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Gynaecology and Obstetrics;;

Gynaecology and Obstetrics



ABOUT THE DISEASE

The inner lining of the uterus is called the endometrium. During the menstrual period, the lining of the endometrium is shed through the vagina. The word "endometriosis" means a problem with the lining of the uterus. In endometriosis, fragments of endometrium move through the fallopian tubes and develop in places other than the inner lining of the uterus. These fragments may develop on the ovaries, in the pelvis, bladder, on the fallopian tubes, the vagina, the peritoneum, or the intestine.

During the menstrual period, this tissue swells and bleeds, just like the lining of uterus. This is often painful, and scar tissue can form in the pelvic area.

Mild forms of endometriosis are common and may not require treatment. Endometriosis can make it difficult for a woman to become pregnant.

Endometriosis

CAUSES

No known causes for the same have been identified. One theory is that the endometrial cells that shed when a woman gets her period may travel backwards through the fallopian tubes into the pelvis, where they implant and grow. This is called retrograde menstruation. Any woman who has menstrual periods can get endometriosis. Endometriosis occurs most often between the ages of 25 and 40, but it can also occur in younger women. In rare cases, this condition may also persist after menopause in some women.

SYMPTOMS

The following symptoms may or may not be present and the severity of the problem and the severity of the symptoms have no correlation.

  • • Painful menstrual cramps at the start of periods
  • • Painful sex
  • • Difficulty becoming pregnant
  • • Abdominal cramps or back pain during menstruation
  • • Painful bowel movements

DIAGNOSIS

- Medical history
- Pelvic exam
- Transvaginal ultrasound
- Laparoscopy

TREATMENT METHODS

The treatment plan depends upon the age of the patient, whether the patient wishes to get pregnant and also on the severity of the symptoms. Medicines help to reduce the size of tissue growth and to relieve painful symptoms.

Treatment for endometriosis symptoms may include:

  • • Birth control pills
  • • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • • Hormone therapy and
  • • Progestins

Surgery may be recommended if pain is severe and does not get better with other treatments. During surgery/Pelvic laparoscopy, the endometrial tissue is removed from the wrong places. In very severe cases, hysterectomy may be recommended.

In cases of mild and severe endometriosis, infertility treatment options like artificial insemination and/or in vitro fertilization (IVF) may be considered.


You may also like to learn about:

Uterine Fibroid
Adenomyosis
Infertility
Dyspareunia
Dysfunctional uterine bleeding (DUB)
Menopause


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Want to Consult the best gynaecologist in Delhi.
I have endometriosis cyst . . .. I need to get myself operated and .. ...
Female 32 , Delhi

14

34 Mins Ago

Want to know the cost of D&C in Delhi.
my endometrial thickness measured appx.11mm. both overies are bulky. what does ...
Female 42 , Delhi

48

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endometriosis of right adnexal mass, how to proceed for treatment?
endometiosis of right adnexal mass.Found by laparoscopy.I need to know how i sh...
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58

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Seeking treatment for endometeriosis.
treatment for endometeriosis. Advise required for medication or surgery....
Female 46 , Bhopal

35

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My sister is suffering from endometriosis. Suggest best doctor in/nearby Bhopal
I am from Bhopal. My sister (25 years old) is suffering from endometriosis dise...
Female 25 , Bhopal

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