What is endometriosis?
Endometriosis is when tissue found outside the uterus that appears similar to the lining of the uterus (Endometrium).
Endometriosis may grow on outside of your uterus, ovaries, and tubes and even on your bladder and intestines.
How do you know if you have endometriosis?
You may experience
- Pelvic pains
- Painful Sex
Does endometriosis cause infertility?
Up to 30-50% of women with endometriosis may have infertility. Endometriosis can cause difficulty in getting pregnant in many ways:-
- Distorted anatomy of pelvis
- Scarring and adhesions of fallopian tubes
- Changing hormonal environment for eggs
- Altered egg quality
- Affecting implantation of a pregnancy
How is endometriosis diagnosed?
Endometriosis may be suspected by your doctor on the basis of your symptoms. On the pelvic exam, the doctor may feel nodules or see the implants in the cervix or vagina or ovaries may be enlarged.
Endometriotic cysts of ovaries may be seen on an ultrasound or CT scan / MRI etc.
The definitive diagnosis of endometriosis is on laparoscopy when the endometriosis may be seen directly on the surface of uterus, ovaries, fallopian tubes and pelvis, etc.
How is endometriosis treated?
Endometriosis needs the female hormone estrogen to develop and grow.
Medicine that block or lower estrogen levels like birth control pills can improve pain symptoms and suppress further growth of lesions.
Endometriosis can be treated surgically, with destroying and removing the endometriosis.
The treatment is individualized for each patient according to their goal of treatment whether they want relief of pain or they want to conceive.