What is ENDOMETRIOSIS?
Dr Chaithra S K
Kalyan nagar, Bengaluru Feb 9, 2017
Endometriosis is a painful condition in which tissue that normally lines the inside of the uterus (womb) grows outside the uterus (endometrial implant). It commonly involves ovaries, bowels and pelvis.
The endometrial implant present elsewhere outside the uterus also grows and bleeds every month like normal menstruation, resulting in collection of menstrual blood in ovary, pelvis etc. This collection causes pain. The blood collected causes irritation of surrounding tissue, eventually developing scar tissue and adhesions which causes organs to bind with each other. Pain and infertility are the major causes of concern. Fortunately, effective treatments are available
Women experiencing pain during periods, pain during intercourse, excessive bleeding during menses, inability to conceive may be suffering from endometriosis. Often women with severe endometriosis are asymptomatic. Hence pain of endometriosis is not related to its severity. Endometriosis is often mistaken for other ovarian cysts, pelvic inflammatory disease delaying its diagnosis.
Many theories have been proposed as cause of endometriosis - like metaplastic changes, reverse flow of menstrual blood, immunological, inflammatory and genetic causes.
The main complication of endometriosis is impaired fertility. Approximately 40-50% of women with endometriosis are infertile. This is due to poor egg quality, distorted tubo-ovarian anatomy which inhibits transport of eggs and sperm through tube, defective implantation etc. Women with initial stages of endometriosis may still conceive naturally. Hence, it is advised not to postpone pregnancy if you are diagnosed with endometriosis as the condition may worsen with time.
Endometriosis is diagnosed by Ultrasonography where ovarian endometriosis can be easily visualized. Definitive diagnosis and severity can be ascertained by direct visualization of pelvic organs by laparoscopy. A biopsy from the affected area proves endometriosis histologically. The advantage of laparoscopy is that definitive treatment can also be carried out in the same sitting.
Treatment of endometriosis depends on age, severity and whether fertility is an issue. If the woman has already had children, treatment may be pain killers, hormones, or surgical removal based on severity. Treatment of endometriosis in infertile women is entirely different and should be done in hands of fertility specialist.
Women with minimal-mild endometriosis as visualized by laparoscopy may conceive naturally. Laparoscopic ablation of endometriotic spots, restoration of pelvic anatomy may help women conceive spontaneously or with intra-uterine inseminations. Women with moderate to severe endometriosis especially ovarian endometrioma of >3cm may require surgical excision before proceeding to assisted reproductive technologies. Care should be taken not to excise normal ovarian tissue during surgery as it may deplete ovarian egg reserve drastically. IVF is the best modality of treatment in these women as postponement of pregnancy by attempting to conceive naturally may worsen the disease.
So, if you are suffering from symptoms suggestive of endometriosis or proven case of endometriosis trying to conceive, or with repeated fertility treatment failures book your appointment at Garbhagudi IVF centre. The centre has state-of-the-art facilities to treat endometriosis and realize your dream of becoming parents. The centre is equipped with latest laparoscopy instruments where well known expert laparoscopic surgeons operate.
Many patients with endometriosis have had the joy of parenthood here at Garbhagudi IVF Centre. You may be the next. Visit us for your treatment today to enjoy motherhood.
Dr. Chaithra S K
MBBS, MS, FRM
Consulting Infertility Specialist
GarbhaGudi IVF Centre,