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  • Q&A with Australian Health Practitioners

    How can endometriosis be cured?

    I am a 34-year-old woman and I was diagnosed with Endometriosis about 10 years ago and have been living with it ever since. Is there any cure for this condition?
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    Thanks

    Assoc Prof Amar Trivedi

    Gynaecologist, Obstetrician, Obstetrics and Gynaecological Ultrasound Specialist

    Having trained and worked in three different countries, Assoc. Prof. Trivedi has acquired a broad based and in-depth knowledge of Obstetrics and Gynaecology. He further ... View Profile

    Endometriosis is a chronic disease which happens due to the presence of endometrial (inner lining of the uterus) type tissues outside the uterus. It induces a chronic inflammatory reaction. It is an incurable disease but can be kept suppressed with treatment. Treatment could both be medical and surgical. Medical treatment is used to alleviate pain It does not help subfertility. Symptoms recur following cessation of treatment. A variety of hormonal agents are used to suppress this condition. Anti-inflammatory painkillers are used for pain management. It has been recently shown that Dienogest which is part of a contraceptive pill, is very effective in suppressing endometriosis. Surgery should only be performed by an experienced gynaecologist. The role of surgery in improving pregnancy rate for moderate to severe disease is uncertain. However, it is effective in treating pain and subfertility in mild to moderate disease. For early-stage disease, excision or ablation are both equally effective. Removing both ovaries and the uterus helps in suppressing the disease.

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