The main advantage of hormonal treatment is that it is usually a less drastic form of treatment and, unless you are unlucky enough to have severe side effects, it does not cause a major disruption to your life.
The main disadvantages are that it cannot treat adhesions, it rarely eradicates endometriomas greater than two centimeters in diameter and, for some women, it has side effects.
The main advantage of surgery is that although it is a more drastic approach to treatment, the effects and side effects are usually relatively short-term when compared to hormonal treatment.
One of the disadvantages of surgery is that it can only remove those implants, cysts and adhesions which the gynecologist can see and recognize and which can be removed without damaging the underlying organs. Following surgery there maybe some endometriosis and/or adhesions remaining because they were overlooked or were too difficult to remove or destroy.
Another disadvantage of surgery is that the surgery itself can cause adhesions, which can themselves cause on-going symptoms. While most surgeons use techniques designed to minimize the development of adhesions, there is no way of predicting who will develop them.
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