The best therapy for endometriosis depends on your symptoms and your own reproductive goals. If you have no symptoms but are infertile and want to get pregnant, conservative surgery is best in this case. If you have no symptoms and don’t wish to get pregnant, doing nothing is fine. There is no reason to treat endometriosis unless you’re in pain or it is affecting your quality of life; it is a perfectly benign, harmless condition. Within naturopathic circles, natural progesterone therapy is a mainstay therapy for endometriosis.
If you have pain and don’t want to get pregnant, try an oral contraceptive before anything else; this usually does the trick. Failing that, you’ll need to weigh the side effects of danazol and GnRH therapy against surgery.
