therapy,
  • OCP's

have all been used to give pain relief from endometriosis-associated pain.
These medications are described belove.
All of these medications work for pain, and it is likely that they all work similarly well.
However, if the maximum dose doesn't provide full relief, you may need to try another treatment to overcome the symptoms.

In addition to remove or destroy endometrial tissue (discussed belove), surgery is also used to relieve pain associated with endometriosis.
However, procedures are different when the goal is pain relief.
Pain-sensing nerves are destroyed or removed via a few different types of techniques.
Research is lacking to tell us whether these procedures should be routinely performed in all women undergoing removal or destruction of endometriosis tissue.
Women who have had surgery for endometriosis should consider taking medication after surgery to help maintain symptom relief.

Next:  Hormone treatment

   

 

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