Danazol treatment for 6 months. This treatment suppresses gonadotropins and causes endometrial tissue to slough. Estrogen and progesterone in 2 to 10 times the dose in birth control pills. Treat for 6 months to a year. This treatment has antigonadotrophic effects as well as a direct effect on endometrial tissue.
All patients have severe side effects.
Conservative surgery to selectively remove extrauterine endometrial tissue. May use hormones 6 weeks before and 3 to 6 months after surgery. Pseudomenopause and conservative surgery have a better success rate for subsequent pregnancy than pseudopregnancy has. Treatment options are as above in III B. Radical surgery. Hysterectomy with removal of ovaries if they are involved.