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Endometriosis of the Pelvic Cavity: Treatment of the Disease

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Endometriosis diagnosis
532.44
Curettage under the control of hysteroscopy in endometritis
1783.44
Da Vinci treatment in endometriosis
5426.71

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology and Obstetrics

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Endometriosis diagnosis
2667.42
Curettage under the control of hysteroscopy in endometritis
7101.68
Da Vinci treatment in endometriosis
10987.72

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Endometriosis diagnosis
2658.02
Curettage under the control of hysteroscopy in endometritis
6988.64
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
7790.47

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Endometriosis diagnosis
2627.74
Curettage under the control of hysteroscopy in endometritis
7073.6
Da Vinci treatment in endometriosis
10985.63

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics and Reproductive Medicine

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Endometriosis diagnosis
2917.98
Curettage under the control of hysteroscopy in endometritis
8057.12
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
8937.82

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Endometriosis diagnosis
2579.72
Curettage under the control of hysteroscopy in endometritis
6646.64
Da Vinci treatment in endometriosis
10626.49

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Endometriosis diagnosis
3254.14
Curettage under the control of hysteroscopy in endometritis
8928.32
Da Vinci treatment in endometriosis
15153.28

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Obstetrics, Adult and Pediatric Gynecology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Endometriosis diagnosis
0
Curettage under the control of hysteroscopy in endometritis
0
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
0

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Obstetrics, Adult and Pediatric Gynecology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Endometriosis diagnosis
2656.98
Curettage under the control of hysteroscopy in endometritis
7355.84
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
7962.73

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Endometriosis diagnosis
2534.83
Curettage under the control of hysteroscopy in endometritis
6889.28
Da Vinci treatment in endometriosis
10924.03

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gynecology and Mammology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Endometriosis diagnosis
2575.54
Curettage under the control of hysteroscopy in endometritis
6742.4
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
7255.94

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Endometriosis diagnosis
3049.52
Curettage under the control of hysteroscopy in endometritis
8137.76
Da Vinci treatment in endometriosis
13076.76

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Endometriosis diagnosis
2466.97
Curettage under the control of hysteroscopy in endometritis
6697.04
Da Vinci treatment in endometriosis
10629.62

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Gynecology, Mammology and Obstetrics

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Endometriosis diagnosis
2662.2
Curettage under the control of hysteroscopy in endometritis
7254.32
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
8098.45

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Endometriosis diagnosis
2675.77
Curettage under the control of hysteroscopy in endometritis
7253.6
Da Vinci treatment in endometriosis
11394.88

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Gynecology, Obstetrics

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Endometriosis diagnosis
2577.63
Curettage under the control of hysteroscopy in endometritis
6687.68
Da Vinci treatment in endometriosis
10445.88

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gynecology and Gynecologic Oncology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Endometriosis diagnosis
2781.21
Curettage under the control of hysteroscopy in endometritis
7172.24
Diagnosis and laparoscopic treatment of endometriosis with extension to pelvic organs
8011.8
| from Booking Health GmbH

Endometriosis is one of the most common gynecologic diseases in women of reproductive age. It is a frequent cause of infertility and recurrent miscarriages. The disease causes symptoms that impair the woman's quality of life, such as pelvic pain, dyspareunia (painful sexual intercourse), and abnormal uterine bleeding. Conservative treatment methods are ineffective, and therefore most women with endometriosis require surgery. You can opt to undergo your treatment abroad so that it is safe and minimally traumatic. You are welcome to visit the Booking Health website to find out the cost of treatment and compare prices at different hospitals to select an effective medical care program at the best price.

Content

  1. Conservative therapy
  2. Endometrial foci removal
  3. Uterus removal surgery
  4. Infertility treatment
  5. How to undergo treatment abroad?

Conservative therapy

 

There are no reliable methods of conservative treatment of endometriosis that could lead to a regression of symptoms or a decreased number of endometrial foci in the long term. The effect of the treatment is short-term, and it cannot be used for life, since the most effective treatment methods do more harm than good. They cause artificial menopause with an increased risk of osteoporosis, cardiovascular disease, atrophic vaginitis, and pelvic organ prolapse. Such drugs are therefore usually intended for a course of up to 6 months. These can be used as preparation for surgery to reduce the size of endometriosis foci and make it easier for a doctor to remove them.

The following medicines can be prescribed for long-term use:

  • progestogens can be used constantly or only in the second phase of the cycle, if a woman is planning a pregnancy;
  • oral contraceptives (these can be used after surgery to remove endometriosis foci to reduce the risk of their recurrent development);
  • intrauterine devices reduce the risk of recurrent endometriosis after surgery and protect against uterine bleeding;
  • nonsteroidal anti-inflammatory drugs and neuromodulators relieve pain.

Endometriosis cannot be cured with medicines. Danazol or GnRH agonists can be used to reduce endometrial foci, but after their withdrawal, the disease will progress, and within a few months, the growth of endometrial tissue will reach its previous size.

Endometrial foci removal

 

Endometrial foci can be located in the uterus, ovaries (endometrioid cysts), peritoneum, and other organs. Theoretically, they can develop anywhere in the body. Although, in practice, doctors most often deal with genital forms of endometriosis.

Doctors abroad perform laparoscopic operations as a surgical treatment for the disease. Surgeons make short abdominal incisions, insert thin, long instruments with a video camera attached through them, examine the abdominal cavity, and remove or cauterize any endometrial foci found. The results of the operation depend on whether a doctor was able to find and remove all areas of the endometrial tissue spread. If some of the foci remain in the abdominal cavity, the risk of the disease recurring will be significantly increased.

Methods for removing and destroying endometrioid growths can be different:

  • mechanical removal;
  • shaving;
  • enucleation of endometrioid ovarian cysts;
  • laser or radiofrequency ablation;
  • resection (partial removal) of the affected organs.

The choice of tissue removal options depends on the size of the lesion and its location. For example, ablation is usually not used on the ovary to avoid thermal damage to healthy tissue and preserve the ovarian reserve.

Uterus removal surgery

 

A hysterectomy is the most effective treatment for endometriosis and the only possible way to cure this disease forever, with a guarantee close to 100%. If the uterus is no longer present in the woman's body, the tissues of the inner lining of the uterus cannot grow and spread throughout the body. In addition, other problems can also be solved at the same time. For example, doctors can cure cervical dysplasia, which develops due to the human papillomavirus, eliminate the problem of endometrial hyperplasia, and prevent the development of endometrial cancer.

The problem is that most women with endometriosis are patients of reproductive age who are interested in preserving their uterus. As a result, a hysterectomy is rarely used in treatment abroad for this disease, except in older women or patients with severe adenomyosis (internal endometriosis).

A hysterectomy can be performed through a vaginal, abdominal (abdominal incision), or laparoscopic (minimally invasive) approach. Foreign specialists prefer to perform operations through vaginal and laparoscopic approaches, as they are less traumatic, less likely to cause complications, and contribute to the rapid recovery of patients upon the completion of treatment.

Infertility treatment

 

The main goal of treating endometriosis in women with infertility is often the restoration of fertility and the onset of a pregnancy. The following approaches can be used to solve the problem of infertility:

  • conservative therapy with immediate attempts to get pregnant after the completion of the course of treatment (a patient has a reduced number of endometriosis foci, but they will reach their previous size after a few months);
  • surgical removal of endometrial foci, for example, near the fallopian tubes, which disrupt their patency and transport of the egg to the uterus;
  • surgical removal of endometrial foci in the uterus and further plastic reconstruction of the organ (a complex operation that is best performed at a reputable hospital);
  • in vitro fertilization is especially effective if the main mechanism for the development of infertility is fallopian tube obstruction caused by endometrial growths.

Most women with infertility caused by endometriosis can get pregnant after surgical treatment or IVF.

How to undergo treatment abroad?

 

You are welcome to select a diagnostic and treatment program through the Booking Health service to undergo your treatment abroad. On our website, you can find out prices and compare the cost of treatment at different hospitals to choose the best option. Treatment abroad offers the following benefits:

  • organ-preserving treatment (uterus preservation);
  • minimally invasive operations (laparoscopy) instead of open ones;
  • sparing techniques for removing endometrial foci in the ovaries, which allow a patient to preserve her ovarian reserve as much as possible;
  • surgeons successfully perform complex reconstructive surgery on the uterus in patients with internal endometriosis, and what is more, the chance of a pregnancy remains;
  • after treatment in developed countries, the majority of women with endometriosis restore their fertility or they get pregnant through the use of assisted reproductive technologies;
  • doctors will select conservative therapy after surgery that will reduce the risk of disease recurring.

When you choose a medical care program through the Booking Health website, the cost of treatment for you will be lower than when you contact a hospital directly. The lower price is due to the absence of taxes for foreign patients. When you make your treatment appointment through Booking Health, you will receive insurance against unexpected medical expenses. This means that after the start of your medical care program, the cost of treatment will not increase, even if additional procedures are required.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

UpToDate

NHS

MedicineNet




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