### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i am a 38 years old female. had operated for chocolate cysts in 2006 and tests showed endometriosis .suffering since then from heavy priods and pain.started novalon for about 1year to get relief and again restartted for another 1 year. then another doctoe gave danogen-200mg and took it for 6 months.ihave now adenomyosis and can i start now with shatavari tablets for my disease of endometriosis and adenomyoma

### output:

Hi and welcome to Chat Doctor Thanks for posting your query here. Endometriosis is presence of endometrial tissue in other than uterus. It may present in ovaries, tubes, peritoneum or cervix. Endometrial tissue is the cause for menstruation in the uterus. It is the periodical shedding of endometrium which results in monthly menstruation. Hence, whatever the tissue is, because of hormonal effect it sheds off. If it is in ovary the endometrial tissue along with blood collects and forms a chocolate color fluid filled cyst. The definitive treatment is excision of the tissue. It depends on the site and extent of the tissue. If it is not operable the treatment consists of hormones. Shatavari is an Ayurveda medicine. It's a time-honoured medicine. It gives wonderful results. For endometrial bleeding it works. Because you have a scattered endometrium it effects all the tissue. Same like danger. Hence, both the mode of therapies is the same. But I suggest you to follow either one treatment. Because both the therapies effect by the influence of hormones. Hope this is helpful to you Regards