How to treat endometrial tuberculosis effectively

Women of childbearing age are prone to gynecological diseases, such as endometrial tuberculosis, which is a common disease among women. The occurrence of this disease has a great impact on women's physical health and work. Therefore, if you find that you have this disease, you must seek timely treatment. Now let's ask experts to introduce how to treat endometrial tuberculosis.

(1) Pseudo-pregnancy therapy: Long-term oral administration of large amounts of highly effective progesterone, supplemented with a small amount of estrogen to prevent bleeding, to cause amenorrhea similar to pregnancy, is called pseudo-pregnancy therapy. The method is to take 0.3 mg of 18-methylnorgestrel and 0.03 mg of ethinyl estradiol orally every day for 6 to 12 months to cause amenorrhea. When breakthrough bleeding occurs, the dosage can be doubled. It should be noted that the estrogen in contraceptives can stimulate the growth of uterine fibroids, so those with fibroids should use it with caution.

(2) Pseudomenopause therapy: Danazol (with mild androgenic effects) is taken orally 400 mg per day, starting from the first day of menstruation, and continued for 6 months. If symptoms are not relieved or amenorrhea does not occur, the dose can be increased to 600-800 mg per day. Occasionally, patients with hyperactivity of the liver should stop taking the drug in time and receive liver protection treatment.

(3) Highly effective progestin therapy: Oral administration of 20-30 mg of medroxyprogesterone daily for 6 consecutive months, or intramuscular injection of 250 mg of progesterone acetate every two weeks for 3 months, then change to intramuscular injection of 250 mg monthly for 3-6 months. If breakthrough bleeding occurs, 0.25 mg or 0.5 mg of ethinyl estradiol can be temporarily added daily. Liver function should also be checked regularly during medication.

(4) Androgens: Taking 5 mg of methyltestosterone sublingually daily for 3 to 6 months can relieve symptoms without inhibiting ovulation.

(5) Nemetone (18-methyltrienolone): It has strong anti-estrogen and progesterone effects. Take 2.5 mg orally twice a week for 6 consecutive months, starting on the first day of menstruation. The characteristics of taking this drug are mild side effects and easy to use.

(6) Gonadotropin-releasing agonists: They can cause a decrease in sex hormone secretion from the ovaries and lead to temporary menopause. Long-term use may cause osteoporosis. They are suitable for menopausal women, especially those with uterine fibroids.