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Doctor insights on: Femara Norethindrone Stage Endometriosis

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Has anyone had success on femara (letrozole) and norethindrone for endometriosis?

Has anyone had success on femara (letrozole) and norethindrone for endometriosis?

Hormonal treatment: Femara (letrozole) inhibits the formation of estrogen within the endometriosis tissue. Aromatase inhibitors, formerly used to treat some breast cancer, have been successful in the treatment of endometriosis. Norethindrone, a Progesterone is also successful in some cases. ...Read more

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Dr. Michael Traub
1,217 doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


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Are femara (letrozole) and norethindrone used for stage 4 endometriosis?

Are femara (letrozole) and norethindrone used for stage 4 endometriosis?

Not very successfull: No medical treatment has ever been shown to be effective in treating stage IV endo. This stage means that there is deeply invasive endo usually between the rectum and vagina or cervix. Endo nodules are by definition deeper than 5mm, and the hormones can't penetrate well and they don't respond. You need a surgeon very experienced in complex procedures to remove the endo. ...Read more

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I have been diagnosed with endometriosis and have been prescribed aygestin (norethindrone) 5 mg/day. My stomach seems to be extremely hard. Help?

I have been diagnosed with endometriosis and have been prescribed aygestin (norethindrone) 5 mg/day. My stomach seems to be extremely hard. Help?

Not sure about: Aygestin (norethindrone) itself causing a hard stomach per say but some patients complain of bloating and abdominal discomfort when they start the medication. It can be self limited. Also i'd want to know more about how your endometriosis was diagnosed to better inform you, but ultimately, i would recommend talking to your doctor about this. ...Read more

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Can i get pregnant naturally after h.S. G. Unblocked tubes .Yestrday i did the test h.S.G and my tubes patent and i hv bilateral endometriosis overy?

Can i get pregnant naturally after h.S. G. Unblocked tubes .Yestrday i did the test h.S.G  and my tubes patent and i hv bilateral endometriosis overy?

Yes: If your tubes are now open, you have a chance to get pregnant. However if your tubes were blocked then you have a higher chance of an ectopic pregnancy. And overall your pregnancy rate with endometriosis will be substantially lower. But at least now you do have a chance. ...Read more

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What are some difference s in the symptoms of endometriosis and ibs?

What are some difference s in the symptoms of endometriosis and ibs?

Can be confusing: Endo pain is typically focused on the menstrual cycle. IBS pain is often related to bowel function, such as pain followed by diarrhea. IBS often also is associated with sharp crampy pain and may be in the upper abdomen. That said, I have operated on many patients with the label of "IBS" and in reality they had intestinal endometriosis. ...Read more

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Lmp11/25, slow rising hCG on jan.4 517 & progesterone 16.7, history of ep, endometriosis, inconvlusive us!? Are my #'s ok? Chances of another ectopic?

Higher than normal: Your HCG level is low for the timing in pregnancy. You need to be followed closely. Once you have had an ectopic that chance goes up a lot in the future. If your HCG does not rise well you should be treated in some way top make sure things are safe for you. ...Read more

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What does endometriosis look like?

What does endometriosis look like?

Heres a classic pic: This is an endometriotic implant in the pelvis. These lesions are hormonally sensitive and will bleeds during menses. Endometriosis in the ovary can cause scarring that ultimately walls itself off to become an endometrioma which then becomes a blood filled (or chocolate cyst - becuase the old blood becomes brown and thick) cyst. ...Read more

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How can I deal with endometriosis?

Find endo-wise Gyn: Endometriosis has been long misunderstood. Find a gyn 1) who will listen,2) knows that endometriosis is laid down during when you were a 6-7 week embryo and 3) has the surgical skill to completely excise all the endometriosis even if it is near critical structures. ...Read more

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Is endometriosis common among women?

Fairly common: Although experts may disagree over small differences, good ballpark figures for endometriosis are as follows: about 10-15% of women in the general population, between 40-60% of women with normal male partners who seek help for infertility, and as high as 80-90% who meet the above and have chronic pelvic pain. ...Read more

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How can you deal with endometriosis?

Get a good doc: You really need a doctor experienced in endometriosis to help. A combination of excellent surgical therapy, physical therapy, and sometimes medications leads to the best outcomes. ...Read more

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Can you tell me about endometriosis?

That's alot!: This is a condition where tissue that normally lines the uterus ends up outside the uterus in various places, usually around the ovaries or behind the uterus. In that location, it causes pain. The condition can only be diagnosed with a day surgery (laparoscopy) and taking a sample of tissue in the wrong place. Treatment options are many but usually we start with birth control pills. ...Read more

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Can you please tell me about endometriosis?

Ectopic endometrium: The lining of the uterus is the endometrium. When a woman has her period that endometrial tissue turns loose and is expelled as the menstrual period. Some of the endometrial cells and blood can flow through the fallopian tubes into the pelvis. Because those cells are viable, they can implant and grow. When that happens, the endometrium that is growing outside the uterus is called endometriosis. ...Read more

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Can you tell me the symptoms of endometriosis?

Varies: Some patients have no symptoms and others have pain with their cycles, sex, or daily with any activity. ...Read more

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How do you find out if you have endometriosis?

How do you find out if you have endometriosis?

Laparoscopy: Need to be evaluated with a good exam, maybe ultrasound of the pelvis and finally a surgical procedure called laparoscopy. Laparoscopy is done under anesthesia and a small telescope with a camera is introduced into the abdomen via the umbilicus allowing the surgeon to look and inspect the pelvis and the whole abdomen looking for areas of endometriosis. ...Read more

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Can someone with endometriosis get injections?

Yes: There are definitely indications for trigger point injections in women with chronic pelvic pain (CPP) which can include endometriosis. While endo itself is not treated with trigger point injections, the CPP syndrome that results can lead to myofascial pains and pelvic floor dysfunction that will respond to trigger point injections. In some cases it is a very good treatment. ...Read more

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Can I reduce my chances of getting endometriosis?

Not really: There have not been any studies proving that any particular treatment reduces one's chances of developing endometriosis. However, in my experience, women who start using any hormonal contraceptive - pills, depo - early in their reproductive years (i.e. Within a few years of starting their periods) seem to have a lower incidence of endometriosis and less severe endometriosis when they do have it. ...Read more

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Dr. James Krick
105 doctors shared insights

Micronor (Definition)

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Dr. Suzanne Galli
61 doctors shared insights

Nor Qd (Definition)

Nor-QD is a single phase contraceptive which is a kind of oral contraceptive (women's ...Read more