How can my endometriosis be treated?

• Introduction
• Abortion
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• Causes - Gynecological
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• Dysmenorrhoea
• Diagnosis
• Laparoscopy
• Pelvic Adhesions
• Pelvic Congestion
• Retrograde Menstruation
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• During Pregnancy
• Fibroids
• Endometriosis
• Pelvic Inflammatory Disease
• Mittelschmerz
• Irritable Bowel Syndrome - IBS
• Constipation
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Authors:

Bromham DR. Booker MW. Rose GL. Wardle PG. Newton JR.

Institution

Academic Unit Obstetrics Gynaecology, St James's University Hospital,Leeds LS9 7TF; United Kingdom.

Title:

A multicentre comparative study of gestrinone and danazol in the treatment of endometriosis (1995-656).

Source:

Journal of Obstetrics and Gynaecology. Vol 15(3) (pp88-194), 1995.

Abstract:

Following laparoscopic diagnosis and staging (American Fertility Society) of endometriosis, 269 patients, recruited from 10 hospitals, were allocated at random to groups receiving either gestrinone (2.5 mg) twice weekly (n=132) or danazol (200 mg) twice daily (n=137) for 6 months. Symptoms of endometriosis and clinical assessments were recorded at recruitment, monthly during treatment and at 1, 2, 3, 6, 9 and 12 months after treatment. Elimination or reduction of visible endometriosis was seen at laparoscopy after treatment in 42 (77 per cent) of gestrinone and 39 (82 per cent) of danazol treated patients. Lower abdominal pain, dysmenorrhoea and dyspareunia were reduced with both treatments. Side effects were reported by 91 per cent of gestrinone and 89 per cent of danazol patients, but only 19 per cent of the gestrinone group and 21 per cent in the danazol group withdrew. In 76 per cent of those withdrawing the reason was treatment related. Recurrence of the symptoms was low in 173 patients completing 12 months follow up. Pregnancy rates after treatment were 31 per cent in gestrinone and 18 per cent in danazol treated patients. In conclusion, gestrinone is as safe and effective as danazol in treating and in preventing recurrence of the symptoms of endometriosis.

Please click on the required question.

•  Pelvic Pain. Is this a common problem?
•  What are the common causes of pelvic pain in women?
•  What are the more common gynaecological causes of pelvic pain?
•  What are the more common non-gynaecological causes of pelvic pain?
•  What are primary and secondary dysmenorrhoea - painful periods?
•  What is retrograde menstruation?
•  How can dysmenorrhoea - painful periods be treated?
•  What are ovarian cysts?
•  How do ovarian cysts cause pain?
•  How are ovarian cysts diagnosed?
•  How are ovarian cysts treated?
•  I think I may be pregnant and I have some pelvic pain. What should I do?
•  What is pelvic inflammatory disease and how can it be treated?
• Mittelschmertz

FIBROIDS

• 14 What are fibroids?
• 15 I have fibroids. What difficulties might they cause for me?
• 16 How are fibroids diagnosed?
• 17 How could my fibroids be treated?

ENDOMETRIOSIS

• 18 What is endometriosis?
• 19 How prevalent is endometriosis?
• 20 What causes endometriosis?
• 21 How can my endometriosis be treated?
• 22 How can my doctor determine the cause of my pelvic pain?
• 23 What investigations might be recommended by my gynaecologist to investigate my pelvic pain?
• 24 What is laparoscopy?
• 25 What are pelvic adhesions?
• 26 I have chronic pelvic pain. Could this be related to adhesions?
• 27  What is uterine retroversion (retroverted uterus)
• 28  Does a retroverted uterus (backward tilted uterus) cause symptoms?
• 29 How is a retroverted uterus - backward tilted uterus - treated?
• 30 What is pelvic congestion?
• 31 What causes pain associated with sexual intercourse (dyspareunia)
• 32 How can painful sexual intercourse (dyspareunia) be treated?
• 33 What is a pelvic mass?

IRRITABLE BOWEL SYNDROME - IBS

• 34 What is irritable bowel syndrome?
• 35 How can we find out if I have irritable bowel syndrome?
• 36 Is irritable bowel syndrome (IBS) a common condition?
• 37 What causes IBS?
• 38 What is the pain associated with IBS like?
• 39 Can IBS be mistaken for gynaecological problems?
• 40 How can my IBS be treated?
• 41 What other treatments are available for IBS?
• 42 What can be done to reduce the amount of bowel gas(flatus)
• 43 What is constipation?
• 44 What causes constipation?
• 45  How can constipation be treated?
• 46 How could we summarise the treatments that are available for my pelvic pain?
• 47 Where can I obtain more information?
• 48 Pelvic Pain Support Groups.
• 49 Endometriosis Support Groups.
• 50 IBS Support Groups.

Thank you for choosing to visit us.

This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.