诊断子宫内膜异位症
不孕不育医生(生殖内分泌科医生)应该对不孕不育患者进行腹腔镜检查以评估子宫内膜异位症。这些训练有素的专家通常可以在诊断性腹腔镜检查期间检查出宫内膜问题并且给出对应的治疗宫内膜异位症疾病方案。
治疗子宫内膜异位症
子宫内膜异位症依赖于雌激素的生长，因此药物治疗旨在降低雌激素水平。它通常用促性腺激素释放激素(GnRH)激动剂Lupron治疗 。一旦雌激素水平下降，患者就可以经历通常与更年期相关的所有副作用。然而，它会减缓子宫内膜细胞的生长。
因为有证据表明即使是少量子宫内膜异位症也会降低妊娠率，子宫内膜异位症通常在腹腔镜检查期间通过外科手术切除。不孕不育专家一丝不苟地去除所有子宫内膜异位症病变。
如果子宫内膜异位症已经穿透输卵管， 体外受精(IVF) 可能是较好的治疗选择。如果输卵管损伤可能非常严重，手术治疗可能不是一个可行的选择。因为卵巢或其他内脏器官也可能受到严重损害，所以不能再选择手术切除方案。
Diagnosing and Treating Endometriosis
Diagnosing Endometriosis
A fertility doctor (reproductive endocrinologist) should perform a laparoscopy for the evaluation of endometriosis. These highly trained specialists can often treat the disease during the diagnostic laparoscopy.
Treating Endometriosis
Endometriosis depends on estrogen for growth so drug treatments aim at reducing estrogen levels. It is commonly treated with Lupron, a gonadotropin releasing hormone (GnRH) agonist. Once the estrogen levels decline the patient can experience all of the side effects normally associated with menopause. However, it will slow endometrial cell growth.
Endometriosis is often surgically removed during a laparoscopy. Fertility specialists meticulously remove all endometriosis lesions as there is some evidence that even small amounts of endometriosis can lower pregnancy rates.
If endometriosis has penetrated the fallopian tubes, in vitro fertilization (IVF) may be the best treatment option. Tubal damage may be so severe that surgical treatment may not be a viable option. There may also be severe damage to the ovaries or other internal organs.
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