LYCOS RETRIEVER 
Endometriosis: Treatments
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Natural Progesterone has no known side effects and has been used with considerable success with endometriosis. Natural Progesterone is identical to what the body produces... giving similar results as pregnancy. Use AIM Natural Progesterone cream from day 6 of the cycle until day 26 each month, using one third of an ounce of the cream per week for 3 weeks, stopping just before the expected period. This treatment requires patience. Over time (4-6 months), however, the monthly pains gradually subside as monthly bleeding in these islets becomes less and healing of the inflammatory sites occurs. The monthly discomfort may not disappear entirely but becomes more tolerable.
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Scientific studies are suggesting that endometriosis is a neuro-immuno-endocrine related disease. Acupuncture can improve the functioning of the immune system and increase the flow of energy through the meridians, or energy pathways, in the body. Acupuncture can ... stimulate the nervous system to release hormones, and is very effective at relieving pain. For these reasons, acupuncture is a viable and effective treatment modality for dealing with endometriosis. The use of specific acupuncture points and herbal formulas for each pattern of endometriosis listed above can produce dramatic improvements.
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Combined oral contraceptives (COCs) are ... used commonly for the management of patients with dysmenorrhoea, which in some cases may be due to endometriosis. However, there is a paucity of information for the use of modern COCs for primary dysmenorrhoea. A Cochrane review by Proctor et al (2001) suggested that 1st and 2nd generation COCs with 50 mcg or more oestrogen may be more effective than placebo treatment for dysmenorrhoea, however it concluded that the RCTs included for analysis were of poor quality and heterogenous so that no recommendation could be made regarding the efficacy of modern, lower dose COCs (Evidence Level 1a). A recent RCT comparing a low dose oral contraceptive containing 20 μg ethinyl estradiol and 100 μg levonorgestrel with placebo showed better pain relief in adolescent girls with dysmenorrhoea (Davis et al., 2005). Additionally there is some evidence in general populations that combined oral contraceptives can effectively treat dysmenorrhoa (Proctor and Farquhar 2006a). The COCs have the advantage of long term safety; hence they can be used indefinitely in low risk women.
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Regardless of the cause of endometriosis, current Western medical treatment for the condition can be risky when it comes to fertility. Usually, pain-relieving medication is prescribed to mitigate discomfort, and then either surgery or hormone-controlling drugs are administered to remove the excess endometrial tissue. With surgery, the endometrial growths are excised or burned off with a laser. In severe cases (many growths or extensive adhesions), major surgery may be required, after which fertility may or may not be restored. Hormonal treatments like birth control pills, testosterone-enhancing or menopause inducing drugs are sometimes prescribed to halt menstruation altogether, the theory being that as menstruation ceases each month, the misplaced endometrial tissue will be "starved" to death. Of course, ovulation is ... halted in the process.
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In 1980, researchers at that hospital published the first report (4) of a large scale clinical trial of Chinese herbs for endometriosis. The 156 patients were divided into three groups according to syndrome and given one of three possible treatments. Group one was treated for qi stagnation and blood stasis and given a combination of sparganium and zedoaria (used for masses associated with blood stasis); gleditsia spine (for gynecological masses); cyperus, bupleurum, and tang-kuei (for regulating qi circulation); and bulrush (typha), and pteropus (for abdominal pain) in decoction, plus an "endometriosis powder" made with earthworm, tabanus, centipede, and leech (for dredging the stagnated blood). Bulrush and pteropus together represent an ancient two-herb combination called Shixiao San (see Appendix 1) widely used for treating severe abdominal pain; the Chinese name for the combination means the formula for returning the smile.
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Women with menstrual pain due to endometriosis have a new treatment option. In May 2007, the FDA approved Lybrel, a continuous-dose oral contraceptive that completely eliminates menstrual periods. Lybrel, which contains low doses of the estrogen estradiol and the progesterone levonorgestrol, is taken 365 days a year with active pills. Some women may... experience unscheduled bleeding or spotting.
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