What is the first-line treatment for endometriosis?

The first-line treatment for endometriosis is oral contraceptive pills. This approach is based on the understanding that endometriosis is driven by hormonal factors, particularly estrogen. Oral contraceptives work by providing a steady level of hormones that can suppress the menstrual cycle, reduce the growth of endometrial tissue, and alleviate symptoms associated with endometriosis, such as pain and discomfort.

By inhibiting ovulation and stabilizing hormone levels, oral contraceptives can lead to a decrease in the inflammatory process, which is integral to the symptoms experienced by those with endometriosis. This treatment modality is often preferred due to its effectiveness, ease of use, and the added benefit of regulating other menstrual-related issues.

Other treatment modalities such as analgesics are typically used for symptomatic relief but do not address the underlying cause of endometriosis. Surgery may be considered for more severe cases or when other treatments fail, but it is not the first approach taken. Intravenous antibiotics have no role in treating endometriosis, as the condition is not an infectious process.