The rate of re-growth of endometriosis varies from patient to patient and is dependent on the aggressive nature of the endometriosis in some patients. In some patients with low growth potential endometriosis it may take several years to shift from one stage to another whereas in other patients were the endometriosis is of a more aggressive nature this could happen within a few months. Unfortunately there are no specific tests that can be done to predict the aggressive nature of the endometriosis and the only predicative factor in fact is the repeat laparoscopy, which will in some way evaluate the rate of re-growth in a certain time interval. Therefore each patient has her control in this respect. Obviously as the stimulus factors change with time the rate of spread of the endometriosis will also alter and in some cases may burn itself out after several years after it has attained it’s limiting stage. Therefore a practitioner realises that he is dealing with an aggressive type of endometriosis his therapeutic approach will also be one of aggressive therapy so as to keep the condition in check. My advice would be to take all steps to suppress aggressively the endometriosis such as the use of Zoledex (GnRH analogue therapy) for a period of 4-6 months followed immediately thereafter by several IVF attempts to attain a pregnancy.
Answered by: Dr M.I. Cassim
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