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Endometriosis: Non-Surgical Treatments

Hormone Therapy

To treat the symptoms of endometriosis, your doctor may recommend one or more of the following: over-the counter medications, hormone therapy, or surgery. Talk to your doctor to find out the benefits and risks of each option, and which one may be best for you.

Hormone therapy regulates or blocks the hormones that control your menstrual cycle. Certain hormones can limit the swelling of your endometrium and extra endometrial tissue (implants). This treatment may be used before, instead of, or after surgery. The following are different types of hormone therapies:

  • GnRH Agonists and FSH and LH Inhibitors – This medication is used to stop or lower the production of estrogen and progesterone hormones.
  • Birth control pills - This medication contain estrogen and progesterone. Birth control pills help to regulate the estrogen and progesterone in your body.
  • Progestins – Progestins are a form of progesterone and help to keep estrogen levels low.
  • Danazol – This hormone stops or lowers the production of estrogen and progesterone

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.

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PN 1002242 Rev A 04/2013 U 7/5/2012

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