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Endometriosis Tips

Endometriosis - Knowing the causes of it!

Dr. Prashant K Vaidya 91% (15773 ratings)
Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Endometriosis - Knowing the causes of it!

What is endometriosis?

The endometrium is the tissue that lines the inside of the womb (uterus).

Endometriosis (en-doe-me-tree-O-sis) is an often painful disorder in which tissue that normally lines the inside of your uterus - the endometrium - grows outside your uterus (endometrial implant). Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region.

In 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.

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 pain that's far worse than usual. They also tend to report that the pain has increased over time.

Common signs and symptoms of endometriosis may include:

Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into your period and may include 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.

Endometriosis - 5 Must Know Things About It!

Dr. Anjali J Bapat 89% (34 ratings)
Masters In Counselling & Psychotherapy, DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
Endometriosis - 5 Must Know Things About It!

Endometriosis is a common gynecological disorder where the tissue lining the uterus grows outside the uterine cavity. Endometriosis is caused most commonly by menstrual blood flowing back into the fallopian tubes instead of leaving the body. This endometrial tissue may then leak into the abdomen through a surgical scar or cut in the uterine lining, leading to endometriosis. Here are five things you should know about this condition.

It is hard to diagnose

The first roadblock to diagnosing endometriosis is that though it is a very common condition, there is a lack of knowledge about it. The classic symptoms include heavy periods, painful bowel movements and urination, depression, fatigue and pain all over the body. The only way to correctly diagnose endometriosis is through a laparoscopy or keyhole surgery.

Endometriosis is not equal to infertility

One of the myths surrounding endometriosis is that it causes infertility. However, this is not true. When treated properly, endometriosis does not affect your fertility, and it is still safe for you to have children. At the same time, you should also know that being pregnant does not cure the condition.
It can reduce your sex drive

Endometriosis is a common gynecological disorder where the tissue lining of the uterus grows outside the uterine cavity. Endometriosis is caused most commonly by menstrual blood flowing back in the Fallopian tubes, instead of leaving the body. This endometrial tissue may then leak into the abdomen through a surgical scar or cut in the uterine lining, leading to endometriosis.

Here are five things you should know about this condition:

It is hard to diagnose
The first roadblock to diagnosing endometriosis is that though it is a very common condition, there is a lack of knowledge about it. The classic symptoms include heavy periods, painful bowel movements and urination, depressionfatigue and pain all over the body. The only way to correctly diagnose endometriosis is through a laparoscopy or keyhole surgery.

Endometriosis is not equal to infertility
One of the myths surrounding endometriosis is that it causes infertility, however, this is not true. When treated properly, endometriosis does not affect your fertility, and it is still safe for you to have children. At the same time,you should also know that being pregnant does not cure the condition.

It can reduce your sex drive
One of the symptoms of endometriosis is chronic pain all over the body. This, coupled with fatigue and depression can reduce your sex drive drastically. Additionally, the act of intercourse itself also becomes painful for women suffering from endometriosis. This pain can be managed with the use of pain relievers, or by experimenting with positions, which is most comfortable for you.

 

Some women have a higher risk of endometriosis

The exact cause that triggers the endometriosis is still unknown. However, certain factors are said to raise the risk of endometriosis, such as:

1, Genetics: Endometriosis may be passed genetically from generation to generation.

2. Pelvic infections: Scarring of the uterine walls via infections or surgeries can give the menstrual blood that falls back to the Fallopian tubes a way out of the uterine cavity, and hence, lead to endometriosis.

3. Short Menstrual cycles: Women with menstrual cycles that are shorter than 27 days, or those who have periods that last longer than 7 days are more susceptible to endometriosis than others. However, myths that suggest delaying pregnancy as one of the causes of endometriosis are false.

There is no known cure
The treatment for endometriosis addresses its various symptoms as there is no known cure for the disease itself. Even a hysterectomy will not cure this disease unless it includes the removal of your ovaries as well. Over the counter pain medication may help deal with the muscle aches, while hormonal treatments that slow down the production of estrogen can help with the painful menses. Light exercises such as walking and swimming can also help deal with the discomfort of endometriosis.

One of the symptoms of endometriosis is chronic pain all over the body. This coupled with fatigue and depression can reduce your sex drive drastically. Additionally, the act of intercourse itself also becomes painful for women suffering from endometriosis. This pain can be dealt with through pain relievers, or by experimenting with positions to find the one which is most comfortable for you.
Some women have a higher risk of endometriosis

The exact cause and triggers of endometriosis are still unknown. However, certain factors are said to raise the risk of endometriosis. These are:
1, Genetics: Endometriosis may be passed genetically from generation to generation.
2. Pelvic infections: Scarring of the uterine walls via infections or surgeries can give the menstrual blood that falls back to the fallopian tubes a way out of the uterine cavity, and hence lead to endometriosis.
3. Short Menstrual cycles: Women with menstrual cycles that are shorter than 27 days, or those who have periods that last longer than 7 days are more susceptible to endometriosis than others. However, myths that suggest delayed pregnancy as one of the causes of endometriosis are false.
There is no known cure
The treatment for endometriosis addresses it many symptoms as there is no known cure for the disease itself. Even a hysterectomy will not cure this disease unless it includes the removal of your ovaries as well. Over the counter pain medication may help deal with the muscle aches, while hormonal treatments that slow down the production of estrogen can help with the painful menses. Light exercises such as walking and swimming can also help deal with the discomfort of endometriosis.

3531 people found this helpful

Symptoms Of Endometriosis

Dr. Deepa Ganesh 89% (51 ratings)
M.B.B.S, M.S Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, Fellowship in Minimal Access Surgery, Diploma in Advanced Modern Cosmetic - Plastic Gynaecology, Diploma in Minimal Invasive Surgery(Germany), Fellowship of International College of Robotic Surgeons
Gynaecologist, Chennai
Symptoms Of Endometriosis

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 either be 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:

  1. 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 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
  2. 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. 
  3. 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. 
  4. 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. 
  5. 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.
3427 people found this helpful

Endometriosis - Are You Suffering From Any Of These Signs?

Dr. Hamrah Siddiqui 90% (51 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist, Delhi
Endometriosis - Are You Suffering From Any Of These Signs?

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.

3396 people found this helpful

Immune System Disorder - Can It Cause Endometriosis?

Dr. Jayshree Pathak 89% (30 ratings)
DNB - Obs & GYnae, MBBS, D.G.O - Obs & Gynae, Fellowship in Reproductive Medicine
Gynaecologist, Ghaziabad
Immune System Disorder - Can It Cause Endometriosis?

The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.

The various causes of endometriosis include:

  1. Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
  2. Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
  3. Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
  4. Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.

Symptoms
1. Pain during sexual intercourse
2. Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
3. Excessive bleeding during periods
4. Fatigue
5. Constipation

6. Bloating

 

The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.

How can it be treated?

Endometriosis is usually done using surgery or medications. 

  1. Medication: It usually involves painkillers.
  2. Hormone therapy: Some of the hormonal therapies include:
    1. Hormonal contraceptives
    2. Progestin therapy
    3. Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
  3. Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
  4. Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
  5. Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus.
2642 people found this helpful

Endometriosis - Consequences That Can Be Really Fatal

Dr. Anand Bhatt 90% (50 ratings)
MBBS, MS - Obstetrics and Gynaecology, Ultrasonography Basic Traning Course, Diploma in Minimal Access Surgery, Advanced Infertility & ART training, Advanced training in ultrasonography, PG Diploma in IVF & Reproductive Medicine
Gynaecologist, Ahmedabad
Endometriosis - Consequences That Can Be Really Fatal

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.

2676 people found this helpful

How Endometriosis Can Cause Infertility?

Indira Ivf 87% (46 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
How Endometriosis Can Cause 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.

4315 people found this helpful

Endometriosis - Know More About It!

Dr. Sudha Jetly 87% (13 ratings)
MBBS, MD - Obstetrics & Gynaecology, Post Graduate Diploma in Ultrasonography
Gynaecologist, Noida
Endometriosis - Know More About It!

A woman’s body goes through a number of changes during her lifetime and therefore, it is always better to undergo regular health check-ups at proper intervals to ensure that all organs of her body function well.

Endometriosis is something, which every woman is likely to have heard about. However, not many women are aware of what it exactly is. Even fewer know about what they should look out for when it comes to having endometriosis or understanding what it means to be suffering from it. Is it not a lot better to be informed about all of this?

The condition of endometriosis is when the tissue that is supposed to be inside the uterus also known as the womb and lining starts existing outside it. What effectively happens is that the lining of the uterus, known as the endometrium, finds itself to be trapped in the pelvic area.

Some amount of discomfort is usually experienced by women who are menstruating. However, when a woman has endometriosis, the amount of pain is pretty persistent, sometimes extending to a month-long duration. Some women also suffer from excess bleeding.

Unfortunately the symptoms are not only limited to this. Women who are adversely affected by endometriosis usually find having sex painful as well, ironic as it is supposed to provide pleasure.

Also fertility is the primary function affected when a woman undergoes it. There are so many complications in this regard. It is said that about 50 percent of women who have endometriosis have trouble getting pregnant and carrying a baby. Effectively, as sad as it is, endometriosis has the potential to take away the entire prospect of motherhood from a woman.

In addition to this, a fair number of cases, show that the symptoms, which are experienced worsen over the course of time. So, what this means is that the lifestyle of the woman may be severely affected as the symptoms get progressively worse; which is just one of the reasons why treatment is something, which should be resorted to sooner than later.

One of the lifestyle changes which may be beneficial in reducing the severity of endometriosis includes a change in your diet. Increased intake of green vegetables and fresh fruits along with a reduced consumption of red meat is definitely worth a try. Regular exercising is also helpful in treating the condition.

1 person found this helpful

Treat Endometriosis Successfully With Ayurveda!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Gynae & Obs ( Ayurevda ), Post Graduate Proficiency In Panchkarma
Gynaecologist, Mumbai

Little discomfort & pain during periods is normal. But if you have extremely painful periods detoriating your daily routine then we must rule out Endometriosis. The main symptom of endometrosis is extremely painful periods followed by heavy periods in some. Endometriosis has become one of the common gyneacological disorders seen in Modern era.

Endometriosis is nothing but growth of inner lining of uterus at unusual places like ovaries, tubes & other pelvic organs. The most common causes can be heredity, low immunity of reproductive system & reverse flow of menstrual blood through tubes to pelvic cavity. It increases inflamation in pelvic organs especially uterus leading to pain, bulky uterus, pelvic adhesions, endometriotic cysts, chocolate cysts, infertility & many more...

Coventional treatment of endometriosis is focused at stopping menstruation completely for certain period with hormones. But many times all the symptoms reapear once periods are back & surely there can be serious side effects of hormonal therapies offered for it too.

Ayurveda understands Endometriosis differently. Ayurvedic treatment for endometriosis is aimed at correcting the root cause. Ayurvedic medicines for endometriosis improves immunity of the reproductive system & prevent formation of new endometriotic lesions. At the same time Vatanulomana Ayurvedic combinations prevent the reverse flow of menstrual blood throgh tubes. Certain Ayurvedic combinations like Kanchanar guggulu, Yograj Guggulu etc are considered very good at desolving Endometriotic lesions completely if given with correct adjuvant. Herbs like Turmeric , Guduchi are very good at reducing inflamation & controlling pain during periods given in correct doses. Virechana formulations like Castor oil preparations also play important role to prevent backflow during periods & to reduce pain.

Each endometriosis patient need be assesed as per basic Ayurvedic Constitution & Dosha involved as per clinical symptoms by expert Ayurvedic doctors. No ayurvedic medicines should be taken by these patients without experts advise.

Endometriosis can be cured successfully without any side effects by Ayurveda!

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Did You Know Endometriosis Is The Biggest Reason Behind Infertility?

IVF Specialist, Hyderabad
Did You Know Endometriosis Is The Biggest Reason Behind 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 outgrow 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.

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.

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