types of treatments for endometriosis that worked for you?

I just want to know what else is used save for birth control and causing menopause
Answers:

Girl Problem(s), necessitate help I should articulate!?!?

From the Endo Research Center, a free foundation for Endo, available online at www.endocenter.org:

"Endometriosis, a leading exact of pelvic pain, hysterectomy and womanly infertility, is a reproductive and immunological disease affecting nearly 89 million women and teens worldwide. The average delay contained by diagnosis is a staggering 9 years, and the disease can only be definitively diagnosed through gynecologic surgery.

With Endometriosis, tissue approaching the endometrium is found outside the uterus, in other areas of the body. These growths, call "implants" or "lesions," still respond to hormonal nouns each month, breaking down and bleeding. However, unlike the endometrium, the tissue have no way of departure the body. The result is internal bleeding, degeneration of blood and tissue shed from the growths, inflammation of the surrounding areas and formation of scar tissue. Depending on the location of the growths, interference beside the bowel, bladder, intestines and other areas of the abdominal cavity can occur. Endometriosis have even been found lodged surrounded by the skin, the lungs and even the brain.

There is currently no definitive cure for Endometriosis, but there are several powerful methods of disease management. Many women can and do live resourcefully in spite of their Endometriosis.

Endometriosis staging have been defined by the American Society for Reproductive Medicine, next to criteria based on the location, amount, depth and size of disease implant. These factors are grade on a point system based on biopsy sample obtained during surgery. The first classification coordination was developed contained by 1973, but since then it have been revised and sophisticated 3 times for a more precise method of documentation. As of 1985, the stages are classified as 1 though 4; minimal, mild, moderate, and severe. Stage is not indicative of pain level, infertility or symptoms. A woman in Stage 4 can be asymptomatic while a Stage 1 patient might be within debilitating backache.

Malignant transformation of Endometriosis can and does occur. Some researchers even estimate that approximately 0.7-1.0% of patients next to Endometriosis have lesion that will ultimately undergo malignant transformation, and urge consideration of performing bilateral oophorectomy at the time of abdominal surgery in patients near significant disease. We have also begin learning of the elevated risks women near the disease have for constant cancers, including non-Hodgkin’s lymphoma. The reason why remain unclear; however, women beside Endometriosis are more likely run certain drugs, such as Progestagins, and are more plausible to have have their ovaries or uterus removed, another factor that influences hormone levels and possibly increases cancer risk. One lenient undergoing Tamoxifen psychoanalysis was discovered to own malignant endometrioid neoplasia arising within her Endometriosis, suggesting to her physicians that the Tamoxifen, as a result of its estrogenic effects, cause proliferative and malignant changes surrounded by her disease. In a similar study targeting women who have undergone hysterectomy with oophorectomy because of Endometriosis, authors noted that "Endometriosis can go through estrogen-dependent changes similar to the endometrium and may get a risk of developing hyperplasia and carcinoma during unopposed estrogen stimulation." The researchers concluded that unopposed estrogen therapy may head to premalignant or malignant transformation in the residual foci of Endometriosis and prompted the addition of progestins to estrogen replacement treatment. It is also possible that women with Endometriosis may be screen more often enduring cancers (i.e. breast) and and so are more likely to be diagnosed.

While not a soul is certain exactly what cause Endometriosis, there are several theories, though none are definitive. Common ones include:

Sampson's Theory of Retrograde Menstruation
In 1921, Dr. John Sampson contended that "during menstruation, a persuaded amount of menstrual fluid is regurgitated, or forced backward, from the uterus through the fallopian tubes and showered upon the pelvic organs and pelvic inside layer." There has be evidence to support Dr. Sampson's theory; however, studies enjoy shown that while many women experience retrograde menstruation and hold evidence of a "tipped" uterus, not all women will develop the disease. His notion also fails to explain the presence of Endometriosis in such remote areas as the lungs, skin, lymph nodes, breasts and other areas.

Transplantation Theory
Believes that Endometriosis is spread through the lymphatic and circulatory systems. This would explain Endometriosis in most sites, but does not explain the presence of disease to commence with.

Iatrogenic Transplantation ("Doctor Caused")
Holds that the inadvertent transference of diseased tissue occurs from one site to another during surgery. However, this is outstandingly uncommon today due to advanced surgical guidance. It also does not explain the presence of the disease to begin next to.

Coelomic Metaplasia
Drs. Ivanoff and Meyer's theory that "reliable cells, when stimulated, can transform themselves into a different class of cell." This would explain the presence of the disease in absence of menstruation, and further, the presence of Endometriosis surrounded by the few men who have be diagnosed with it.

Heredity
A extraordinarily popular theory that women near relatives who have the disease may be genetically predisposed to developing it themselves. This notion was suggested as precipitate as 1943, and research is currently underway by Oxegene Study scientists at the University of Oxford contained by the United Kingdom.

Immunity
According to the Institute for the Study and Treatment of Endometriosis in IL, "two different arms of the immune system may be involved in the development of Endometriosis. Cell-mediated imperviousness, in which specific immune cell fight disease; and humoral imperviousness, in which antibodies are formed to attack antigens." Studies by others suggest that migrating Endometriotic tissue affects women who hold "deficient cell mediate immunity." In women in need the deficiency, the transplanted cell are destroyed.

Genetics
Researchers have discovered that some women's genetic makeup determines their predisposition for contracting the disease.

Still others believe it is a combination of heaps different factors that create some women to have the disease.

Some women near Endometriosis have no symptoms, others own chronic or debilitating agony and infertility. Some general symptoms of Endometriosis include chronic or intermittent pelvic throbbing, dysmenorrhea (painful menstruation is not normal!), infertility, miscarriage(s) and ectopic (tubal) pregnancy.

Location specific symptoms of Endometriosis include:

Cul-de-Sac ("Pouch of Douglas")
The Cul-de-Sac is one of the most adjectives (top 5) disease locations. Endometriotic implants express an "irritating focus" of prostaglandins and other chemicals. The Cul-de-Sac is surrounded by the posterior wall of the uterus, the supravaginal cervix, the upper sector of the vagina, the rectum and the sacrum, the small intestine and the sacrolateral ligaments. Hence, this "irritating focus" can aggravate all the areas named, including the bowel. This can story for bowel symptoms when there are no implant actually present on the bowels. The same is true for disease located on the appendix. Dyspareunia (pain during intercourse) and pain after intercourse are also commonly reported symptoms by women near Cul-de-Sac Endometriosis.

Uterosacral/Presacral Nerves
Backache, leg pain, bumpy intercourse are often the chief complaints of women next to Endometriosis in these adjectives locations.

Gastrointestinal Tract
The rectosigmoid colon, rectovaginal septum, small bowel, rectum, cecum, large bowel, appendix, distal ileum, gallbladder and intestines get up the GI tract. GI tract symptoms include nausea, vomiting, constipation, painful bowel movements, blood within stool, rectal bleeding, sharp gas pains, bloating and tailbone pain.

Bladder, Kidneys, Ureters and Urethra
Women with Endometriosis of these areas complain of blood in the urine, discomfort around the kidneys, painful or burning urination, flank cramp radiating toward the groin, urinary frequency, retention, or urgency, and hypertension. Many women with Endo also enjoy Interstitial Cystitis, Endo's "Evil Twin."

Pleural (Lung and Diaphragm)
Coughing up of blood/bloody sputum, particularly coinciding next to menses, accumulation of air/gas contained by the chest cavity, constricting chest pain and/or shoulder agony, shoulder pain associated next to menses, shortness of breath, collection of blood and/or pulmonary nodule in chest cavity, weighty chest pain.

Sciatic Nerve
Pain in the leg and/or hip which radiate down the leg are found in women beside this form of disease. This symptom is concurrent with that of inguinal (groin area) Endometriosis as very well.

Subcutaneous/Cutaneous Endometriosis
Painful nodules, often evident to the naked eye, at the skin's surface. Can bleed during menses and/or appear blue. The vagina is the most adjectives location for this form of disease.

Fatigue, chronic pain, allergies and other immune system-related problems are also commonly reported complaints of women who own Endometriosis.

It is quite possible to hold some, all or none of these symptoms. Many women next to Endometriosis are completely asymptomatic. Endometriosis symptoms are so inconsistent and non-specific that they can easily masquerade as several other conditions. These include adenomyosis ("Endometriosis Interna"), appendicitis, ovarian cysts, bowel obstruction, colon cancer, diverticulitis, ectopic pregnancy, fibroid tumors, gonorrhea, inflammatory bowel disease, irritable bowel syndrome, ovarian cancer and pelvic inflammatory disease.

Younger women and teens with symptoms are habitually dismissed and told they have PID or that they are "too young" to enjoy Endometriosis. Once erroneously believed to be a disease of “Caucasian career women who enjoy delayed childbearing,” we know that in fact, Endometriosis affects women of adjectives ages, races and socioeconomic status. Endometriosis also can and does exist surrounded by the adolescent womanly population. Far from the “rare” incidence once believed, studies have found that as plentiful as 70% of teenagers with chronic pelvic cramp had Endometriosis proven by laparoscopy. Other reports indicate that as lots as 41% of patients experienced Endometriosis pain as an teenaged. The illness can be rather disruptive and cause significant dysfunction, especially at a time within life when self-esteem, conservatory attendance and performance, and social involvement are adjectives critical. Many adolescents with Endometriosis find themselves incompetent to attend or participate surrounded by classes, social functions, extracurricular activities, and sports due to significant headache and other symptoms of Endometriosis. Sometimes, teens and young women nouns support and validation from both the home and the school; told the spasm is “in their head,” that they are “faking it,” that their unbearable cramps are “normal” and “a part of womanhood,” that they are merely suffering from “the curse,” or that they should newly “grin and bear it.” Their symptoms may also be dismissed as a sexually transmitted disease, which Endometriosis surely is not. Failure to acknowledge and address symptoms early within the disease process can lead to significant delay in diagnosis and crucial, subsequent treatments. Lack of support from family and loved ones can also affix to the patient’s pain and start - at any age. Recent studies have also shown that Endometriosis may within fact own an even bigger impact on younger patients than older women. One such study discovered that contained by patients under 22 years of age, the rate of disease return was double that of elder women (35% versus 19%). The study also revealed that the disease behaves differently surrounded by younger women; leading some researchers to believe it is a different form of Endometriosis altogether. Surgery, considered basic to accurately diagnose and effectively treat the disease, is often withheld from younger patients base on the injudicious belief that early surgery somehow negatively influences a immature woman’s fertility. Extensive, cumulative research has shown this concern to be inexcusable. What can impact fertility, however, is neglecting important treatment of the disease. Some researchers also feel that symptomatic, adolescent-onset Endometriosis is most normally a lifelong problem that will progress to severe fibrotic disease.

While some larger implants and endometriomas may be see through ultrasonography, CT Scan, MRI or other diagnostic procedure, such detection rates are limited. Thus, the current gold ingots standard for a positive diagnosis of Endometriosis is via gynecologic surgery like a laparoscopy, or contained by some cases, open surgery approaching the laparotomy. Laparoscopy entails visualization of the belly and pelvic cavity via an instrument known as the laparoscope - a wasted, lighted instrument fitted with a telescopic lens and on affair, a miniature videocamera. During "the Lap," as it is commonly referred to, your organs will be manipulated for viewing, diagnoses are made, biopsies are taken, and energizing measures are usually performed as economically.

While there is no cure for Endometriosis, treatments exist range from medical to alternative to surgical. Some, such as surgical excision, confer longer-lasting benefits than others.

Surgical destruction of the disease can be done in many different ways, according to the surgeon's preference and training. These include:

Excision
Cutting out of entire diseased implant, while preserving the healthy portions of the artificial organ(s). This meticulous form of removal can only be perform by an advanced endoscopic specialist with a full recognition of modern concepts of treatment. Recurrence rates are less than 10% at 5 years out.

Vaporization
Destruction of implant by instant boiling of the cellular water beside a high power laser or electrosurgical tool.

Ablation
Removal by any surgical way; generally involves laser. This is the most adjectives method utilized by Gyn Surgeons. Recurrence is over 80% within the first 2 years.

Coagulation
Desiccation of implant by heating and drying the artificial tissue(s).

Fulguration
Superficial burning of implants near a spark of electricity from any electrosurgical tool.

Ultrasonic
Some surgeons prefer ultrasonic treatment methods; this means nouns waves at intensely high frequency will be used as an force source. Two devices are currently used by surgeons who practice this method are the Harmonic Scalpel and the CUSA (Cavitational Ultrasonic Surgical Aspirator).

Hysterectomy
Endometriosis remains a leading effect of hysterectomy and accounts for nearly half of the 600,000 hysterectomies perform in the U.S. annually. While not a definitive cure for the disease, some women hold experienced relief of scratchy symptoms following a hysterectomy. Certainly, each baggage of Endometriosis is different and each tolerant requires a different course of treatment. A hysterectomy is just one of the tons surgical options that can be considered within your search for treatment. The weak school belief be once that a hysterectomy was the cure for Endometriosis. Today, unsurprisingly, we know this is untrue and that a hysterectomy is no more curative than "prescribed pregnancy" (another common fallacy). However, some women next to Endometriosis who have elected to put up with a hysterectomy have found nouns following the procedure.

Several patients can experience relief through the use of hormonal agents and other medical therapy. These include:

Aromatase Inhibitors
Studies have shown that misplaced Endometrial tissues respond to ovarian hormones such as estrogen and move about through a menstruation-like process (bleeding, shedding and inflammation) repetitiously in the abdomen of a woman. Estrogen is approaching fuel to fire for Endometriosis, thus current treatments have be designed to stop estrogen secretions from the ovaries of a woman (gonadotropin releasing hormone agonists). Estrogen, however is made not merely in the ovaries but also surrounded by adipose tissue [fibrous, insulating tissues packed next to fat cells], and most importantly, *within Endometriosis implant themselves.* Thus, Endometriosis tissue acts surrounded by a devious manner to cause its own estrogen through the abnormal expression of aromatase enzyme, sustaining its own life span cycle. This may explain the high numbers of treatment failure and early recurrences after conventional treatments of Endometriosis. Aromatase Inhibitor treatment is within trials, but not yet widely available.

GnRH (gonadotropin-releasing hormone) Agonists
These are drugs that are designed to suppress the Endometriosis implant by stimulating the ovaries to produce more estradiol (the most potent form of estrogen) then as luck would have it, after 7 to 21 days of constant stimulation, shutting down the "messenger" hormones sent from the pituitary gland to the ovaries. The result is that the ovaries shut down, estradiol levels drop sharply and swiftly and the patient cease to ovulate or menstruate; a condition similar to that of menopause. Some women experience positive results with GnRH treatments, others do not. As next to any treatment, each grip will vary. Though the medication can temporarily shrink the lesions of Endometriosis, they will not shrink adhesion or scar tissue, which recurrently play a part within the symptomatic pain of the disease, nor do they treat infertility in any path. Common side effects that have be reported by women undergoing treatment include hot flashes, headache, insomnia, vaginal dryness, decreased libido, depression, mood swings, fatigue, acne, dizziness, nausea, short occupancy memory loss, diarrhea, hair loss, anxiety, and bruising at injection site. There are several different GnRHs that can be considered for treatment. These include Lupron Depot, Synarel, Zoladex and Suprefact.

Other medication include synthetic hormones like Danazol. This synthetic testosterone market under the name "Danocrine" or "Cyclomen" is usually given in pill form. Danazol was the first medication approved for use within the treatment of Endometriosis and works by suppressing the ovaries. However, expense and side effects have made it a smaller quantity common approach by physicians today.

Contraceptives such as Depo-Provera (medroxyprogesterone acetate) and Provera (both progestins, administered by injection or orally) are also used to treat the disease, as are combination estrogen/progesterone oral contraceptive pills resembling Alesse and Lo-Ovral.

Pain management option include non-steroidal anti-inflammatories (NSAIDs) such as Anaprox or Toradol. Stronger narcotics and anti-depressants are often used as economically.

Alternative therapies may also be significant and non-invasive for some patients, including:

Immunotherapy, Diet & Nutrition, Shiatsu, Naturopathy, Biofeedback, Osteopathy, Homeopathic Therapy, Chiropractics, Acupuncture, use of a Transcutaneous Electrical Nerve Stimulation (TENS) unit, Bach Flower Remedies, Exercise, Aromatherapy, Reflexology, Herbs, and Massage Therapy.

There is no cure for Endometriosis, but nearby are ways to cope. For more information on Endometriosis, please visit the ERC on the net at http://www.endocenter.org and join the ERC's free online Listservs at http://groups.yahoo.com/group/erc and http://health.groups.yahoo.com/group/EndoDocs."

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Child birth.

Natural Breast Enlargement?

I can detail you how we treat patients.
Ablation
Lupron
Pain control
those are the other types used mainly besides birth control and total hysterectomy.