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Endometriosis

What is Endometriosis ?

Endometriosis is a chronic ,painful and debilitating disorder, in which tissue which normally lines your uterus, also called as endometrium, grows outside your uterus. With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle, causing pain and other symptoms. When endometriosis involves the ovaries, cysts called endometriomas or chocolate cysts may form. Fertility problems also may develop because of altered anatomy and adhesions.

What are the symptoms?

  • Painful periods (dysmenorrhea).
  • Pain during sexual intercourse (dysparenuia)
  • Pain with bowel movements or urination.
  • Chronic pelvic pain
  • Excessive bleeding or bleeding between periods
  • Infertility
  • Others like fatigue and tiredness, diarrhea, constipation, bloating or nausea, especially during menstrual periods.
When to visit a gynecologist?

Endometriosis is a challenging condition, early diagnosis helps in planning a complete management and averting complications. It is most ideal for you to visit a gynecologist if you have any of the above mentioned symptoms, at the earliest. Any episode of painful periods or pelvic pain should be evaluated, comprehensively.

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Why do you have all these symptoms in endometriosis?

Although the exact cause of endometriosis is not certain, possible explanations include:

Retrograde menstruation. In retrograde menstruation, menstrual blood flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells present in the menstrual blood, 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 causing the symptoms of pain and discomfort.
Transformation of peritoneal cells. In what is known as the "induction theory," experts propose that immune factors promote transformation of peritoneal cells into endometrial cells.
Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells into endometrial cell implants during puberty.
Endometrial cell transport. The blood vessels or tissue fluid system may transport endometrial cells to other parts of the body.
Immune system disorder. A problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.
Genetic theory. Certain genes have been linked to endometriosis

Complications of endometriosis:

  • Chocolate cysts of the ovaries
  • Infertility
  • Endometrial carcinoma
  • Ovarian cancer
Management

Diagnosis & Treatment

We at Queen’s Gynecology provide the best endometriosis treatment in Delhi with utmost precision, since early management can affect the overall quality of life of our patient. Detailed history taking and close follow-ups are mandatory in avoiding complications. Endometriosis treatment can be a challenge, since more than one modality may be preferred for a patient. At Queen’s Gynecology Clinic, we have a team of the best endometriosis specialists in Delhi who are trained in endometriosis management, be it surgical or non-surgical treatments. We understand that it can subdue your quality of life, hence offer multidisciplinary support and care.

The endometriosis treatment includes:

  • Medical management with: Painkillers, Hormonal Therapy, Aromatase inhibitors
  • Intrauterine device like Mirena
  • Surgical options : Laparoscopy
  • Hystrectomy or removal of uterus

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