Patient's question:
Please help the doctor answer the question about what are the common treatments for endometriosis. I hope the expert can provide a detailed explanation. Thank you.Doctor's answer:
Here is the English translation of the provided content, with line breaks () preserved as instructed:(1) Danazol, although it has more common side effects, most of which are mild and do not require discontinuation of the medication. In rare cases of elevated liver function, it is advisable to stop the medication promptly and provide liver-protective treatment.
(2) Tamoxifen, which does not suppress menopause, is effective in relieving menstrual pain with minimal side effects. However, it has poor efficacy in improving symptoms of endometriosis, making it suitable for cases with severe symptoms but mild physical signs.
(3) Progestin drugs, such as Fuke Pian, Funing Pian, and Medroxyprogesterone Acetate, are suitable for those with heavier financial burdens who cannot take Danazol or Norethisterone. However, their effectiveness in promoting fertility is relatively low, and liver function tests should be conducted regularly during treatment.
(4) Contraceptives, such as Compound 18-Methyl, require attention. The estrogen in contraceptives may stimulate the growth of uterine fibroids, so caution is advised for individuals with fibroids.