Doctor in Bhatia Hospital
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time.
Here is everything you need to know about this ailment:
Symptoms: Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period.
Stages: There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.
- Minimal Stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
- Mild Stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
- Moderate Stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
- Severe Stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.
Treatment: There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone, Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases.
A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed.
One must discuss all risks and complications before going in for a certain form of treatment for this ailment.
The uterus is a very important organ within the human reproductive system as this is the chamber where an embryo grows into a baby. Due to a multitude of factors, the incidence of uterine cancer has been on the rise. Let's look at some of its symptoms.
Symptoms of uterine cancer
When cells within the uterus grow abnormally and turn malignant, it may be termed as uterine cancer. This may be in the form of a fibroid or tumor or be part of the uterine tissue itself. It may be caused due to a multitude of factors such as late menopause, radiation exposure, estrogen treatments and many others.
Some of the common symptoms for uterine cancer could be:
- Pain in the abdomen, lower back and especially the pelvic area.
- Pain during urination,
- Weight loss without any apparent reason
- Vaginal bleeding with or without discharge
- Pain during sex
Diagnoses of various cancers
Before we understand the stages of uterine cancer you need to know how doctors diagnose the various stages. This is done by the three following steps in the TNM method:
Tumor - Doctors try and search for tumors and locate them within the uterus, estimate its size and whether it is malignant or not.
Node - If the tumor is malignant, then doctors try to find out whether the tumor has reached the lymph nodes or not.
Metastasis - Doctors look for Metastasis which is whether the cancer has spread to other organs within the body and to what extent.
Stages of cancer - Cancer is primarily grouped in five stages from 0 to V according to the T, N and M stages mentioned below.
Stage 0 - This is a very early stage of cancer where the cells have malignant growth but are still small in number and haven't spread anywhere.
Stage I - If the cancer has developed a little but is restricted within the uterus, it is considered as stage one. This is also further divided into Stage 1A and 1B.
Stage II - When the cancer has started spreading but only to some parts of the cervix from the uterus, it is diagnosed as stage 2 uterine cancer.
Stage III - Categorized into Stage IIIA, Stage IIIB, Stage IIIC1 and Stage IIIC2, it is primarily where the cancer has spread to other organs but it is only limited to the pelvic area.
Stage IV A - When the cancer has gone beyond the pelvic area and also spread to the rectum and balder area.
Stage IV B - This is where the cancer has metastasized in the groin area or gone to other organs within the body as well.
I am 22 year old I was pregnant it was my first time so I was very excited to confirm my pregnancy doctor asked me to have ultrasound in 6 th week but nothing was visible in the ultrasound. Then doctor said may be my dates are wrong. Then on 7.4 week I had bleeding with clots for half day .then I had beta hcg test which comes out to be 138.9.so have I lost my child or there any chance.
Hi, I am 35 weeks pregnant. Feeling stomach tightening & lower back pain. What are the disadvantages of not delivering full term (37 - 40) weeks?
I'm 30 years old. Completed 3 years of marriage. Had 3 miscarriage. I have thyroid and PCOD. What is the cause of my frequent miscarriage? Please help me with this issue.
Respected Madam I am 70. Although you are very busy. Will you kindly help me with your suggestions My Sister, Patient Age -46, Suffering from Endometriosis along with Suspected Adenomyosis (?) ,ALTHOUGH AS PER USG REPORT NO ABNORMALITY IN UTERUS 1) Patient now Asymptomatic, Presently /Practically not much of a Problem 2) Tablet Endosis was taken for 6 months. 3) Two doctors have advised Hysterectomy, One doctor not agreeing. 4) .As there is not much of a problem now, if left in this condition whether the disease can worsen and lead to bigger problem 5) Hysterectomy with bilateral oophorectomy is the last line of treatment for endometriosis. The treatment usually depends upon the severity of the symptoms. If patient is asymptomatic then whether OPERATION is required 6) Once she attains menopause gradually whether the disease will become dormant because of lack of hormones 7) Whether Moderate Endometriosis can be treated with medication at this age 8) What is this Adenomyosis, Is it a tumour (?). As per my knowledge in Adenomyosis tissues/growth are inside the uterus and in endometriosis it is outside of the uterus 8) Whether Hysterectomy is a permanent cure for Endometriosis. 10) But Cyst size has Increased as seen from last USG report compared with last but one report? Comparison of Last Two USG Reports LAST REPORT LAST BUT ONE REPORT endometrial Thickness 8.3 mm 7.1 mm Right Ovary Normal 22X16 Normal Left Ovary Greater than 35X25 (45 X) Greater than 35X25 Left Ovary Contains Chocolate Cysts Cyst Size 28X24 23X23 As Hysterectomy with bilateral oophorectomy will have forced Menopause it may have side effects like hot flushes etc Any medication that can be taken now to remove slight uneasiness in abdomen With thanks and regards.
Intracytoplasmic Sperm Injection i.e. ICSI is different from conventional IVF i.e. In Vitro Fertilization because a single sperm is selected by the embryologist to be injected by a needle into the egg rather than a dish with many sperms placed near the egg so that the fastest swimming sperm enters it. Once the sperm is injected directly into the egg, it fertilizes, after which the embryo is transferred into the womb or uterus.
Your doctor might recommend ICSI treatment for you if you have an extremely low sperm count resulting in infertility or other medical sperm conditions such as poor motility or poor morphology. It may also be suggested if prior attempts at IVF procedures have failed in fertilizing the egg or the fertilization rate is extremely low. You must also consider ICSI treatment if you resort to embryo testing or if the sperm needs to be collected from the epididymis or testicles surgically.
However, you must keep in mind that if your partner has a genetic problem resulting in low sperm count, it could be passed on to your child, if you decide to use your husband's sperm for this process.
Success Rates of ICSI:
The success rate of ICSI treatment depends on your age and your fertility problem. Your eggs are healthier when you are young and as you age, chances are that they will become less healthy.
1. 35 per cent if you are under 35 years of age
2. 29 per cent if you are between 35 to 37 years of age
3. 21 per cent if you are between 38 to 39 years of age
4. 14 per cent if you are between 40 to 42 years of age
5. 6 per cent if you are between 43 to 44 years of age
6. 5 per cent if you are above 44 years of age
Advantages of ICSI Treatment:
Intracytoplasmic Sperm Injection gives you a chance to conceive a child genetically when most other options are exhausted. Males may be unable to ejaculate on the day the eggs are collected due to anxiety. ICSI proves to be advantageous because sperm may also be surgically extracted for this process. It is extremely helpful for those couples who suffer from unexplained infertility. However, one of the most important factors is that ICSI treatment does not affect your child's physical or mental health.