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 Endometriosis  Holistic-online.com

Conventional Remedies for Endometriosis (Contd.)

Hysterectomy:

Hysterectomy, either partial or complete removal of the uterus, is the final major surgical approach to endometriosis. Normally, your doctor will try to keep disease in check while preserving the uterus and at least one ovary and fallopian tube, so you can still become pregnant. However, if recurrent endometriosis is a major threat to your organs and general health and repeated surgery has made "living with" the disease intolerable, you need to consider this "radical" surgery. Surgical menopause in younger women puts them at greater risk of developing coronary heart disease and osteoporosis.

The operation will be performed under general anesthetic and usually lasts several hours. The uterus will be removed through an incision in the lower abdomen or at the top of the vagina. All endometrial tissue found outside the uterus will also be removed and adhesions repaired. Usually, the operation is combined with a bilateral oophorectomy, in which the ovaries and fallopian tubes are removed, so that this source of hormonal stimulation of endometrial tissue growth disappears.

Estrogen replacement therapy may be started within days, weeks or months, depending on whether you are experiencing any menopausal symptoms such as hot flashes and whether you and your doctor are convinced all endometrial tissue is gone. Micronized estradiol (Estrace), in small doses, by mouth or skin patch (Estraderm), can be balanced with the hormone progesterone to control any flare-up of endometriosis.

Next Topic: Common Sense Care

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