What is Endometriosis?
Endometriosis is a painful condition that affects women’s ovaries, fallopian tubes, and pelvic tissue. Endometriosis is a condition in which the endometrium, the tissue which lines the lining of the uterus, is found on organs outside of it. We only witness endometrial tissue spreading beyond the pelvis in rare instances.
When the menstrual cycle begins, the endometrial-like tissue swells, breaks down, and causes bleeding, which is known as endometriosis. The tissues become trapped, and because there is no way out, the surrounding area gets swollen, inflamed, and scarred.
Difference between Endometriosis and Adenomyosis
Endometrial tissue is found outside the uterine cavity in endometriosis, however endometrial tissue is found inside the uterine wall in Adenomyosis. Before menstrual periods, adenomyosis can produce severe menstrual cramps, lower abdomen pressure, and bloating, as well as heavy periods. This condition can be found or examined all through the uterus or in a single spot.
Endometriosis Diagnosis and symptoms
Because endometriosis often goes undiagnosed, it can take years for the condition to be diagnosed. They are often passed off as normal, thus it may be a long period of time before the illness is discovered. A diagnosis is made using the following methods:
- HISTORY TAKEN IN DETAIL FOR THE FOLLOWING SYMPTOMS:
- During a period, one can suffer from back pain.
- One can feel menstrual cramps severely.
- While pooping or peeing, you can feel pain.
- Unusual bleeding during periods is also a symptom.
- You can notice blood in urine or stool.
- It also includes painful sex and trouble in case of getting pregnant.
- The problem of constipation and diarrhea are also included in this.
Fertility and endometriosis
Endometriosis affects around 30% to 50% of women, and infertility can be a problem for them. Endometriosis can affect fertility in a several of ways, including:
- Distorted anatomy of the pelvis, adhesions, scarred and blocked fallopian tubes.
- Inflammation of the pelvic structures.
- Altered immune system functioning.
- Changes in the hormonal environment of the eggs.
- Impaired implantation of pregnancy or altered egg quality.
Treatment for endometriosis
Medication and surgery are used to treat endometriosis:
- Medicine of pain: The doctor may prescribe over-the-counter pain medicines such as ibuprofen or naproxen. Many people benefit from it, but if it does not work for you, consult a doctor about other possibilities. Bathing in warm water, exercising regularly, and using hot water bags or pads can all benefit the patient. Some people benefit from making diet changes, acupuncture, and other treatments.
- Surgery: Surgery is another option for removing the affected tissues while also increasing the chances to become pregnant. The procedure can be performed by laparoscopy or through a bigger cut. Thousands of patients have been treated through laparoscopic surgery by highly experienced Endometriosis specialists in Pune.
- Hormone Therapy: Doctors recommend hormonal therapy to help women reduce the amount of oestrogen in their bodies because too much oestrogen might cause their periods to stop. It helps reduce bleeding, cyst formation, and inflammation. Dienogest, birth control tablets, vaginal rings, gonadotropin-releasing hormone, Danazol, and other hormones are among them. Medical management is not required when planning a pregnancy.
- IVF (In Vitro Fertilization): This approach involves the extraction of eggs from the female body and the collecting of sperm from the male body. After that, the egg and sperms are fertilised in the lab, and the embryo is transferred to the uterus for implantation.