Hormonal therapy can help in the treatment of endometriosis because it is these hormones that cause the lesions to undergo changes similar to the menstrual cycle.  One of the most common forms of hormonal therapy is oral contraceptives; you take the pills for 21 days and then take sugar pills for 7 days to mimic the natural menstrual cycle. If the sugar pills are not taken, birth control pills stops the menstrual period completely, this helps in decreasing the pain and in some cases causes it to vanish completely. There are a few type of birth control pills that have only a couple days of sugar pills every 3 months; these also help reduce or eliminate pain. This can be taken in different forms like a pill, via an injection, or through an intrauterine device (IUD). Progestin, like norethisterone, is similar to the body's hormone progesterone.  When progestin is taken, it makes the progesterone levels in the body similar to what they would be if you were pregnant. Progestin helps in reducing estrogen production, thereby stopping ovulation, along with menstrual cycle in most women. Your options include the following:  Pill: When taken as a pill daily, these hormones decrease menstrual flow without causing the uterus lining to grow. Once you stop taking the progestin pill, you are back to square one; the symptoms can return and pregnancy can occur. IUD. An IUD containing progestin, such as Mirena, helps in reducing endometriosis-related pain. It decreases the size of lesions and  menstrual flow. Injection. As an injection, progestin has to be taken once every 3 months. This treatment generally stops the menstrual flow, but some women do bleed many times during the first year of taking the injection. When this bleeding occurs, pain can recur. After stopping the injections, it can take few months for menses to return. Once the periods are back, the woman can conceive. These medications stop the production of certain hormones to prevent ovulation, menstruation, and the growth of endometriosis. This treatment sends the body into a "menopausal" state. These medicines are available in different generic names. Their doses are as follows:  Leuprolide is injected into muscle (intramuscularly) once a month. You can also take an injection that lasts for 3 months. Nafarelin is sprayed into the nose (intranasally) twice a day. Goserelin 3.6 mg pellet is injected under the skin of the abdomen (subcutaneously) once every 28 days. Slowly the pellet is assimilated by your body. Danazol is a suppressive drug with some androgenic activity. The treatment with this drug stops the release of hormones that are involved in the menstrual cycle. Women will have a period only now and then or sometimes not at all when on this medication.  The patient is started with the dose of 800 mg, administered in two divided doses depending on the severity of the disease.  For mild cases, an initial daily dose of 200 mg to 400 mg given in two divided doses is recommended and may be adjusted depending on patient response. Conservative surgical treatment involves removal of the tissues, adhesions and restoring the normal pelvic anatomy as far as possible.  In order to do this the physician can perform a laparoscopy (camera assisted video surgery) so as to remove the lesions or destroy them using intense heat without harming the normal tissues. It is a minimally invasive procedure in which the surgeon makes only 2-3 small incisions on the abdomen. He or she can also do laparotomy which is a major operation during which the small lesions that are not visible in laparoscopy are removed, and if needed, the surgeon removes the uterus. The physician tries to conserve the ovaries as far as possible but if necessary he can remove them also. This major surgery is the last resort for endometriosis treatment. The recurrence rate is estimated to be 10 percent per year. In women who have had a hysterectomy where both ovaries have not been removed, there is 6 times the risk of recurrence as compared to cases in which the ovaries are removed.
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One-sentence summary -- Ask your doctor about hormonal therapy. Take progestin. Consider which form of progestin to use. Get a prescription for gonadotropin-releasing hormone (GnRH) agonists . Ask your doctor about danazol. Consider the possibility of surgical treatment. Realize that endometriosis can reappear after surgery.

Article: Knowing what sort of coverage your insurance plan offers for psychotherapy or how you plan to pay for therapy is very important. Check your description of plan benefits for information on behavioral health services or coverage for mental health. When in doubt, ask the human resources representative of your insurance company directly. And, ask the therapist if they accept your insurance before making your first appointment. Otherwise you may have to pay out of pocket when you could be seeing a therapist in your insurer's network.  When you meet, remember to take care of payment, scheduling, and insurance questions at the start of the session. This way you will be able to end the session sharing, without the disturbance of logistical issues like calendar checking and payment.  Know that if you see a therapist in a private practice, they may provide you with a receipt that you will submit to your insurance company for reimbursement. You might be responsible for the entire cost of the visit up front, and then be reimbursed through your insurance company. Therapists come from many different backgrounds, and have different forms of education, specialization, certification, and licensing. "Psychotherapist" is a general term, rather than a specific job title or indication of education, training or licensure.   The following are red flags, indicating that the therapist may not be properly qualified:  No information provided about your rights as a client, confidentiality, office policies, and fees (all of which would allow you to fairly consent to your therapy) No license issued by the state or jurisdiction in which they practice. A degree from a non-accredited institution. Unresolved complaints filed with their licensing board. The more information your therapist has about you, the better they will be able to do their job. Helpful documents might include reports from previous psychological tests or recent hospital discharge summaries. If you are a student, you may also want to bring recent grades or other recent markers of progress. This will be helpful during your intake interview, when the therapist may ask you to fill out forms about your current and past physical and emotional health.  By streamlining this part of your visit, you and your therapist will have more opportunity to get to know each other on a person-to-person level. If you are already taking any medications for mental or physical health, or if you have recently stopped a medication, you will want to come prepared with the following information:  Name of the drug(s) Your dosage Side effects you are experiencing Contact information of the providing doctor(s) When meeting for the first time, you may have lots of different questions and concerns. In order to address everything you want to know, write some notes reminding you to gather all the information you need. Bringing these to your first session will help you feel less confused and more at ease. Notes might include the following questions for your therapist:  What therapeutic approach do you use? How will we define our goals? Will you expect me to complete assignments to do between sessions? How frequently will we meet? Will our work together be short-term or long-term? Are you willing to collaborate with my other health care providers to treat me more effectively? Because therapy is meant to provide you with a safe space to work on yourself, time must be managed wisely. Once you are in the session it's the therapist's job to keep track of time, allowing you to focus on answering questions and adjusting to the feel of therapy. But, it's up to you to get yourself to that point. Be aware that some private therapists charge for missed appointments, and these fees are not covered by insurance.
Question: What is a summary of what this article is about?
Understand the financial arrangement. Check the therapist's qualifications. Prepare any relevant documents. Gather a list of medications you are taking or have taken recently. Write reminder notes. Keep track of your appointment schedule.