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Endometriosis - Dr Srisailesh Vitthala
What is endometriosis? Endometriosis is line in the sense, lining the womb usually if they grow outside the uterus. It causes problems like pain during the period, pain during love making and pain during passing the motion and they also have difficulty in getting pregnant. Where else the lining of the womb cells can grow? The areas, where the lining of the womb cells grow are ovaries, bowel and anywhere else. Why does endometriosis occur? The ovaries of a woman produces a hormones, which will help the cells lining the womb to grow. These lining of the womb is important to facilitate the pregnancy. The shutting of lining of womb comes out as a period. However, if these cells which lie in the womb, instead of shutting down goes and gets implanted outside the uterus like in ovaries, it will lead to endometriosis. Who are the people who will develop the endometriosis? Endometriosis is common in reproductive age group, between 25-35 years. So, prevalence is around 1 in 5 women in this age. The endometriosis can be having in woman who started the period much earlier. Woman who bleeds more than 7 days during period. In woman whose mother or siblings have a similar type of problems, woman who has a pain during the periods, woman who has a pain during lovemaking, woman who has a problem during passing the motion or bowel movement.
What are the symptoms of endometriosis? The severity of the symptoms of endometriosis and severity of endometriosis doesn’t go along. However, the common symptoms are painful periods- dysmenorrhea, pain during lovemaking - dyspareunia and difficulty in getting pregnant. However, the pain which might start the few days before the period, continue and may stay few days after the period that means the woman will suffer quite a few days in her monthly period. It is also associated with pain during passing the motion. These women may find it difficult to get pregnant. In case of these symptoms, woman has to be further investigated for endometriosis.
How is endometriosis diagnosed? Endometriosis is diagnosed by combination of clinical features and some investigative tools. The clinical features like I mentioned are dysmenorrhea, dyspareunia and difficulty in getting pregnant. However, people should understand that severity of the symptoms and the severity of the endometriosis does not always co-relate. Women may have mild symptoms like pain but endometriosis might be severe. Similarly, women may have very severe endometriosis but her symptoms will be very mild. Henceforth, along with these clinical features, some other investigations we need to do it to confirm the diagnosis of endometriosis. Three of them are blood test, CA125 is a blood test but it is non-specific. Next one is ultrasound. Ultrasound is very good in picking up the endometriosis, if it is in the ovary, which we call as endometrioma. Then is MRI. MRI is quiet good in picking up endometriosis if it is in the pelvic, mainly in the bowel. Then comes the surgical intervention laparoscopy, which is the gold standard for diagnosis of endometriosis. It not only diagnoses but establishes the extent of the disease and also can treat mild to moderate endometriosis.
What is the treatment of endometriosis? The treatment of endometriosis mainly depends on 2 factors – Pain and Fertility promotion. Initially, the aim should be suppress the pain and promote the fertility. Long term objective should be prevent the progression of endometriosis and prevent reoccurrence of endometriosis. Based on above 2 features, which is pain and fertility, the treatment differs from woman to woman. Henceforth, counselling become very important.
There are 2 types of treatment for endometriosis – 1) medical and 2) Surgical. Medical treatment Medical treatments try to suppress the pain. This is done by suppressing the endometrial tissue. That will lead to the suppression of ovarian function and periods itself. Medications will vary from simple analytics to birth control pill to hormonal injections. What is important is people who want to perceive the fertility or people who want to conceive, medical treatment is not the solution for them. Surgical intervention not only diagnoses the endometriosis but also can tell the severity of the disease or extent of the disease and also treat mild to moderate endometriosis. The surgical treatment mainly involves laparoscopy, which is a gold standard for diagnosis. In laparoscopy, mild and moderate, up to moderate endometriosis can be treated, which not only helps for a woman to relieve her pain but also helps to promote the pregnancy, especially in the woman having mild or moderate symptoms. Then fertility. Most of the women with endometriosis will need higher fertility treatments like IUI, IVF, and ICSI. If the woman has mild or moderate, minimal treatment with medical or surgical treatment recourse to one of the assisted reproductive technique will help her to get pregnant.
To know more visit our website: ovumhospitals.com
Endometriosis - Dr Srisailesh Vitthala
What is endometriosis? Endometriosis is line in the sense, lining the womb usually if they grow outside the uterus. It causes problems like pain during the period, pain during love making and pain during passing the motion and they also have difficulty in getting pregnant. Where else the lining of the womb cells can grow? The areas, where the lining of the womb cells grow are ovaries, bowel and anywhere else. Why does endometriosis occur? The ovaries of a woman produces a hormones, which will help the cells lining the womb to grow. These lining of the womb is important to facilitate the pregnancy. The shutting of lining of womb comes out as a period. However, if these cells which lie in the womb, instead of shutting down goes and gets implanted outside the uterus like in ovaries, it will lead to endometriosis. Who are the people who will develop the endometriosis? Endometriosis is common in reproductive age group, between 25-35 years. So, prevalence is around 1 in 5 women in this age. The endometriosis can be having in woman who started the period much earlier. Woman who bleeds more than 7 days during period. In woman whose mother or siblings have a similar type of problems, woman who has a pain during the periods, woman who has a pain during lovemaking, woman who has a problem during passing the motion or bowel movement.
What are the symptoms of endometriosis? The severity of the symptoms of endometriosis and severity of endometriosis doesn’t go along. However, the common symptoms are painful periods- dysmenorrhea, pain during lovemaking - dyspareunia and difficulty in getting pregnant. However, the pain which might start the few days before the period, continue and may stay few days after the period that means the woman will suffer quite a few days in her monthly period. It is also associated with pain during passing the motion. These women may find it difficult to get pregnant. In case of these symptoms, woman has to be further investigated for endometriosis.
How is endometriosis diagnosed? Endometriosis is diagnosed by combination of clinical features and some investigative tools. The clinical features like I mentioned are dysmenorrhea, dyspareunia and difficulty in getting pregnant. However, people should understand that severity of the symptoms and the severity of the endometriosis does not always co-relate. Women may have mild symptoms like pain but endometriosis might be severe. Similarly, women may have very severe endometriosis but her symptoms will be very mild. Henceforth, along with these clinical features, some other investigations we need to do it to confirm the diagnosis of endometriosis. Three of them are blood test, CA125 is a blood test but it is non-specific. Next one is ultrasound. Ultrasound is very good in picking up the endometriosis, if it is in the ovary, which we call as endometrioma. Then is MRI. MRI is quiet good in picking up endometriosis if it is in the pelvic, mainly in the bowel. Then comes the surgical intervention laparoscopy, which is the gold standard for diagnosis of endometriosis. It not only diagnoses but establishes the extent of the disease and also can treat mild to moderate endometriosis.
What is the treatment of endometriosis? The treatment of endometriosis mainly depends on 2 factors – Pain and Fertility promotion. Initially, the aim should be suppress the pain and promote the fertility. Long term objective should be prevent the progression of endometriosis and prevent reoccurrence of endometriosis. Based on above 2 features, which is pain and fertility, the treatment differs from woman to woman. Henceforth, counselling become very important.
There are 2 types of treatment for endometriosis – 1) medical and 2) Surgical. Medical treatment Medical treatments try to suppress the pain. This is done by suppressing the endometrial tissue. That will lead to the suppression of ovarian function and periods itself. Medications will vary from simple analytics to birth control pill to hormonal injections. What is important is people who want to perceive the fertility or people who want to conceive, medical treatment is not the solution for them. Surgical intervention not only diagnoses the endometriosis but also can tell the severity of the disease or extent of the disease and also treat mild to moderate endometriosis. The surgical treatment mainly involves laparoscopy, which is a gold standard for diagnosis. In laparoscopy, mild and moderate, up to moderate endometriosis can be treated, which not only helps for a woman to relieve her pain but also helps to promote the pregnancy, especially in the woman having mild or moderate symptoms. Then fertility. Most of the women with endometriosis will need higher fertility treatments like IUI, IVF, and ICSI. If the woman has mild or moderate, minimal treatment with medical or surgical treatment recourse to one of the assisted reproductive technique will help her to get pregnant.
To know more visit our website: ovumhospitals.com