Patient's question:
Please help the doctor answer the question about the best methods for treating 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, the majority 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 – It does not suppress menopause but is effective in relieving menstrual pain with minimal side effects. Its efficacy is poor for endometriosis-related symptoms, making it suitable for patients with severe symptoms but mild physical signs.
(3) Progestin drugs – Such as Fuke Pian, Funing Pian, and Huangtong Pinduon, these are suitable for patients with limited financial resources 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-Me, caution is needed, as the estrogen in contraceptives can stimulate the growth of uterine fibroids. Therefore, patients with fibroids should use them with caution.