Dr. Muthus Multishospital

Endometriosis

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Gynaecology (Endometriosis)
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Endometriosis Treatment in Coimbatore

Endometriosis is a disorder in which tissues resembling endometrium (lining of the uterus) grow outside of your uterine cavity. These tissues grow commonly on ovaries, fallopian tubes, the bowel, and the tissues lining your pelvis. In rare cases, endometrial tissues grow beyond the pelvic area. This tissue growth is less common in the vagina, cervix, and bladder. The exact cause is not known. The endometrial tissue growing outside your uterus found in ectopic locations is termed an endometrial implant. Endometriosis has even been reported in the brain, liver, lungs, and old surgical scars.

In this disorder, the tissues similar to endometrial tissues that line the uterus, grow, thickens, and break down in every menstrual cycle. But unlike normal menstruation, these tissues have no way to exit your body since these are not located inside your uterus. These tissues become trapped and can be extremely painful. This pain gets severe during menstrual periods. Endometriosis can even lead to fertility problems.

When endometriosis occurs in the ovaries, it leads to cyst formation called endometriomas. This can irritate the surrounding tissues and can end up developing scar tissues and adhesions. Adhesions are abnormal bands of fibrous tissues that can cause the pelvic tissues and organs to stick to each other. Endometriosis is not an uncommon problem these days, affecting around 10 percent of the women population but fortunately, there are effective treatment options available.

Depending on the exact location, depth, and extent, size, and severity of the endometriosis implants, endometriosis is classified into one of the following four stages:

The minimal and mild stages mean that there are mild scarring and superficial implants. Cysts and severe scarring are included in moderate and severe endometriosis. Infertility is common with stage IV endometriosis. Minimal and mild endometriosis involves shallow implants on the pelvic lining and the ovaries.

Symptoms

The primary symptom of endometriosis is pelvic pain. The menstrual cycle pain is severe than usual. The severity of symptoms does not determine the degree of the stage of your endometriosis. Moderate and mild stages can even lead to severe pain. The common signs and symptoms of endometriosis are as follows:

Pelvic pain depends on the depth of the endometrial implants. Deeper implants or implants located in areas with high nerve density are more painful. Implants can cause scarring of the surrounding region and can release substances into your bloodstream that is painful.

Endometriosis can lead to infertility. The implants are usually found in individuals who are totally asymptomatic. The exact cause of reduced fertility in women with endometriosis is not known completely but both hormonal and anatomical factors can be the reasons behind it.

Endometriosis cysts are benign but some studies suggest that women with endometriosis have an increased risk of developing certain types of ovarian cancer.

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Causes

Risk factors

Usually, endometriosis starts showing signs several years after the onset of the menstrual cycle. The symptoms improve during pregnancy and completely disappear after menopause. Endometriosis is common in the age group between 25 to 40. Knowing the risk factors can help to decide when to see a doctor and detect the problem at an early stage. Some of those risk factors are as follows:

Diagnosis

The symptoms of endometriosis can be confused with other problems like ovarian cysts and pelvic inflammatory disease. An accurate diagnosis can detect endometriosis. Obstetrician-gynaecologists are the doctors who treat endometriosis. One or more of the following tests are performed to diagnose endometriosis:

Treatment

There is no cure for endometriosis but the symptoms can be handled. Endometriosis can be treated with surgery and medications and further complications can be avoided. If your condition does not improve with conservative Endometriosis Treatment in Coimbatore, your doctor will recommend you to undergo surgery. Everyone’s body reacts differently to these different treatment options. Only your doctor can suggest the treatment option fit for you. The various treatment options are discussed as follows:

Back therapy is used to eliminate the unwanted side effects of GnRH treatment by administering GnRH agonists along with progesterone.

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