Both medical and surgical treatments exist for endometriosis.
Medical treatments include pain killers (such as ibuprofen or narcotics) and hormonal suppressive treatments (such as birth control pills). While such treatments can help improve symptoms in some cases, they do not treat or cure the condition. These treatments could be compared to pouring water on a fire – while the fire may go out momentarily, the embers continue to smolder and the fire can reignite later. In a similar way, when pain medications and hormonal suppressive treatments are stopped, the disease can flare up once more.
Laparoscopic surgery is the best option for treating endometriosis, both for alleviating pain and improving fertility. There are two ways endometriosis can be treated surgically, with either fulguration or excision.
During a fulguration procedure, endometrial tissue is burned away with a cautery device. This kind of treatment has significant downsides, however, the most important being the likelihood that endometriosis is not fully treated by cauterization, meaning that a woman’s symptoms can return sooner.