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Endometriosis

Endometriosis is a disease of adolescents and reproductive-aged women characterized by the presence of endometrial tissue outside the uterine cavity and commonly associated with chronic pelvic pain and infertility.

What is Endometriosis?

Endometriosis is an often-painful condition affecting the ovaries, fallopian tubes and the tissue lining the pelvis. Here the tissues similar to the inner lining of the uterus grows outside the uterus that can lead to pain especially during menstruation.

The endometriosis tissue acts as the lining inside the uterus would. With each menstrual cycle, it thickens, breaks down and bleeds. But unfortunately, it grows in places where it doesn’t belong, and it doesn’t leave the body!

Cysts called endometriomas may form when endometriosis involves the ovaries. Scar tissues are formed due to irritation and bands of fibrous tissue called adhesions may also form, causing pelvic tissues and organs to stick to each other.

Endometriosis can cause pain, especially during menstrual periods. Fertility problems also may develop. But treatments can help you take charge of the condition and its complications.

What are the Symptoms?

The main symptom of endometriosis is pelvic pain and often linked with menstrual periods.

Painful periods.
Pain during sex.
Pain with bowel movements or urination.
Excessive bleeding.
Infertility.
However, the seriousness of pain may or may not be a sign of the number or extent of endometriosis growths in your body. Some people with endometriosis may not demonstrate any symptoms. It’s only when one can't get pregnant or after a surgery for another reason is performed, then the condition can become clearer.

What factors are responsible for the development of endometriosis?

  • Family history of endometriosis.
  • Short menstrual cycles (fewer than 27 days between periods).
  • Long and heavy periods (periods last longer than eight days).
  • Never having children.

 

Can tests diagnose endometriosis?

Yes. This is done with laparoscopy and involves using a small camera (laparoscope) to look inside the pelvis. Once the tissue is detected, a sample of tissue  is removed and sent to a lab for testing.

What is the treatment for endometriosis?

Depending on the severity of the endometriosis, age, pregnancy plans and severity of pain, medication and surgery are the possible treatments. And depends on what your healthcare provider suggests

Is Surgery for endometriosis recommended?

There could be some risks, but surgery for endometriosis can be an effective way to relieve pain and, in some cases, improve fertility. 

Laparoscopic Assisted Vaginal Hysterectomy is often recommended as a minimally invasive procedure

Other Related Ailments:

Uterine Fibroids

Uterine prolapse

Abnormal or heavy bleeding

Chronic pelvic pain

Precancerous changes

FAQs

What happens if endometriosis is left untreated?

Over time, the endometrial-like tissue that grows outside of your uterus can cause cysts, adhesions and scar tissue.

Can endometriosis go away on its own?

In some cases, endometriosis can go away on its own. This can also happen after menopause, which is often related to a drop in the amount of estrogen in your body

Can you get pregnant if you have endometriosis?

Yes, you can get pregnant. But it may be more challenging for you compared to people who don’t have endometriosis

Can you still have endometriosis after menopause?

It isn’t typical to develop endometriosis after menopause.