Doctor insights on:
Hormones Treatment Endometriosis
Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more
A hormone (from greek ὁρμή, "impetus") is a chemical released by a cell or a gland in one part of the body that sends out messages that affect cells in other parts of the organism. Only a little amount of hormone is required to alter cell metabolism. In essence, it is a chemical messenger that transports a signal from ...Read more
Can hormone fluctuations cause ovarian cancer? Can wild hormone fluctuations due to PMS or birth control pills cause ovarian cancer?
Dx w/ endometriosis. Tried multiple bc pills before this diagnosis for ovarian cysts and made bleeding & pain much worse. Will lupron (leuprolide) be similar? Wary of lup
Usually no: During the time a woman is perimenopausal hormonal manipulation can cause some spotting or bleeding depending on how the hormones are dosed. Once a woman is truly menopausal hrt does not usually cause menstruation. Vaginal bleeding in the post-menopausal woman is considered abnormal & worthy of investigation. ...Read moreSee 1 more doctor answer
Does the BCP Aviane cause fibroids and ovarian cysts? Are there non surgical ways to remove fibroids?
No and yes: Birth control pills don't cause fibroids. Treatment options include Lupron (leuprolide) (medication which causes temporary menopause to shrink fibroids); hysteroscopy (D&C like procedure to remove small fibroids from uterine cavity); uterine artery embolization (procedure done in x-ray dept. to cut off blood flow to fibroids); myomectomy (surgical removal of fibroids); or hysterectomy (removal of uterus). ...Read more
Well yes, but...: If the ovaries are removed, then you'll no longer be producing much female sex hormone at all, and you'd then essentially enter menopause unless hormones are replaced in pill form. Daily hormone replacement pills keep levels very stable which would generally end the sorts of symptoms you get from abnormal hormone fluctuation in PCOS. Though it's far too aggressive of a treatment just for PCOS. ...Read more
34 y/o female w/hormone imbalance, endo, Hashi's. Symptoms poss. early menopause. Seeking low-risk and natural hormone replacement therapy. Advice?
Varied: For the pain of a current ovarian cyst, over the counter pain medicines and occasionally prescriptions are necessary. Toward prevention, i suggest regular exercise, limiting processed foods, carbs, artificial sweeteners, and caffeine in your diet. If these are unsuccessful, you may want to discuss w your doctor the option of taking hormonal therapy like birth control to ovulation and thus cysts. ...Read moreSee 1 more doctor answer
BCP or Fert Drugs: Pcos is an ovarian dysfunction. If you are not trying to pregnant the treatment of choice is the birth control pill. If you are trying to get pregnant we use fertility drugs, but it varies as to how a patient responds to these medications. The "fertility drug" is actually stimulating the ovary to ovulate.The first drug we use is clomid, (clomiphene) but it has to be used in higher dosages than normal ...Read moreSee 1 more doctor answer
Yes: For woman with premature ovarian failure (pof), we recommend hormone replacement therapy, which includes both estrogen and progesterone. The addition of Progesterone is to regulate menstrual period and prevent uterine cancer. For woman desires for pregnancy, we may be able to reduce her fsh level and induce ovulation in some patients. ...Read moreSee 1 more doctor answer
No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...Read more
Primary amenorrhea.Have any treatment to get pregnancy.Have done laporoscopy.Dnormas discj.Primary amenorrhea2 mullerian dysgenosis?
Possible by IVF: Normal pregnancy is possible if no uterine abnormality with hormonal manipulation ( administration) where ovulation is absent , if tubes are absent , has normal uterus is possible , you need fertility expert , to make you ovulate , harvest , and by ivf . Speak to your doctor, good luck. ...Read more
NO BUT INCREASE RISK: Hormone therapy does not cause breast cancer but it does increase your risk of breast cancer. According to the national nurses health study using hormone replacement therapy for 10-15 yrs increases risk about 20%, if used more than 15 yrs it doubles to around 40%. Talk to your doctor to help you decide how to better manage postmenopausal symptoms. ...Read more
Endometriomas: Yes. Cysts of endometriosis in the ovaries are called endometriomas, which may cause pain, infertility, both or neither. If you are having difficult getting pregnant and/or you have very painful periods then laparoscopic surgery to remove the cyst(s) and any other endometriosis in your pelvis is usually helpful. ...Read moreSee 1 more doctor answer
Increases risk: Hormone replacement therapy (hrt) has been shown to increase one's risk for breast cancer if taken for longer than 5 years. The current recommendation is to take low doses for a limited amount of time and then stop. There are some other non hormonal medications that can be used to help manage menopausal symptoms. ...Read moreSee 3 more doctor answers
What is the best hormone treatment for mild endometriosis after surgery (2nd cyst/surgery. Surgeon recognized endo. ) and first time treatments?
Birth Control Pills: The best actual "treatment" for endometriosis is laparoscopic excision (cutting out) of all endometriosis - remembering that endometriosis can have many different looks other than the "classic dark spots". If it is all excised then there is no need for further treatment. If however there is endometriosis still present, the easy first line treatment is birth control pills. ...Read moreSee 1 more doctor answer
Endo treatment: The most effective is lupron, (leuprolide) this drug inhibits ovulation and creates transient menopausal state. Studies show that surgery plus Lupron (leuprolide) is more effective than any other hormonal treatment. It should be used with addback norethindrone. ...Read moreSee 1 more doctor answer
I had laparascopy 3 yrs ago for endometriosis and have been under hormonal treatment since. Endo has returned should I stop the meds? It feels useless
My older sister was treated with testosterone for her endometriosis. Isn't this a potent male hormone and are they still using it for the treatment of endometriosis?
Endo treatment: The medication Danazol is a weak form of testosterone, still being used for the treatment of endometriosis related pain. Works well but side effects are wt gain, fuid retention, decrease breast size, acne , oily skin, facial hair growth. There are better drugs for the treatment of endo. ...Read moreSee 1 more doctor answer
Does hormonal treatment shrinks the endometriosis cyst? I've been given Yaz (drospirenone and ethinyl estradiol) for 3 months but afraid to start it. Please help
Not birth control: There are hormonal treatments which will shrink endometriosis. Lupron (leuprolide) is an example. Birth control pills may prevent or slow further endometriosis development but are not likely to shrink that which is already present. I am curious why you feel afraid of birth control pills? If so discuss other options with your obgyn ...Read more
Menorrhagia. 500ml in 48hrs, not endometriosis, hormone levels ok, thyroid controlled, basic blood clotting test normal. Any ideas? Treatment?
Hormone therapy: Usually helps suppress endometriosis but it depends on what exactly you are taking. If you stop the therapy, assuming you are taking Lupron (leuprolide) for example, the endometriosis will slowly become responsive to estrogen and Progesterone that your body will re-start making. I would speak to your doctor about your homrone therapy as it relates to endometriosis before making decisions to stop. ...Read more
I saw a specialist today and was diagnosed with endometriosis, they gave me the option of surgery to remove or a hormone therapy injection. I am wondering what my best option is.
See below: For mild to moderate pelvic pain medical management is desirable. For more advanced disease or severe symptoms not responding to hormonal therapy surgery may be required. Women with endometriosis can conceive normally but if there is infertility surgery and assisted reproduction techniques may be needed. Despite extensive research, the optimal management of endometriosis is unclear. ...Read moreSee 3 more doctor answers
Excision: I have to respectfully disagree with dr. Beard. While 80% of patients have pain relief while on lupron, (leuprolide) over half of all patients have a recurrence of pain within a year, some after 6 mos. Complete excision of endo can be done without removing any reproductive organs, and has a 80% chance of curing endo with no recurrence of endo. There are no hormonal side effects like Lupron (leuprolide) has. ...Read moreSee 1 more doctor answer
Pain or fertility ..: Options depend on if pelvic pain is an issue, and if trying to conceive now, want kids in the future , or done with childbearing. Medical treatment: Depo-Provera Lupron (leuprolide) shots work best, also Letrozole tablets or birth control pills. Surgical options: laparoscopy with excision or ablation vs. Removal of ovaries +/- hysterectomy. Fertility patients may need ivf after Depo-Provera Lupron (leuprolide) or medications and iui. ...Read moreSee 1 more doctor answer
Endometriosis: The cheapest treatment are oral contraceptives. But you need to be seen by an ob/gyn to tailor the treatment to your needs. You may need a different treatment that can be cheap as well. Endometriosis not treated properly has devastating effects over time on your female organs and surrounding organs as well. ...Read moreSee 1 more doctor answer
Various doses: 5 mg twice a day is a common dose but there are others depending on your doctors protocol ...Read more
No: There are various medical and surgical treatments for endometriosis. Medical treatments include birth control pills, Depo Provera (medroxyprogesterone) and Depo-Provera lupron. Surgical treatments include laparoscopy to remove endometriosis and scar tissue. Hysterectomy may be done when other treatments have failed. ...Read moreSee 1 more doctor answer
What is the best treatment for endometriosis? What is the recommended treatment for endometriosis? Are there options other than surgery?
Hello. : Hello. I can't say what treatment would be best for you. In additional to surgery, other options include birth control via patch, pill or ring. This can help to decrease the amount of endometrial tissue and decrease pain. If you are not allergic to non-steroidal anti- inflammatory medications consider Motrin or a similar medication. There are stronger hormone therapies if the first steps are not sufficient. ...Read moreSee 1 more doctor answer
Yes: There are many different treatments available for the treatment of endometriosis. Lupron (leuprolide) is a medicine that decrteases estrogen levels and causes endometriosis to shrink away in most woman. Lupron (leuprolide) is used to treat endometriosis pain and endometriosis lesions/endometriomas. It should not be used long term to treat infertility associated with endometriosis-consider other options such as surgery. ...Read more
It may help: Lupron and Synarel (nafarelin) are both GnRh Agonist drugs that tend to block any progression of existing endometriosis, but may or may not help with the pain. If a 3 to 6 month course of Lupron doesn't alleviate the pain your MD may consider Laparoscopy with ablation as a method + pain medication. ...Read more
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