Internal endometriosis of the uterus - treatment

If the inner mucous layer of the uterus (endometrium) begins to germinate in the inner muscular wall of the uterus, this disease is called internal endometriosis, or else - adenomyosis . Provoke the launch of this pathological process most often intrauterine medical manipulation, creating the conditions for the penetration of cells into the wounds on the surface of the myometrium. Foci can take the form of single nodes, similar to myoma, or multiple diffuse sprouting.

Treatment of internal endometriosis of the uterus

Any endometriosis is difficult to treat, and internal - especially since its foci are not on the surface, but in the muscular thickness. First of all, it is necessary to determine how to treat internal endometriosis - conservatively or surgically.

Conservative treatment is indicated for women of reproductive age who are planning to become pregnant in the future. Depending on the degree of severity, the shape of endometriosis and its response to hormone therapy, a woman is prescribed hormonal or non-hormonal drugs.

The purpose of such therapy is to restore hormonal balance and reproductive abilities, or, on the contrary, to extinguish a woman's menstrual function. In the treatment of internal endometriosis 1 and 2 degrees, oral contraceptives, estrogens and progesterone antagonists are used.

Operative treatment of internal endometosis of the uterus

3 -4 degree of adenomyosis is already an indication for surgical treatment. Also, the reason for the operation can serve as:

As a rule, with the nodal form of adenomyosis, the operation has an organ-preserving character. With the extensive spread of diffuse foci, the uterus can not be left and one has to resort to its complete removal. That is why it is important to diagnose the disease in a timely manner, since the initial stages of it can be treated in less radical ways.