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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

Pain & Depression Due To Endometriosis - How To Deal With It?

Dr. Sagar Bumb 86% (16 ratings)
DGO , MBBS
Gynaecologist, Pune
Pain & Depression Due To Endometriosis - How To Deal With It?
The woman s reproductive system is an extremely complex one. The uterus which is the main organ with its appendages helps in conception, pregnancy, and childbirth by undergoing marvellous changes. The uterus measures just about 7.5 x 4.5 in a normal woman and expands to accommodate a full-term baby within her during gestation. The uterus is lined with smooth muscles, and due to unknown reasons, this lining material could be found in other parts of the pelvic organs. This condition is known as endometriosis and is one of the main causes of pelvic pain. Most women suffer through it, and it mostly gets diagnosed when some other issue is being investigated. For women with endometriosis, there are mainly two issues to deal with i.e. pain and depression. Pain: While the pain per se is one issue, the way it affects daily normal life is another thing to be considered. For the pain to minimally affect routine life, the following are effective ways. Exercise: Anything that you prefer like swimming, jogging, dancing, aerobics, cycling. This will help in stress management and pain relief. Rest: Get adequate rest of 8 to 9 hours per night. On severely painful days, go ahead and sleep for a couple of hours extra. Stress management: Whether through yoga or meditation or music, learn to manage stress better. Nobody is without stress but managing it is the key. Eat healthy and fresh: Whole grains, fresh fruits and vegetables, increased fibres are definitely useful. Reduce whites including sugar, salt, and dairy products if possible. Social life: Stay connected with people whose company you enjoy be it family or friends, or even counsellor if required. Speak up: Let your close circle of friends at work know your problem, so they can help when you need it the most. Depression and mood swings can be managed in the following ways. Do what makes you happy: There are some activities which will definitely make you feel better. A quiet walk to get some fresh air. Watching a dance video. Listening to your favourite soundtrack. Changing body language to one without stopped shoulders and frowning foreheads can make a big difference. Focus on the good: Writing down or thinking about what went well for the day can cheer you up and overcome the blues that is so common in women with endometriosis. Positive thinking: Instead of saying, I can not try saying I will try. It makes a BIG difference, and you will be amazed at the results. Keep happy company near you: Surround yourself with happy, positive people and see your happiness quotient go up!!! Endometriosis is definitely an enigma that is not well known, understood, or identified. However, the above are definitely useful way to cope with it.
1 person found this helpful

Ways To Treat Female Dyspareunia!

Dr. Rishabh Kumar Rana 93% (531 ratings)
MBBS, MD - Community Medicine, CCIP
Sexologist, Ranchi
Ways To Treat Female Dyspareunia!
Female dyspareunia refers to painful sexual intercourse. It is estimated that 8 to 21% of women experience this at some point in their lives. Pain during or after intercourse is disturbing and restricts partners need for intimacy. It leaves the partners with an unpleasant experience and may lead to frustrations, anxiety and fear of sex. There is little awareness among couples about dyspareunia and thus a painful experience is sometimes confusing for the other partner and often invites fights and arguments rather than support and understanding. Women with dyspareunia suffer pain in genitalia or deeper in the pelvis, vulva or vagina. It is more common among women after menopause; however, many women experience pain right from their first sexual attempt or just after initiation while some at deeper penetration. Causes of Dyspareunia could be medical, psychosocial or both. Medical conditions can be cured but often there are underlying personal and psychological factors which need to be addressed usually by counsellors or sexologists. Diagnosis of the problem begins with a physical examination of the vulva. Apart from this an internal pelvic examination may also be required. A doctor takes into account the nature, extent and duration of pain in determining possible causes and deciding the mode of treatment. During interaction with the patient, various other psychosocial factors are also revealed that must be addressed for holistic treatment. Medical conditions that could cause pain during or after intercourse are many including lesions, thin skin, scar tissues or ulcers. Infections like UTI, herpes, yeast infections, Chlamydia, trichomoniasis can also cause pain. Treatment of infections is through drugs and creams. Apart from this, infections of the fallopian tubes or conditions like ovarian cysts, fibroids, tumours or endometriosis could be a reason for deeper and intense pain. In most of the cases, surgery is the option. Lack of oestrogen is another major cause for this type of pain. Oestrogen deficiency can cause lack of lubrication making vaginal area dry. This can cause painful friction during intercourse. Along with lubricants, an oestrogen treatment is given. Apart from medical causes, fears or anxieties associated with sex can sometimes lead to pain. Lack of harmony in relationships can lead to loss of desire for sex leading to vaginal dryness and discomfort. A traumatic sexual experience of the past may also inhibit a partner to be at peace in the act and may invite psychosomatic problems. It is important for the partner to be sensitive and lend a hand of support. Understanding how a partner wishes to be caressed and touched and making efforts towards providing a sexually exciting experience can go a long way in removing partner s inhibitions/fears and introducing positive sparks in the relationship.
2 people found this helpful

Endometriosis - How It Leads To Infertility?

MBBS, DNB (Obstetrics and Gynecology), FNB
Gynaecologist, Delhi
Endometriosis - How It Leads To Infertility?
The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis. Read on to know more about endometriosis and how it can cause infertility. Endometriosis When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies. How does it cause infertility? Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg. Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding. Treatment: Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below. Treatment for Mild Endometriosis Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily. However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment). For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present. Details about IUI success rates with endometriosis IUI and endometriosis Success rates with IUI for endometriosis have been variable in studies, showing: A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis Treatment for severe endometriosis Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women. Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive. Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.
4239 people found this helpful

How Does Endometriosis Affect Fertility And Pregnancy?

Dr. Kinker. Mrinal 85% (10 ratings)
MBBS, MS - General Surgery
General Surgeon, Kota
How Does Endometriosis Affect Fertility And Pregnancy?
The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis. Read on to know more about endometriosis and how it can cause infertility. Endometriosis When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies. How does it cause infertility? Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg. Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding. Treatment: Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below. Treatment for Mild Endometriosis Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily. However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improving the pregnancy rates for infertile women as compared to expectant management (no treatment). For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present. Details about IUI success rates with endometriosis IUI and endometriosis Success rates with IUI for endometriosis have been variable in studies, showing: A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis Treatment for severe endometriosis Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women. Unfortunately, infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive. Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.
3106 people found this helpful

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

Dr. Deepti Gupta 86% (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.
4887 people found this helpful

Popular Questions & Answers

My age is 53 and that of my wife is 48. We aborted our first issue when we were 30 and 25. After that my wife suffered from endometriosis and ovaries. But her uterus was completely ok as per experts comment with retroverted. We followed various treatment of various infertility experts. But all were in vein. Actually she was unable to produce ovum. She experienced menopause 10-12 years back. Have we any chance to be biological parents now?

Dr. Gitanjali 93% (947 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
You should visit a fertility clinic ,you can have a child through ivf using your sperms and donor eggs ,as your wife has attained menopause you will require donor eggs. The fertilized embryo can be transfered into your wife's uterus or surrogate mother's, the fertility expert will decide it after completely investigating both of you. It is a complex procedure and not always successful ,you should be prepared for it.

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% (50 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% (243 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

Health Quizzes

Could Your Pelvic Pain be Endometriosis?

Dr. Savita Gupta 91% (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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