Treatment of endometriosis depends on whether you are trying to get pregnant.
If your period pains are severe, you can be given medication to take during your period to reduce the pain and amount of bleeding.
If you are not trying to get pregnant the combined oral contraceptive pill is also used to reduce period pains. This works in the same way as it does as a contraceptive by preventing the ovary from producing an egg ( ovulation), this in turn doesn’t stimulate the inside lining of the womb to thicken nor the other tissue outside the womb (endometriosis). The pain is therefore reduced. The ‘pill’ can be taken non stop for 2 or 3 packets which gives less periods and therefore less pain. Other stronger medication can be given in the form of an injection (gonadotrophin releasing hormone (gnrh) analogue,) once per month for 6 months. The injection (gnrh analogue) effectively puts your body into the menopause and again like the ‘pill’ prevents this tissue being stimulated. Women taking this injection do get symptoms of the menopause; such as hot flushes and night sweats. A form of hormone replacement therapy (HRT) can be given in tablet form daily to overcome these symptoms. This treatment option works well for many women.
If the endometriosis is severe or you are trying to get pregnant, surgical treatment may be required. This is because endometriosis can cause scar tissue to form and organs, including the fallopian tubes, can stick together causing further pain and infertility. If endometriosis is on the ligaments supporting the womb (uterus), these ligaments can become rigid, the womb doesn’t move as much, causing pain deep inside during intercourse (deep dyspareunia). This may need surgical intervention. Surgery is usually by ‘keyhole’ method.
If you have further difficulty getting pregnant, you may require Invitro Fertilisation (IVF), this is where the egg is fertilized outside the womb and then the baby (embryo) is placed inside the womb to develop (‘test tube baby’)