Laser Biomodulation Therapy in the Treatment of Endometriosis

Endometriosis is the number one problem for women of the 21st century.

Endometriosis is a common gynecological disease in which cells similar to the endometrium (the inner layer of the uterus) grow outside this layer. In most cases, it develops in women of reproductive age, but cases of this disease have been described in girls (even before the onset of the first menstruation) and in older women, after menopause and cessation of menstruation.

Endometriosis affects women of reproductive age, its exact prevalence is unknown. Many women do not consult a doctor, considering pain to be a normal part of the menstrual cycle.

Endometriosis is one of the leading causes of pelvic pain and grounds for laparoscopic surgery in many countries. The average age of patients with endometriosis is 25-30 years. Endometriosis is less common in postmenopausal women. The causes of the disease have not been precisely established by official medicine.

There are many theories of endometriosis: 

·      theory of retrograde menstruation (Sampson);

·      the theory of coelomic metaplasia;

·      local biosynthesis of estrogens;

·      inflammation;

·      genetic aspects;

·      embryological theory;

·      the role of stem cells.

Classification

Endometriosis is divided into genital (internal and external) and extragenital.

Symptoms

1. Pelvic pain. Pain, as a rule, is cyclical (it appears or increases before menstruation), but it can be permanent.

2. Increased and prolonged menstrual bleeding.

3. Pain during sexual intercourse – dyspareunia.

4. Pain during bowel or bladder emptying (in the fourth stage).

5. Infertility.

6. A bloody tear (very rare).

Diagnosis of endometriosis

The "gold standard" is laparoscopy + histological verification of the diagnosis.

To correlate the diagnosis of endometriosis by laparoscopic visualization and the histological confirmation of the biopsy taken.

Frequently prescribed treatment: laparoscopy, hormone therapy.

It is important to pay attention to the fact that the ovaries lose their performance during interventions, this has been scientifically proven. Each laparoscopy reduces the chances of getting pregnant. Therefore, it is advisable not to resort to such an operation more than once in a lifetime.

That is why it is important to carry out further treatment with physiotherapeutic methods to preserve the functions of the ovaries (conservative therapy).

Conservative treatment is a type of medical treatment defined by the avoidance of invasive measures such as surgery, usually with the intent to preserve function.

There should be only one operation for endometriosis in a woman's life — the first and only one. For the purpose of anti-relapse therapy, medication may be prescribed according to indications. Studies in recent years indicate that currently drugs intended for the treatment of endometriosis do not adequately solve the problem. However, the progress in knowledge, especially in the field of laser therapy, observed in recent years, inspires confidence in the possibility of new therapeutic approaches.

A comprehensive examination and treatment of 169 patients with genital endometriosis was carried out, of which the main group consisted of 109 patients treated with vaginal laser therapy, and the control group - 60 patients receiving conventional treatment.

The developed patented method of laser therapy allowed to reduce the symptoms of the underlying disease in 81% of patients, vegetative dysfunction - in 67%, pathological changes in the psycho-emotional profile of the personality and other characteristics of the neuropsychiatric status – in 74% of patients, to reduce the frequency of relapses of the disease by 2 times compared with the control group who received conventional treatment (Table 1)*.

Disease	Treatment results with improvement	Treatment results without improvement	Total patients
Endometritis, including after cesarean section	68	2	70
Inflammatory tuboovarial formations	51	3	54
Infertility of tubal-peritoneal genesis	47	4	51
Hyperplastic processes of the endometrium	108	6	114
Genital endometriosis	104	5	109
Total (patients)	378	20	398
Total (%)	94,96	5,04	100

*Laser therapy in obstetrics and gynecology, T.A. Fedorova, S.V. Moskvin, I.A. Apolikhina, Moscow, 2009.

There are 4 stages of endometriosis , depending on the number of lesions and depth of infiltration.

With the 1st and 2nd degrees of severity of the disease, it is possible to avoid surgical intervention and use a physiotherapeutic method - laser therapy.

At 3-4 degrees of severity, laser therapy will help to remove invisible foci, restore menstruation and reproductive function. It helps to avoid complications after surgery.

Each case is different and should be reviewed by your doctor individually. But every woman should understand and have reliable information about her individual options, possible treatment options, and complications that she may receive as a result of, say, surgery.

Laser therapy – what is it?

As a highly effective therapeutic agent, laser light was first used in Russia more than 60 years ago. Today, laser therapy is developing thanks to the efforts of Russian scientists and doctors, but it is already becoming more widespread worldwide. For several decades, hundreds of methods of treatment and prevention of relapses of various diseases have been developed in almost all fields of medicine, therefore, it is in Russia that the most effective methods of laser therapy and the best equipment in the world are available.

Exposure to low-intensity laser llumination (LLLI), we do not introduce anything foreign into the body, but only adjust the system of self-regulation and maintenance of homeostasis, in which failures have occurred. This explains the exceptional versatility and safety of the method, since only regulation, direct or indirect, of the normal physiological reactions of the body is carried out. Both stimulation and reduction of the influence of regulatory systems are possible. That is, laser light helps to cause the necessary and predictable reactions of the body by the attending physician, depending on the dose, the state of the body and the characteristics of the pathological process. Understanding and in-depth knowledge of the mechanisms of action of LLLI allows you to treat the widest range of diseases absolutely safely and as effectively as possible.

The unique devices, which have no analogues in the world, have been manufactured in Russia by the Matrix Research Center for more than 20 years. Many developments and techniques have no analogues. Long-term clinical studies conducted in collaboration with leading medical centers have proven the unprecedented high efficiency of using Matrix and Lasmik series equipment. The equipment is successfully used in practice by doctors in Russia and around the world: in gynecology, urology, neurology, cosmetology, dentistry, pediatrics and other fields of medicine.

Euromedprestige is the first in North America who managed to obtain the rights to use patented treatment methods and put them into practice, having passed certification and training with the support of the head of the research Center "Matrix" Moskvin Sergey Vladimirovich. The laser therapeutic devices of the MATRIX and LASMIK series are used for noninvasive and cavity laser therapy in many fields of medicine. The devices are intended for professional use by doctors in medical institutions of a wide profile.

In gynecology LASMIK laser device can be used for the following conditions and diseases:

·      Endometriosis;

·      preparation for in vitro fertilization;

·      decrease or absence of sexual desire;

·      adhesive processes in pelvic organs;

·      recovery after surgical treatment;

·      infertility;

·      menopause;

·      menstrual disorder;

·      hypofunction and dysfunction of the ovaries;

·      cervical pseudo-erosion;

·      neurogenic idiopathic vulvar itching;

·      adnexitis;

·      cervical inflammation;

·      bartholinite;

·      cystitis;

·      colpitis, recurrent yeast infections, vaginitis and other diseases.

The modern approach to the implementation of laser therapy methods provides for comprehensive treatment of all categories of patients, including the combination of various options for laser therapy and other therapeutic methods (medication, physiotherapy, physical therapy, etc.). The ability of a doctor to navigate the variety of traditional and innovative methods of physiotherapy, the use of evidence-based medicine principles in evaluating the effectiveness of various physical factors are indicators of his high professionalism.

Endometriosis Program

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