Endometriosis Treatment

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The management and treatment of endometriosis vary based on the grade of endometriosis, the patient's age, and their desire for future childbirth. Here are some treatment options:

Grade I Endometriosis: Symptoms of Grade I endometriosis can typically be managed with painkillers and oral contraceptives.

Grade III endometriosis: When dealing with slightly larger blood deposits in Grade III, ablation via laparoscopy is an option for removal.

Grade IV or Endometrioma(Chocolate Cyst): In the case of the endometrioma ovarian cyst (Grade IV), laparoscopic ovarian cystectomy can be performed to remove the cyst on the ovaries. Additionally, blood deposits in the abdomen can be removed through ablation.

LAPEX and Hysterectomy: As a final solution, a hysterectomy may be considered, often in combination with LAPEX. Hysterectomy removes the uterus, while LAPEX is performed to excise any remaining minor or major endometrial tissue in the abdomen. This is a permanent treatment option for endometriosis, suitable for patients who do not wish to have further childbirth.

Grades of Endometriosis

  • Grade I
  • Grade II
  • Grade III
  • Grade IV

Diagnostic Tests for Endometriosis

Laproscopy (Grade I, II, III endometriosis) Ultrasound (Grade IV endometriosis, or Endometrioma Cyst)

Fertility Treatments for Endometriosis

  • Recanalization of fallopian tubes
  • IVF
  • ICSI


All diagnostic and surgical treatments for endometriosis are laparoscopy-based and require anesthesia. Here's how the procedure works:

Under anesthesia, a small keyhole incision is made in the abdominal area, and carbon dioxide gas is injected to create space above the small intestines for the procedure.

A laparoscope, a small catheter-like instrument with a camera and lens on its end, is inserted through the keyhole. This provides a high-definition view of the internal organs on a digital monitor, helping assess the status, severity, and grade of endometriosis.

  • Minuscule blood deposits are excised using specialized medical equipment (LAPEX - laparoscopy and excision).
  • For grade III, the doctor burns the larger blood deposits through ablation. (Laparoscopy and ablation)
  • For grade IV or endometrioma cyst,The cyst on the ovaries is removed through specialized medical equipment (laparoscopic cystectomy), and other blood deposits in the abdomen are ablated.
  • If the patient is over 40 or certain about not wanting further childbirth, a hysterectomy may be performed to remove the uterus while excising or ablating any remaining blood deposits in the abdomen.
  • After the surgery, the larger keyhole incision is closed with staples or a few minor stitches, while the smaller ones typically heal on their own.