What is Endometriosis?
It is a condition where the endometrial tissue that is the lining of the uterus, is found outside the uterus. This happens due to retrograde flow of blood from the uterus upwards during menstruation.
Pain due to endometriosis starts one to two days before the periods and
continues during the periods.
Pain during sexual intercourse
Inability to conceive
Backache, pain related to bowel and bladder movements
Clinical depending on the symptoms
Investigations include ultrasound . Presence of chocolate (endometriotic cysts) is a very common finding
MRI may be required for a more accurate diagnosis and staging of the disease .
Laparoscopy is the gold standard diagnostic modality . By putting a camera through key holes in the abdomen, the extent of endometriosis can be accurately known. .
Pain relievers for controlling the pain -Hormonal treatment - Combined oral & contraceptive pills without the pill free break, Mirena that is an
intrauterine device containing a progesterone
Progesterone injection or pills
GnRH injections are very effective and cause a pseudo menopause like
Laparoscopic surgery can be offered to women with large endometriotic cysts
Even adhesions due to endometriosis can be handled laproscopically.
Patients trying to conceive usually require a surgical treatment since hormonal treatment cannot be offered to them .