Endometriosis

Endometriosis

Endometriosis has to be diagnosed and treated properly. Garbba Rakshambigai Fertility Centre properly identifies the symptoms, offers world class treatment and proper awareness about this condition.

It is a condition in which the presence of tissue that normally grows inside the uterus, is found outside the uterus. The location of this abnormal tissue includes ovaries, outer aspect of fallopian tubes, urinary bladder, intestines, rectum and the space behind the uterus. It may also be found in the scar of a previous surgery. Every time the woman menstruates, the uterine tissues outside the uterus also bleed causing a myriad of problems. This condition is exclusively seen in women in the reproductive age who menstruate. It affects 10-15% of women in reproductive age group.

( Laparoscopic view of endometriosis )

What are the symptoms of endometriosis?

Endometriosis comes along with a wide range of symptoms, from mild menstrual pain to infertility. In addition to infertility, it is commonly associated with symptoms such as irregular and frequent menses, dyspareunia (pain during sex), dysmenorrhea (painful menses), bladder/bowel symptoms (pain during passing stools), chronic pelvic pain and vague lower abdominal pain.

How to diagnose endometriosis?

•Clinical history and examination by gynaecologist
• Blood tests.
• Ultrasound
• Laparoscopy is gold standard for diagnosis and treatment

What is the link between infertility and endometriosis?

The prevalence of endometriosis increases drastically, to as high as 25% to 50% in women with infertility and 30 % to 50% of women with endometriosis have infertility. The chances of a couple to get pregnant within a month in normal reproductive-age couples, without endometriosis is estimated to be around 15 % to 20%, whereas in women with untreated endometriosis it drops to 2-10%.

Infertility in endometriosis is due to the following reasons:
• Defective egg production and release
• Hindrance of sperm function
• Lining of uterus is damaged and hence there is difficulty in attachment of embryo.

How is endometriosis treated?

Treatment for endometriosis depends on the type of complaints as presented by the patient. If pain is the primary complaint, it is treated with anti-inflammatory and hormonal medicines. When a patient has completed family, or wants spacing after first child, we can insert hormonal intra uterine device which causes temporary cessation of menses and greatly benefits these patients. Patients with infertility have to be treated by an infertility specialist. Such patients may require laparoscopy, which is both diagnostic and therapeutic in this condition. It helps in staging the disease, removal endometriotic spots and cysts, release of adhesions. Laparoscopy increases the chance of pregnancy. Some women with endometriosis and infertility may require assisted reproductive techniques such as In-vitrofertilisation (IVF) or Intracytoplasmic sperm injection (ICSI) for conception.

Talk to us if you have any queries on endometriosis and for the best fertility treatment in Chennai. You can take expert advice from our doctors regarding this condition, it’s symptoms, diagnosis and treatment methods.

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