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Monday, August 5, 2013

New guidelines For Endometriosis

11th World Congress on Endometriosis in Montpellier, France at the request of the World Endometriosis Society has just come out with the newest guidelines on how to treat endometriosis.  56 representatives of 34 national and international, medical and non-medical organizations pooled their perspectives to come to conclusions on this disease. The thought is that the flow of menstrual blood through the fallopian tubes is only partially responsible for the condition and it is most likely due to a variety of factors and is essentially a estrogen caused neurological condition characterized by pain. There is new evidence there may be resistance to progesterone as part of the cause. Although surgery to make the diagnosis is the best way to determine if a woman has endometriosis, even surgery may miss very early endometriosis as much as 50% of the time. The women with the same symptoms as women with endometriosis may benefit from the same treatments. New confirmatory tests for endometriosis are being studied, including blood, urine and tests of the actual structure of the nerves in the uterine lining tissue, but none of these have been determined to be helpful so far. The group has confirmed that endometriosis may persist after natural or surgical menopause.No specific diet has been firmly confirmed to reduce endometriosis although one study did say that fish oil helps for menstrual cramps.The guidelines have strategies for which pain medications to use first: stay with mild ones, which medications to use: try birth control or other less invasive medications; as well as thoughts on all the newest medications and how they will help women. For individual advice, see your gyno, or contact us at www.womenshealthpractice.com for consultation.

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