How is endometriosis treated?
We use a consistent but individually tailored treatment concept to treat endometriosis. The treatment strategy includes a combination of various surgical techniques with modern hormone agents or medications, coupled with complementary treatments.
Our fertility patients suffering from endometriosis will not receive care according to a rigid fertility treatment regimen. Rather, they will first have a consultation according to the stage of their condition and can then discuss the treatment regimen with the attending doctor.
Our goal is to eliminate or alleviate the symptoms, as well as to minimise new flare-ups of endometriosis with all of the associated problems and thus to improve quality of life. Another goal is to strengthen the immune system and to provide psychological care to our patients.
The consultation with the doctor will start with us asking about the goal of the treatment: What is most important for you?
- Do you want to have children? or
- Is the treatment for endometriosis alone?
During the consultation, we will work out a personalised treatment management for you. We are a team of specialists who work “hand-in’hand”. Our team includes surgeons, specialists in endocrinology and fertility, pain therapists, urologists and radiologists and physicians practicing alternative therapies such as homoeopathy, acupuncture and bioresonance therapy, as well as psychologists.
The treatment should be tailored for each woman, based on her medical history, individual life circumstances and needs. It should also be part of a long-term and consistent treatment concept.
There is no causative treatment (i.e. a treatment aimed at eliminating the cause) for endometriosis. This means that all of the therapeutic agents and techniques that we use target the symptoms: in other words, if the treatment is stopped, the disease may return quickly, depending on how advanced it is.
In most cases, treatment starts with “keyhole surgery”. Hereby the surgeon gets an idea of the severity of the disease, takes samples for histological analysis and attempts to “clean up” the endometriosis, which will ideally mean complete removal. Here, there is always an option available to involve a surgeon or urologist for cases of advanced endometriosis in order to ensure that the surgeries will not have to be concluded unresolved.
At this point, the question as to whether you want children is of relevance. If you do, the fertility treatment should follow immediately.
If you are finished with your family planning, we will have several options to develop a treatment plan together . The options are as follows:
Hormone therapies: Because endometriotic tissue is oestrogen dependent in most cases, many treatments target reducing the amount of oestrogen in the body. This is supposed to contain the development of diseased tissue and will ideally result in “atrophy” (i.e., the wasting away of this tissue). There are a variety of hormone therapies which will be explained to you during your consultation (these include gestagens alone, combined agents like the pill and the coil).
Pain therapy: Pain medications have no effect on the course of the disease itself. These are therefore called “symptomatic therapy”. Pain should definitely be treated adequately and under no circumstances borne “heroically” “until you really cannot bear it any longer”. The earlier an effective pain therapy can be started, the sooner it will probably be possible to reduce the amount of pain medications again. The goal must be to avoid the development of a pain memory.
Complementary treatment options: Acupuncture, homoeopathy, traditional Chinese Medicine (TCM), alternative therapeutic agents and bioresonance therapy, as well as yoga, Tai Chi and progressive muscle relaxation. These therapies are not causative (meaning that they do not eliminate the cause). However, they do improve wellbeing and strengthen the immune system. Relaxation methods may relax painful tension. Unfortunately, none of these approaches is capable of curing endometriosis.