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Overview

Endometriosis - Symptom, Treatment And Causes

Endometriosis is an extremely painful disorder where the tissues which lines the inside of the uterus (endometrium) starts growing on the outside of the uterus (womb). Endometriosis usually includes the tissues lining the pelvis, fallopian tubes and our ovaries. During Endometriosis, the endometrial tissues breaks down and bleeds as it normally would. This tissue doesn’t have any way to exit from the body so it gets trapped. Endometriosis causes chronic pain during your periods. Sometimes, fertility can also be affected and it might create issues during conceiving a baby.

What causes Endometriosis?

The exact cause of Endometriosis is not yet known but studies suggest that it can be caused due to some factors such as:

  • Retrograde menstruation- In this condition, menstrual blood that contains endometrial cells usually flow back into the pelvic cavity through the fallopian tubes instead of passing out from the body. These endometrial cells stick to the pelvic organs and pelvic walls where they thicken and start bleeding over the course of the menstrual cycle.
  • Changing of the peritoneal cells- This is also called induction theory. Endometriosis can be caused due to the transformation of peritoneal cells.
  • Embryonic transformation of cells- Hormones like estrogen can transform embryonic cells in the early stages.
  • Surgical scar implantation- After a surgery like C-section or hysterectomy, the endometrial cells can attach itself to a surgical incision.
  • Endometrial cells transport- The tissue fluid (lymphatic) or blood vessels can transport the endometrial cells to other body parts.
  • Immune system disorder- If there is a problem with the immune system, it may make the body impossible to destroy and recognize the endometrial tissue which grows outside the uterus.

Risk factors that make you more susceptible in developing Endometriosis is:

  • Not giving birth.
  • Starting your period very early in life.
  • Having your menopause at a very old age.
  • Menstrual cycle less than 27 days.
  • High levels of estrogen in your body or exposure to a high level of estrogen produced by your body.
  • Low body mass
  • Excessive Alcohol consumption
  • One or more family members having Endometriosis.
  • A medical condition which avoids the passage of menstrual blood out of the body.
  • Abnormalities in the uterus (womb).

The symptoms of Endometriosis can end permanently if you experience menopause and can end temporarily if you get pregnant. Taking estrogen supplements can also trigger Endometriosis in some women.

Treatable by medical professional Require medical diagnosis Lab test always required Chronic: can last for years or be lifelong
Symptoms
Pain in lower abdomen. Lower abdomenal cramps. Menstrual irregularities.

Popular Health Tips

Endometriosis - How To Know If You Are Actually Suffering From It?

Dr. Deepti Gupta 92% (45 ratings)
MBBS, MS-Obstetrics & Gynaecology
Gynaecologist, Delhi
Endometriosis - How To Know If You Are Actually Suffering From It?
When endometrial tissue goes out of the uterus in women, then endometriosis occurs. In most of the cases, lower tummy and pelvic areas of women show the prominent symptoms of this disease. Symptoms of this disease can be either severe or mild but immediate medical diagnosis is required so that unwanted symptoms can be effectively prevented. Surgery, hormone treatment and painkillers are the most prominent treatments that can deal with the concerned trouble, but you can also follow a few natural therapies in this respect. Excessive intake of contraceptive pills can be one of the leading reasons for endometriosis, but you can also inherit this from your family or ancestors. List of the symptoms of Endometriosis: Painful periods: If pain continues throughout the periods, then you get yourself checked as you may have developed endometriosis. These pains can even be quite severe making the situation quite troublesome to bear. If you find that you are facing unusual menstrual pain, then you should not delay and rather immediately consult your nearest gynaecologist. Bleeding periods: Sometimes, bleeding periods can be one of the clear symptoms that can help you to recognize the arrival of endometriosis. Therefore, if you notice excessive bleeding, then you should consult any specialized doctor immediately. Pregnancy difficulty: Reduced fertility might create a greater trouble for conceiving, and thus you might get deprived bearing children. This is one of the most prominent or highlighting symptoms of endometriosis. Endometriosis clumps interrupt egg passage as a result of which the eggs cannot reach the fallopian tube via ovary. You can take the help of your gynaecologist so that the clumps can be reduced with the help of proper treatments. Pelvic area and abdomen pain: You will often experience a worse kind of pain, especially in the pelvic and abdomen areas during and before periods. Sometimes, the pain might even linger after the menstrual period is over. There are many women who take medications for reducing this kind of pain, but this is not the right procedure, rather proper treatment is needed for getting complete recovery on a permanent note. Painful sex: You will face a lot of troubles while making intercourse or sexual interaction with your partner, and this pain can be even severe at times. If you are facing painful sex for a long time, then you should immediately report the same to any experienced medical professional.

Endometriosis - How It Is Affecting Your Life?

Dr. Shyama Nivas 91% (161 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Patna
Endometriosis - How It Is Affecting Your Life?
The tissue that lines the uterus is known as the endometrium. In some cases, it can grow outside the uterus. This is known as endometriosis. Endometriosis usually involves organs in the pelvic cavity such as the ovaries, fallopian tubes, bowel and lining of the pelvic cavity. In rare cases, it may involve the vagina, cervix and bladder as well. Depending on the location and extent of endometrial tissue, it can be classified into four stages ranging from minimal to severe. Most cases of endometriosis fall into the minimal or mild category which involves mild scarring and superficial tissue implants. Moderate or severe endometriosis can cause cysts and severe scarring. Infertility is also commonly associated with severe endometriosis. Pain in the pelvic area just before and during menstruation is one of the most characteristic symptoms of this disorder. This is because the overgrown endometrial tissue acts like normal endometrial tissue and is shed during menstruation. The only difference is that since there is no exit for this overgrown tissue, it is trapped in the pelvic cavity. The location of the implantation of endometrial tissue also plays a role in the amount of pain experienced. The deeper the implant, more the pain. Implants near areas with high nerve density are also more likely to be painful than implants in areas with low nerve density. These implants may also release substances into the blood stream that can cause pain. Other symptoms associated with this disorder are: Painful intercourse Painful urination Pain during bowel movements Infertility These symptoms especially the pelvic pain can vary from month to month in terms of duration and intensity. A few simple changes in your diet can help manage the symptoms associated with this disorder and in some cases, prevent it as well. Avoid processed food and foods that are high in sodium content. You should also avoid high-fat dairy and food that is rich in arachidonic acid. Instead, increase your consumption of carbs and green leafy vegetables. You could also add two tablespoons of walnut oil a day to your diet to help combat inflammation and the other effects of arachidonic acid. Early stages of this disease can be treated with hormone therapy, but if it has progressed to the later stages, surgery may be needed. This surgery is performed laparoscopically and aims at removing all the implanted tissue from outside the uterus. However, in cases where the anatomy of the pelvic organs has been distorted by the implants, a hysterectomy may be required. This option, however, it usually considered only in cases where a woman does not have any plans of conceiving more children.
2 people found this helpful

Blocked Fallopian Tubes - Possible Reasons Behind It!

Dr. Supriya Malhotra Malhotra 85% (21 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Delhi
Blocked Fallopian Tubes - Possible Reasons Behind It!
Motherhood is a gift and though every woman understands this, only those who are infertile, really yearn for it. There are several reasons why some women aren t able to conceive a baby naturally. One of the most common reasons is a blocked fallopian tube, in fact; almost 20% of female infertility cases are due to this cause. The good news, however, is that it is treatable. Fallopian tubes are tube-like structures extending from the two corners of the uterus and acting as transporting medium between the Sperm and the ova. If there is an obstruction in any of the tubes, the sperm won t be able to reach the egg and hence forming an embryo will effectively be impossible. There are several reasons why fallopian tubes may be blocked: Infection: Some of the most frequent cases that doctors witness on day to day basis is of blocked fallopian tubes that are caused due to an infection in the area. These could range from sexually transmitted diseases, including HIV. Pelvic inflammatory disease: This is an infection of the uterus (womb), ovaries and fallopian tubes, causing tissues to stick together, forming obstructions in your tubes. Severe cases may lead to pus filled abscesses developing in the ovaries and fallopian tubes. Endometriosis: A condition where parts of your uterus lining grow in other areas besides the uterus, such as fallopian tubes or ovaries. Hydrosalpinx: Formation of fluid inside the fallopian tubes is also known as distal tubal occlusion in medical terms. It can be treated through a surgical procedure called salpingectomy. Scar tissue, adhesions and damaged tube ends that may be caused through previous injury or surgery. Treatment options If you re diagnosed with obstruction of fallopian tubes, don t lose heart. Ask your gynaecologist to recommend the right treatment protocol, that will help you to conceive soon. They will conduct a laparoscopy, which is a surgical procedure to look inside your pelvic area and at your fallopian tubes to suggest the necessary course of action. Some of the options may include the following: IVF: In vitro fertilisation is one of the most common procedures to help you conceive. It is a non-invasive technique which is safe and effective. Tubal surgery: Depending on the position and extent of the fallopian tube blockage, tubal procedures can be done using microsurgical techniques, wherein the blocked or infected portion of the tube is removed and the two healthy ends of the tube are then joined. Medication: In cases of infection, over-the-counter medication or hormones may be given to the patient. Though being a mother is a wonderful feeling, do not consider yourself unfortunate if you can t conceive. Think of it as an opportunity presented to you, to adopt a child and to make his or her life complete. Motherhood can come in all forms, so be ready to embrace it in any way.
1 person found this helpful

Know More About Endometriosis

Dr. Sanket Pisat 87% (10 ratings)
MBBS, MS - Obstetrics & Gynaecology, DNB - Obstetrics & Gynecology, Fellowship in Gynecologic Endoscopy
Gynaecologist, Mumbai
Play video
Endometriosis - A Serious Problem!

Endometriosis - How Laparoscopic Surgery Helps?

MD - Obstetrtics & Gynaecology, MBBS, Diploma in Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Endometriosis - How Laparoscopic Surgery Helps?
Laparoscopy is one of the most common procedures for diagnosing and removing endometriosis. Instead of giving a big incision, this procedure of surgery uses lightweight instrument through a small hole or incision. There could be one or more incisions based on the number of instruments that require access inside the body. This procedure involves the use of a camera to ascertain endometriosis as well as treat it in the same sitting. This brings drastic improvement in infertility as well as pain associated with the endometriosis. If a cyst is found in the ovary, laparoscopic surgeon removes it very delicately without causing any harm to the normal ovary, as a part of the Laparoscopic Surgery for Endometriosis. How does the procedure go? Eating and drinking should be suspended before 8 hours of the laparoscopic surgery. The doctor takes a call on whether to give a general or local anesthesia. Mostly, General anaesthesia is given during such procedures. A person specialised in Gynecological Endoscopy ( Gynaec Laparoscopic Surgeon) is the best to perform such a procedure. How is the procedure performed? The abdomen is first inflated with gas with the help of a needle. It pushes the abdominal wall from the organs to give a clear visibility to a surgeon. The laparoscopic Camera is then pushed through an incision or a set of incisions to examine the internal organ. If the scar tissue or endometriosis needs to be removed, a doctor can use one of the several laparoscopic techniques such as electrocautery, excision etc. Post the surgery, the incision is closed with stitches. The whole procedure usually takes 30-60 minutes depending upon the severity of endometriosis. Why is laparoscopy done? If the endometriosis pain has returned after a hormone therapy If there is a growing endometriotic cyst If the scar tissue found on the pelvic wall poses a threat on fertility If the endometriosis interferes with other organs such as the bladder etc. If the pain during menses ( dysmenorrhoea) refuses to subside Duration of hospital stay: Operations such as these are usually conducted at the outpatient facility owing to their less risky nature. A patient need not spent more than a day in the hospital. Rarely in severe cases of endometriosis overnight hospitalisation may also be required. One can successfully return to normal work within 1 week of the surgery. Post-surgical recovery: Once the laparoscopy is done, the next steps of treatment are decided based on the patient's age and severity of endometriosis. Few hormonal medicines are advised according to the desire for fertility etc. If a patient is over and above 35 years of age, the risk of miscarriages double. Since the quality of egg declines by the year, it makes sense to undergo infertility treatment such as the in vitro fertilization, intake of fertility drugs, insemination etc. If, however, the patient is below 35 years of age, makes sense to conceive naturally first and consult a doctor simultaneously. A routine check-up post-laparoscopic surgery on alternate six months for a year will keep any risks at bay.
1 person found this helpful

Popular Questions & Answers

Hi doc. M 6 week pregnant m taking susten sr 300. Since 15 days can I continue it. I have pcos and endometriosis problem also. And when I go to Dr. For checkup and ultrasound.

Dr. Aradhana Aggarwal 89% (22 ratings)
MS - Obstetrics & Gynaecology, Fellowship in Fetal Medicine
Gynaecologist, Amritsar
Hi, Yes you can continue it. Get an ultrasound done right away, to confirm a intrauterine pregnancy.

Home > No Periods > Health Feed > Questions > I have been recently diagnosed with endometriosis on my l. Health Query No Periods +4 I have been recently diagnosed with endometriosis on my left ovary which measures about 9 cm and also the reports tells that my left ovary is not seen separately. Right ovary has few tiny cysts of 18 mm. Doctors have suggested for laparoscopic surgery to remove the endometriosis but I am not interested to go for surgery so what is the best second option. I am 30 years old and unmarried. My periods are regular and no heavy flow. Periods last for 4 to 5 days. I get slight pain in my abdomen and lower back which is bearable. I get nausea and vomiting too on the first day of my periods. I do not have any other health problems. I want to know if the endometriosis is left untreated is their any kind of health risks or complications or is thr any treatment through medications without surgery. As I was not well a bit pain in my legs so doctor suggested for the whole body check up by which I have come to know about the endometriosis through sonography and after sonography even I have gone through ct scan plain and contrast of pelvic and abdomen. So what should be my first step towards treatment.

Dr. Sadhana Jadhav 89% (238 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Having 9 cm cyst is quite big and the ovary not visible it suggest that endometriosis cyst has damaged it. There is possibility of kinking both the tubes, I insist you should go for laparoscopy to remove it and send for biopsy do not spend time in treating with medicines after removal medicines can be started .take care.
1 person found this helpful

I am on Endosis 2 mg for 2 months to treat endometriosis. Can I fall pregnant during these 2 months while on Endosis? Do I need to take special precautions to prevent pregnancy?

Dr. Madhumita Das Mazumdar 93% (30 ratings)
MD - Obstetrtics & Gynaecology
Gynaecologist, Guwahati
Hello lybrate-user, Endosis prevents ovulation - that is, it prevents formation and release of an ovum (eggs) from the ovaries. So, you cannot fall pregnant while you are on Endosis. You will need to take precautions for the first month you are on the Endosis but not on the later months. I hope that helps.
3 people found this helpful

Is endometriosis curable and is there any problem in future pregnancy regarding this.

Dr. Surekha Jain 91% (699 ratings)
MS, MBBS
Gynaecologist, Delhi
It is curable if detected very early which is usually not the case It can creat many health issues if not detected in time and cured.

Health Quizzes

Could Your Pelvic Pain be Endometriosis?

Dr. Savita Gupta 86% (61 ratings)
Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Alwar
Pelvic pain from endometriosis (growth of uterine tissues outside the uterus) may lead to cancer and total infertility. True or False? Take this quiz to know now.
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