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London Private Hospital, The Harley Street Clinic

Your Endometriosis treatment

How do we treat endometriosis?


There’s no cure for endometriosis at the moment, but there are ways we can help to improve your quality of life.
How we treat you will depend on a few things, including:

  • your age
  • how severe your endometriosis symptoms are
  • whether you want to have children
  • what stage your endometriosis is at
  • what endometriosis treatment you’ve already received.

Endometriosis affects women in different ways and what works for others might not work for you. So we have a range of treatments and you might need several of them.

 

Your Treatment Options

Complementary therapies

Some women with endometriosis find that complementary therapies help, so we also offer reflexology, aromatherapy and relaxation techniques

 

Endometriosis and fertility

If you’d like to have fertility treatment, our team at the Lister Fertility Clinic in London will be happy to help. Your fertility options will be discussed depending on your personal situation. Our treatments include in vitro fertilisation (IVF), ovulation induction and intrauterine insemination (IUI), as well as intracytoplasmic sperm injection (ICSI)/ intracytoplasmic morphological sperm injection (IMSI).

 

Counselling

We know endometriosis can get you down. Our psychologist can help you get through it with cognitive behavioural therapy and other talking treatments. We can also point you to online support, like Endometriosis UK’s support groups.

 

Endometriosis Surgery

Laparoscopic Surgery

We might suggest a laparoscopic surgery, which is also known as keyhole surgery. While you’re under a general anaesthetic our surgeon makes a small cut within your navel, then cuts out the disease, or uses controlled heat, ultrasonic energy or hot plasma to get rid of it. This can improve the chances of you getting pregnant, as well as ease the pain.

Radical surgery – Hysterectomy and Oophorectomy

More radical surgery can be considered if a woman has not responded to drug treatments or conservative surgery and the possibility of having pregnancy is not considered any longer. Radical surgery refers to a hysterectomy (removal of the womb) with or without oophorectomy (removal of ovaries) or oophorectomy alone.
This surgery is typically performed laparoscopically (via key hole technique). Having radical surgery is a serious decision. Our consultant will discuss it at length with you, and go through all the alternatives, before you decide what’s right for you.

Hysterectomy

This is a last resort treatment if you don’t want to have any more children. We remove your womb and sometimes your ovaries (the disease is more likely to come back if your ovaries are left in place).

Oophorectomy

This involves removing either one or both of your ovaries. If it’s both, you’ll go into menopause, which can’t be reversed. But you can manage it with Hormonal Replacement Therapy (HRT).

Diet and Lifestyle

Eating a balanced, nutritious diet with anti-inflammatory foods can help. You will have a chance to meet Gastroenterologist and Dietician to discuss personal diet plan. We also explain how your lifestyle might affect your condition.

Pain Management

Pain medication doesn’t stop endometriosis growing, but it can make a difference to how you feel. It’s important to treat pain, rather than just accept it, because if your body gets used to it, your nerves can send pain messages to your brain when there’s nothing triggering them. Pain in endometriosis is a very complex issue and we have all the resources to individually assess patient’s pattern of pain and address it using a combination of treatment methods, which involve medical, surgical and non-medical approaches. Ongoing pain management may warrant referrals to pain specialists that work closely with our Endometriosis team to ensure that our patients receive the most comprehensive and holistic approach to treating pelvic pain and all the other features of the disease.

Hormone Treatment

Hormone treatment used for endometriosis mimics the state of pregnancy or the menopause, so the disease stops growing as it’s not ‘fed’ by the natural menstrual cycle. The effects last for as long as you have the treatment. If you choose artificial menopause, we might be able to offer you Hormone Replacement Therapy (HRT) to help with the symptoms.

Hormone treatments include:

    • combined oral contraception pill
    • Mirena coil
    • progestogens
    • GnRH analogues

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