How to treat the four stages of endometriosis

The treatment of endometriosis needs to be personalized according to the stage and severity of symptoms. Common treatment methods include medication, surgery, and lifestyle adjustments. This article provides a detailed description of the treatment of the four stages of endometriosis.

1. Mild stage 1: mainly controlled by drugs

Mild endometriosis is usually controlled with medication to relieve symptoms and inhibit the spread of lesions. The following three drugs can be used:

Hormonal drugs such as GnRH agonists can slow down the progression of the disease by suppressing ovarian function and reducing estrogen levels.

Nonsteroidal anti-inflammatory drugs, such as ibuprofen, are used to relieve symptoms such as dysmenorrhea.

Oral contraceptives regulate the menstrual cycle and control the growth of lesions.

Drug treatment should be selected after evaluation by a doctor, with close follow-up to adjust the dosage.

2. Stage II moderate: combination of medication and minimally invasive surgery

Moderate patients may face more obvious pain or menstrual irregularities, and drug treatment remains the first choice, but if the drug effect is not good, minimally invasive laparoscopic surgery should be considered.

Laparoscopic surgery is currently the "gold standard" for the diagnosis and treatment of endometriosis, and can directly remove or cauterize ectopic lesions.

After surgery, hormonal medications such as progesterone preparations are usually continued for follow-up management to reduce the risk of recurrence.

Lifestyle adjustments are also important after surgery, such as avoiding strenuous labor.

3. Severe stage III: Intensive surgical intervention

Severe endometriosis is often accompanied by persistent severe pain, infertility and other problems. Surgery is the main option:

Laparoscopic surgery completely removes ectopic lesions and adhesion tissues.

Hysterectomy is an option for patients with extremely severe symptoms and no desire to have children and should be considered a last resort.

Postoperative adjuvant drug therapy such as GnRH agonists can reduce the activity of residual lesions and reduce recurrence.

Severely ill patients also need psychological support after surgery to reduce anxiety and improve their quality of life.

4. Stage 4: Extremely severe: Comprehensive treatment plan

Extremely severe patients usually face problems such as extensive lesions, severe pain, and multiple organ involvement, and require a multidisciplinary joint diagnosis and treatment model:

The experienced surgical team performs complex operations such as evisceration and removal of affected parts of the intestine and bladder.

Comprehensive adjuvant therapy after surgery, radiotherapy or chemotherapy, can control the spread of lesions.

At the same time, strengthen psychological counseling and reasonable diet to reduce the physical and psychological burden on patients.

Depending on the different stages of endometriosis, the treatment plan should be formulated by a professional doctor after comprehensive consideration of the condition and the patient's specific circumstances. If you have related symptoms or diagnosis, be sure to see a doctor as soon as possible and choose the appropriate treatment under the doctor's guidance.