Is it the thought of putting hormones into your body and the possible side effects that worry you about trying the Mirena? Has your doctor offered any other options, even to the extent of surgery? Conservative therapy is usually applied in women where the reproductive potential needs to be maintained and consists of removal or ablation of endometriosis, adhesions, resection of endometriomas, and restoration of normal pelvic anatomy as much as is possible. The approach can be either by laparoscopy or laparotomy, however as laparoscopy is already used to diagnose endometriosis the surgical correction can often be performed at the same session. Further, laparoscopy has a faster recovery time and involves less hospitalization. Laparoscopic removal or ablation of endometriosis in minimal or mild endometriosis has been shown to be equal or better then expectant management, medical therapy, or surgery via laparotomy.