News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   
 

 Headlines:

 
 

Doctors Lounge - Gynecology Answers

"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Gynecology Answers List

Forum Name: Gynecology

Question: endometriosis/endometrioma


 shellymae - Mon May 04, 2009 9:33 am

I had 3 previous surgeries for endometriosis and endometrioma. My last one was 3 years ago. I have stage 4 severe endo. It was all over including bladder,liver,intestines and other areas. I keep getting endometrioma on my left ovary. Each time I have endometrioma they are bigger than before and required to be removed. I am starting to have problems with my ovary again and went for ultrasound for possible endometrioma again. I been on birth control since I was diagnosed with endometriosis 9 years ago. How do I prevent myself for getting endometrioma? Should I consider trying Lupron again? Can Mirena help? I don't have children yet and not ready to have children at this time. I am busy persuing my degree right now. I only get the pain during my period and its not the normal cramps that everyone gets. Should I consider going in for my fourth surgery or can medication work better?
 Debbie Miller, RN - Sun May 24, 2009 12:10 am

User avatar Hello,
It would be impossible to say which will be your best course of action at this point. Both medications and surgery are used and sometimes it is a matter of trial and error, experimenting with one drug or another until you get relief. Sometimes the decision is made regarding fertility issues. Since infertility is a common problem with endometriosis, surgery is sometimes done prior to attempting conception. If the symptoms can be controlled without the surgery, you may choose to wait for that until you are contemplating a pregnancy.

I am not aware of Mirena being used to treat this condition, though it does incorporate hormones so it may have some effect. The hormones typically used include Gonadotropin-releasing hormone analogs, oral contraceptives such as you have used, progestins, Danazol (which creates higher male-type hormones and lower estrogen levels, but not without side effects), Gonadotropin-releasing hormone analogs (GnRH analogs) which interrupt estrogen formation within the endometrial implants.

You certainly have nothing to lose by trying alternative non-surgical treatments first. As you know, even after surgery, recurrence is common.

Good luck and best wishes.

|

Check a doctor's response to similar questions

 

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

 
Copyright © 2001-2010
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

We subscribe to the HONcode principles of the HON Foundation. Click to verify.We subscribe to the HONcode principles.
Verify here