GnRH agonists are modified versions of gonadotrophin releasing hormone, which the body produces to help control the menstrual cycle. GnRH agonists get rid of endometrial implants by suppressing ovulation and the production of oestrogen by the ovaries. Due to low oestrogen levels in the body, the endometrial implants are not stimulated to grow and breakdown each month so they gradually waste away. The most commonly reported side effects are menopause like symptoms and a decrease in bone density. Surgical treatments Surgery for endometriosis aims to remove endometrial implants, cysts and adhesions as well as to repair any damage to organs caused by the condition.
Operative laparoscopy treats the endometriosis via a laparoscope.
Laparoscopy is described under the 'diagnosis' section of this article. In an operative laparoscopy endometrial implants, cysts and adhesions are removed or destroyed by cutting, burning or with laser. Conservative laparotomy is a major operation which removes or destroys as much endometriosis and adhesions as possible. Removal of an ovary and fallopian tube and repair of any damage to organs may also occur during this operation. Hysterectomy for endometriosis involves the removal of the uterus and would also include the removal of endometrial implants and adhesions.