Endometriosis is a disorder in which tissue that normally lines the uterus grows outside the uterus. It may be present on any other organs inside your body and is usually found in the lower abdomen, or pelvis. It may attach to the ovaries, fallopian tubes, exterior of the uterus and bowel, or other internal parts. It is a common disorder of the female reproductive organs and is the leading cause of chronic pain in pelvis. As hormones change during the menstrual cycle, the tissue breaks down and may cause pain around the time of period and long term painful adhesions or scar tissue.
Endometriosis varies in symptoms and severity depending on the woman and the timing of menstrual cycle. The symptoms include :
Although the exact cause of endometriosis is not very certain, possible causes include :
To diagnose endometriosis, a physician must perform laparoscopy procedure (a surgery where a doctor looks in the abdomen with a camera usually through the belly button). Laparoscopy procedure can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options. Surgeon may take a tissue sample (biopsy) for further testing. Often, with proper surgical planning, surgeon can fully treat endometriosis during the laparoscopy so that only one surgery is needed.
Treatment for endometriosis usually involves medication or surgery depending on symptoms and complications. Doctors typically recommend trying conservative treatment approaches first, and then opting for surgery if initial treatment fails.
1. Medications :
Non-steroidal anti-inflammatory medications, like ibuprofen, may help with the pain associated with endometriosis. Some doctors may prescribe Hormonal therapy that affects a woman’s hormones in order to help with endometriosis pain. Some examples are oral contraceptive pills and gonadotropin releasing hormone (GnRH) agonists, the latter of which put women into a “temporary” menopause-like state. These medications may not provide permanent relief.
2. Conservative Surgery :
Surgery can not only help to diagnose endometriosis, but can also be used to for treatment of same. Surgery can be used to remove the endometriosis or to burn the endometriosis lesions outside of the uterus.
Lasers are also commonly used these days as a way to destroy this “out of place” tissue.
Doctor may recommend a total hysterectomy as a last resort if the condition doesn’t improve with other treatments. During a total hysterectomy, surgeon will remove uterus and cervix along with ovaries because they make estrogen, and estrogen causes the growth of endometrial tissue. They will also remove visible implant lesions.
Treatment approach also depends on whether a female wants to get pregnant in future or not.
The most serious complication is having issues with fertility. Women with milder forms of endometriosis may be able to conceive and carry a baby to term. According to research about one-third to one-half of women with endometriosis have trouble getting pregnant.
Medications treat symptoms but don’t improve fertility. Some women may be able to conceive after having endometrial tissue surgically removed. If this doesn’t work, one may want to consider fertility treatments to help improve chances of having a baby.
|SNo||Name of Procedure||Cost in India (USD)|
|2||Conservative Surgery for Endometriosis||2800 - 3000|
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