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Dr. Demraj Chandiwala

Gynaecologist, Mumbai

1500 at clinic
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Dr. Demraj Chandiwala Gynaecologist, Mumbai
1500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Demraj Chandiwala is one of the best Gynaecologists in Nariman Point, Mumbai. You can meet Dr. Demraj Chandiwala personally at Lady Ratan Tata Medical in Nariman Point, Mumbai. Save your time and book an appointment online with Dr. Demraj Chandiwala on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Lady Ratan Tata Medical

103/104, Maharshi Karve Road, Nariman Point,Landmark:Near Koprage Telephone Exchange, MumbaiMumbai Get Directions
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Hi my girlfriend got pregnant .it is just 1 week and we need to abort it. Which tablet want to use for abortion.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi my girlfriend got pregnant .it is just 1 week and we need to abort it. Which tablet want to use for abortion.
Hi lybrate-user, ask her to get basic check up done with gynaecologist and pelvic ultrasound for location of the pregnancy. If everything is normal then she can take tablet for termination of the pregnancy. But this should be under medical supervision as may lead to serious health problems like bleeding.
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Health Benefits Of Carrot Juice

Sexologist Clinic
Sexologist, Faridabad
Health Benefits Of Carrot Juice

Carrots are an excellent source of vitamins, nutrients, and fiber. But you don’t have to eat carrots to receive these nutritional benefits. Drinking carrot juice is an easy way to add carrots to your diet. Here are eight reasons why you should add carrot juice to your diet.

1. Stronger vision

It’s often said that eating carrots is good for your eyes. It turns out there’s truth behind this claim. Carrot juice is a good source of beta-carotene, a type of vitamin A, which is one of the most powerful antioxidants.

Vitamin A helps protect the surface of the eye and contributes to strong vision. Drinking carrot juice can ward off various eye disorders, such as macular degeneration, cataracts, and blindness. Carrots also contain lute in, which is an antioxidant that protects the eye from damaging light. 

2. Improved skin disorders

If you have a history of skin problems, such as rashes or psoriasis, adding carrot juice to your diet may improve the appearance of your skin. Carrots contain vitamin C, which has healing properties. It helps skin recover faster from external wounds and trauma. Beta-carotene in carrots also reduces skin inflammation, which speeds the healing process.

3. Boosted immune system

A cold or the flu can stick around for one or two weeks, making it difficult (or impossible) to go to work or school. To strengthen your immune system and help your body fight off infections, add carrot juice to your daily diet and maintain your physical health.

Carrots contain antioxidants, which help your body fight free radicals, cell damage, and inflammation. Vitamin C in carrot juice also provides an immune system boost, helping you get through cold and flu season.

4. Boosted immune system

A cold or the flu can stick around for one or two weeks, making it difficult (or impossible) to go to work or school. To strengthen your immune system and help your body fight off infections, add carrot juice to your daily diet and maintain your physical health.

Carrots contain antioxidants, which help your body fight free radicals, cell damage, and inflammation. Vitamin C in carrot juice also provides an immune system boost, helping you get through cold and flu season.

5. Lowered cholesterol

If you’re having trouble controlling your cholesterol, or if you want to control your cholesterol without medication, consider adding carrot juice to your diet. As an excellent source of potassium, carrot juice can help you maintain a healthy cholesterol level. Lower cholesterol levels reduce your risk of heart disease and stroke. Talk to your doctor before stopping any prescription medications.

4 people found this helpful

M 5th month pregnant. My husband makes me cry he hurts mee too much. And I cried too much. Plzz tell my baby is safe in my womb? I love my baby soo much. Kya mere bache pr koi bura asar to nhi pdega?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
M 5th month pregnant. My husband makes me cry he hurts mee too much. And I cried too much. Plzz tell my baby is safe ...
If it's a physical hurt can harm baby and even mentally if you are stressed and upset can have indirect affect on baby so better take help of doctor and take husband along so that Dr. can cousel your husband .so that both of you have a peaceful and happy parenthood.
1 person found this helpful
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I am suffering from post menopausal depression anxiety and insomnia. I am also loosing lot of frontal hair please advice.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am suffering from post menopausal depression anxiety  and insomnia. I am also loosing lot of frontal hair please ad...
You need to get a health check up done that would include bp, lipid profile, pap smear, pelvic usg, liver function tests, thyroid function tests, and hb, mammography. If these tests are normal then the best thing to do is to consider hormone replacement therapy to help with your symptoms,
1 person found this helpful
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Hallo doctor, my mother of two babies 5 n 4years. My husband always attracts towards other ladies who lives near us. So. I get hyper. What is the solution of my problem. AM in job he is also in job.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hallo doctor, my mother of two babies 5 n 4years. My husband always attracts towards other ladies who lives near us. ...
Hello, there is no medical solution to it actually, you have to talk to your husband and identify his needs.
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When I suck my wife's breast nipples on sex time, it's leave something just like water. What is this? Is anything wrong with my wife?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
When I suck my wife's breast nipples on sex time, it's leave something just like water. What is this? Is anything wro...
During sexual stimulation it is normal in females unless and until she dont complains of regular discharge or pain in nipples or surrounding area.
1 person found this helpful
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Hi I am suffering from pcod, thyroid and my one fallopian tube is infected. What I have to do ? I am very frustrated now.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Don' t get frustrated. If other tube is normal and your husband is also normal, you have to regularise periods by drugs, control weight and then start fertility treatment directly. Good luck.
1 person found this helpful
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I had a c sec delivery on last Friday can you suggest me some foods for healing d stitches n can I have milk.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I had a c sec delivery on last Friday can you suggest me some foods for healing d stitches n can I have milk.
Yes you can have toned milk, avoid foods causing distension, chickpea, beans, cauliflower, fried foods or too much salt and sugar and spices. Take jeera, ajwain, ginger, garlic as it enhances lactation, do feed the baby, no bottles, eat more proteins like milk and curds and boiled eggs plus proteins supplements plus seasonal vegetables and fruits plus eating according to constitution. Take more proteins. Do routine work for baby only. No exertion or exercises for 8 weeks till internal stitches are healed. Outwardly it's a dry wound. You can take a bath and maintain hygiene, good luck to mother and baby.
1 person found this helpful
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My periods are not regular since I first started to bleed. Is it a problem not having periods regularly? What should I do to make this normal?

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My periods are not regular since I first started to bleed. Is it a problem not having periods regularly? What should ...
Hello- An irregular period, medically known as oligomenorrhea, is a common problem among women. A number of factors can cause this problem, such as eating disorders, significant weight loss or gain, anemia, menopause, thyroid disorders, hormonal imbalance, liver disease, tuberculosis, irritable bowel syndrome, diabetes, recent birth or miscarriage, polycystic ovarian syndrome, uterine abnormalities, and other health conditions. It can be made normal with life style changes and ayurvedic medications.
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For my sister she got married last 1 year over and still not pregnant she consult one doctor he told there is no chance. you have any treatment or solution for that ?

BHMS
Homeopath, Secunderabad
Nothing to worry, somany causative factors for infertility; like pcod, hormonal imbalances, hereditary factors, disorders in reproductive system etc. We have excellent medicines in homoeopathy to solve your sister's problem. Is she taking nay medicines for this?
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Why there is pain after and before menstruation? Is there any way to overcome that?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Why there is pain after and before menstruation? Is there any way to overcome that?
First of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black 3.do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep 5.chandraprabha vati 1 tab before lunch and dinner 6.dashamularishta 4 tsp before lunch and dinner.
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Female Sexual Health: Female Should Know

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
Female Sexual Health: Female Should Know

You just never seem to be in the mood these days. Or the last few times you had sex, it hurt. Maybe you have some discharge that’s different from the norm.

But how do you know which signs might signal a bigger problem with your health?

“How can you know what abnormal is if you don’t know what normal is?”

Lang says it’s a good idea for a woman to examine her vagina with a mirror and light each month, just as you do a regular check of your breasts.

If something just doesn’t seem right or it’s bothering you, don’t feel embarrassed to bring it up with your doctor. “You deserve to have a healthy sex life,

Here are the few symptoms  you should bring up when they happen and consult doctor

Low Desire

By far the most common sexual health issue for women is low desire,

If low desire doesn’t bother you, it’s not a problem, But if it’s causing you distress (and it’s lasted for at least 6 months), you can talk to your doctor to find out what may be going on.

Hypoactive sexual desire disorder, the medical term for a low sex drive, can have many different causes -- physical, emotional, cultural, or a combination of those. It could come from a hormone problem, such as estrogen or your thyroid hormone. It could happen because of other health conditions you have, like diabetes, anxiety, depression, or sleep disorders. It may be a side effect of a medication you take, like antidepressants or birth control pills. Even smoking and alcohol can affect desire. Or it may have to do with the quality of your relationship with a sexual partner.

Your doctor or another health professional in the office may ask you some questions to figure out what’s going on.

Pain and Discomfort

You’re not alone if sex hurts. Nearly three out of four women will have pain during intercourse at some point. It could be in the vagina and the area just outside of it, called the vulva. But some women feel pain inside their pelvis, too.

Sometimes sex is uncomfortable when you’re not aroused enough, or you have a vaginal infection or a skin condition, like allergies or psoriasis. But pain during sex can also be a sign of serious conditions like pelvic inflammatory disease, endometriosis, fibroids, ovarian cysts, or cancer. So if it happens often or is severe, see your doctor -- she’ll want to rule out any serious health issues that could be causing it.

If you’ve reached menopause, painful sex may be caused by vaginal atrophy. That’s when the tissues around your vagina and vulva dry up because of the loss of estrogen.

If you feel a bulging sensation around your vagina and have trouble peeing, it could be a sign that your bladder or other organs in your pelvis have dropped from their normal place and are pushing against your vagina. That’s called a pelvic organ prolapse, a problem that becomes more common with age. Treatments include Kegel exercises, physical therapy, Homeopathic medicine and surgery.

Irregular BleedingIf you’re past menopause and you have bleeding from your vagina, see your doctor as soon as possible. She’ll need to make sure you don’t have a serious problem, like an infe

ction, uterine fibroids, or cancer.

If you’re still having periods, watch for any spotting, bleeding between periods, bleeding after sex, or periods that are heavier or last longer tha

n usual.

Consult doctor if you have these symptoms.

Unusual Discharge

Is there a change in the color, amount, or smell of your discharge that lasts more than a few days? Let your doctor know.

You may have something that’s simple to treat, like a bacterial or yeast infection. But some discharges may be a sign of sexually transmitted diseases like gonorrhea or chlamydia. Watery or bloody discharges may be due to cancer

Lumps and Bumps, Rashes and Sores

If you notice any changes in your skin below your beltline, like a mole that looks different or is new, or a bump that itches or hurts, tell your doctor.

These spots can have many different causes, from an ingrown hair to an STD like genital warts or herpes. More serious is vulvar cancer, a rare condition that can show up as a lump, bump, or sore. It may cause itching or tenderness.

No matter what symptoms you’ve noticed, when something doesn’t feel or look right to you, don’t worry that you’re making a big deal out of nothing. “Run it by your doctor just to get a reassuring word,” Lang says. “So you don’t have to worry.”

I am 18 weeks3 days pregnant. I had a scan yesterday. Was told that cervix length is short. But os closed. Moreover my glucose test shows little variations. Crossed border range. Advised to control diet. Give suggestions for a healthy pregnancy.

Diploma in Naturopathy & Yogic Science (DNYS)
Ayurveda, Bangalore
I am 18 weeks3 days pregnant. I had a scan yesterday. Was told that cervix length is short. But os closed. Moreover m...
Should not worry for these problems. Try to do naturally at your home. Take hot water every day evening. Do exercise every morning. Drink juice of watermelon, apple, oranges, cucumber, carrot etc. These foods make our dietary also avoid carbohydrates and high calcium foods or supplements. If you start to take our medicines you can get normal delivery without any severe pains. Also if you need more details and medicines you can consult us. We have medicine to cure any diseases. Hope that our suggestions are helpful for you. Thank you.
1 person found this helpful

How Exercise Can Help In Keeping Your Bones Healthy?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
How Exercise Can Help In Keeping Your Bones Healthy?

Did you know that in addition to your diet, exercise is one of the best ways to make sure that you never lie on a hospital bed with a surgeon treating you for a bone disorder? Medical expertise has constantly pointed out to the fact that regular exercise makes your bones less likely to suffer from wear and tear during old age.

As you exercise, your muscles become stronger, your bone density increases and your balance improves. Of course, it goes without saying that you need to follow certain precautions before you exercise to avoid certain injuries.

Before starting any exercise program, make sure that you prepare your body for exercise. A brief warm up helps you to get your muscles ready for exercise. It also makes sure that your chances of injury are drastically reduced.

Here are some tips to keep your bones healthy:

  1. Weight lifting: Weight lifting is a type of exercise that, if done correctly, will be extremely beneficial for your bones. You can opt for simple bodyweight exercises such as pushups and squats, which build muscle as well as strength. Avoid using very heavy weights as it causes back-related problems such as slipped disk.

  2. Yoga: Yoga is another method of exercise which is very beneficial for bones and joints. The premise of yoga is static strength building wherein you hold a pose or an exercise for a certain period of time; this helps in strengthening your muscles. Along with your muscles, your bones also become stronger as you get fitter. Yoga is repetitive stress which is good for flexibility and hence keeps your joints supple and muscles in good shape. There are certain asanas which are weight bearing and anti-gravity postures can strengthen your bones. 

  3. Swimming: Swimming again is a good aerobic exercise and is good for back and over all fitness but doesn't strengthen bone per se. It is a way to keep you healthy. Swimming is a cardiovascular exercise, which is also known for its calorie burning capabilities. It is also very effective is incinerating fat and keeping your skeletal system healthy. Whereas walking and jogging and running certainly build your bones as they are weight bearing exercises.

  4. Pilates: Pilates is a new form of exercise that has been gaining a lot of steam lately. It does not require much equipment, as you can get started with just a mat. It is very effective in working your spine and the hips, thus keeping your lower back strong. A weak lower back increases the chances of bone disorders drastically. If you wish to discuss about any specific problem, you can consult an orthopedist.

3355 people found this helpful

Infertility - Causes And Treatment

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Infertility - Causes And Treatment

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. For women aged 35 and older, inability to conceive after 6 months is generally considered infertility. Repeated pregnancy loss (2 or more spontaneous pregnancy losses) can also be considered infertility. Recent estimates indicate infertility affects 10-15 percent of the population in their childbearing years.

If you experience recurrent pregnancy loss, or if you have not been able to become pregnant within a year (six months if the woman’s age is over 35, 2-3 months if over 40), then you may benefit from assessment and treatment by a reproductive endocrinologist - a doctor with a special interest, training and expertise in the area of infertility. It’s a state that results in the abnormal functioning of the male or female reproductive system.

The causes for infertility could be:

  1. Male factor - erectile dysfunction, ejaculatory dysfunction, problems with quality, count and quantity of semen

  2. Female factor - Tubal factor, ovulatory problems, abnormality of uterus, hormonal imbalance 

  3. Antisperm antibodies

The prime symptom is very obvious i.e. unable to have baby despite of having sex without any contraceptives.

Factors affecting fertility:

  1. Age: Female fertility gradually declines in the 30s, particularly after age 35. Each month that she tries, a healthy, fertile 30-year-old woman has a 20% chance of getting pregnant.

  2. Smoking: It increases risk of getting infertile and reduces the chances of treatment.

  3. Alcohol: Consumption of alcohol is said to lower the sperm count in men.

  4. Obesity: An overweight person has a higher chances of having sperm abnormality.

  5. Workout: Less or very heavy work out is said to increase the chances of infertility.

  6. Mental Stress: Studies suggests that ovulation and sperm production may be affected by mental stress. If at least one partner is stressed it is possible that the frequency of sexual intercourse is less, resulting in a lower chance of conception.

  7. Sexually Transmitted infections can also adversely affect the fertility of a person.

When to take further advice and course of action?

In case the women trying to conceive is less than 35 years of age, then 12 months and if more than 35 years, then in 6 months itself one needs to get in touch with the Specialist/Reproductive Endocrinologist/Gynaecologist or a Urologist for a complete diagnosis.

Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it could be the result of a combination of factors in both men and women.

There are many treatments available that improve the chances of having a baby. Such treatments include:

  1. Hormones treatment

  2. Drugs for fertility

  3. Surgery in some cases

Also one the oldest form of medications such as Ayurveda as well as Homeopathy is said to have a wonderful treatment of Infertility. With the developments in medical sciences, there are lot of treatments available; however, such treatments sometimes become the victim of their own success causing multiple births – Two, Three or may be more.

Some Assisted Treatments are:

  1. Intrauterine insemination

  2. In Vitro Fertilization

  3. Intracytoplasmic sperm injection

  4. Donation of Sperm or Egg

  5. Assisted Hatching

  6. Electric or Vibratory Stimulation to achieve ejaculation

  7. Surgical Sperm Aspiration

It is important to understand the complete treatment before going ahead and be aware of the possible outcomes and be psychologically ready.

Please do not keep it to yourself and consult an expert. Never go for self medication! If you wish to discuss about any specific problem, you can consult a gynaecologist.

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I and my girlfriend are planning to have sex. I am definitely gonna use a condom. Apart from that, there are pills available for women that are taken on a daily basis to avert any possibility of pregnancy. Could you give more info on that and to take it for my girlfriend.

DGO, MBBS
Gynaecologist, Faridabad
I and my girlfriend are planning to have sex. I am definitely gonna use a condom. Apart from that, there are pills av...
gen barrier method of cotraception are safe to use then pills because these pills have to be taken whole month nsometimes it also causes nausea vomitting in sensitive girls
12 people found this helpful
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We are in baby planning since a year. But not succeed. We did all the tests and all reports came normal. Doc asked us to keep trying. What may be the reason of not getting pregnant?

MBBS
General Physician, Pune
We are in baby planning since a year. But not succeed. We did all the tests and all reports came normal. Doc asked us...
Try timed method if intercourse happens during ovulation period (day 14) chances of being pregnant are high. Best time day 12 to 16 post first menstral cycle day.
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2750 people found this helpful

I done sex many time with precautions and safety but my period is getting late and my stomach is paining since a week. My period date is 25 Feb before 25 Feb some red liquid was coming from there I need your help.

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
I done sex many time with precautions and safety but my period is getting late and my stomach is paining since a week...
You need to consider using a more reliable contraceptive method like birth control pills if you are in full relationship. Condoms have a high failure rate in terms of contraception, although they help you prevent transmission of sexually transmitted diseases. As you have already missed your period for almost two weeks now, you should do a blood test for hcg to rule out pregnancy.
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