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Endometriosis: Surgeries
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Women who continue to experience menstrual and pelvic pain after surgery for endometriosis may actually have adenomyosis, suggests a 2006 study in Fertility and Sterility. Adenomyosis occurs when knots of endometrial tissue develop within the muscles of the uterus. With endometriosis, endometrial tissue grows outside of the uterus.
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Although hormone therapies are effective in reducing or eliminating symptoms of endometriosis, they prevent pregnancy. If you have endometriosis and are trying to become pregnant, surgery to remove implants may increase your chances of success. If you have severe pain from endometriosis, you may ... benefit from surgery.
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Surgery may provide long-term elimination of symptoms, but it does not stop whatever is causing Endometriosis. Endometriosis and its symptoms return in about 20% of all cases. Surgery for Endometriosis does not enhance fertility.
The only way to diagnose endometriosis is by a laparoscopy. This is an operation in which a telescope (a laprascope) is inserted into the pelvis via a small cut near the navel. This allows the surgeon to see the pelvic organs and any endometrial implants and cysts. This is normally day surgery.
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While pregnancy rates for women with fertility problems resulting from endometriosis are fairly good with no therapy and with only a trial waiting period, there may be women who need more aggressive treatment. Those women who are older and who feel the need to become pregnant more quickly or those women who have severe physical changes due to the disease, may consider surgical treatment. Also, women who are not interested in pregnancy, but who have severe, debilitating pain, may ... consider surgery.
Surgery can ... treat endometriosis. The surgeon can burn away the deposits of the endometriosis and this can be a cure! Other treatments include birth control pills or other hormones to suppress the activity of the endometrium.
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