 In view of the fact that endometriosis sites are stimulated by the female
sex hormones (oestrogens and progestogens), medicinal treatments are aimed at regulating and inhibiting
the hormonal effect. This result can be obtained, for example, by taking luteal hormones (progestogens)
or a contraceptive pill. If complete blocking of ovarian
function is necessary, the synthesis of oestrogens is inhibited by treating with LHRH
analogues. This
treatment dries up the endometriosis sites. This can provide pain relief and prevent the formation of
new endometriosis sites. The use of medication to inhibit
the formation of hormones temporarily creates a state comparable to the menopause, with the problems
associated with the menopause. However, the intensity of the hot flushes, decreased bone mass, mood
swings, etc., is highly variable. If prolonged treatment is necessary, the associated symptoms can be
relieved by prescribing a special hormonal treatment with a low dose. |