Do You Have to Have Surgery for Endometriosis?


Endometriosis is a chronic disease that can cause:

Although endometriosis is one of the most common gynecological conditions, women often struggle to get a diagnosis.

6 years = average time for women to get diagnosed

3 out of 5 women saw 3+ healthcare providers before getting diagnosed

The earlier the diagnosis, the better women can manage their disease.

To ease pain, women can start with medication, which can:

Decrease pain

Reduce inflammation

Stop hormone production

Reduce or stop menstruation

Medications for Endometriosis

FDA-approved for endometriosis

Treats pain

Treats disease

Other details

Nonsteroidal, anti-inflammatory drugs (NSAIDS)

No

Yes

No

Combined oral contraceptives

No

Yes

No

Contains progesterone and estrogen

Hormonal IUD

No

Yes

No

Thins endometrium; stops period

Aromatase Inhibitors

No

Yes

Yes

Decreases estrogen production, which decreases growth and number of lesions; used with progesterone; questions about safety and efficacy

Progestins (oral)

Yes

Yes

Yes

Progestins (implants/injectables)

No

Yes

No

Modified testosterone

Yes

Yes

Yes

Decreases estradiol production; not often recommended

GnRH Agonist

Yes

Yes

No

Injectable

GnRH Antagonist

Yes

Yes

Yes

Shrinks lesions and treats pain, including pain during sex

If the treatment you’re using doesn’t improve your symptoms, talk to your healthcare provider (HCP) about changing medication or surgery.

Surgical Options for Endometriosis

  • Ablation: Uses extreme cold, heat or high-energy radio frequencies to destroy the uterine lining and control heavy menstrual bleeding
  • Excision: Cuts out lesions and visible areas of disease
  • Lysis of adhesion: Cuts out adhesions (scar tissue)
  • Presacral neurectomy: Removes the nerves (presacral plexus) that send pain signals from the uterus to the brain
  • Hysterectomy with or without oophorectomy: Removes the uterus with or without the ovaries

Managing Symptoms

There is no cure for endometriosis, but you can manage both the symptoms and the disease with the right treatments. It’s important to talk to your HCP to find a treatment that works for you.

This educational resource was created with support from Sumitomo Pharma America, Inc., a HealthyWomen Corporate Advisory Council member.

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