Endometriosis is a condition when a tissue which usually grows
inside the uterus, is found growing outside the uterus in abnormal places. for
eg., ovaries etc.
Whenever the patient has menstrual cycles,
this tissue also bleeds. This bleeding heals but form adhesions. So finally
endometriosis results in restricted mobility of both sides of the fallopiantubes
and there may be severe adhesions between ovaries, tubes, uterus and even intestines.
How can it present clinically?
During menstrual cycles, patients suffering
from endometriosis may have severe pain. They may have pain during intercourse and may also present with
infertility (or) chronic lower abdominal pain.
How to manage an unmarried girl with endometriosis?
As said earlier, whenever the girl menstruates,
she bleeds in ectopic endometrial tissues.
So our medical management aims
at reducing the number of cycles and to control the progress of the disease
till she gets marrie.
Can all endometriosis be diagnosed using ultrasound?
No all endometriosis patients cannot be diagnosed
by ultrasound unless it is an ovarian endometriosis .Many a time; we diagnose
endometriosis intra operatively, when a patient undergoes laparoscopy for
treatment of infertility.
What is the advice given to previously diagnosed endometriosis patients who got newly married?
We advice them to plan for family early and
not to postpone conception as the disease progresses during every cycle.
What are the modalities of treatment available for management of endometriosis?
Both surgical and medical management.
Regarding medical management, we have GnRH
analogue injections which we can use limitedly and tablets to be taken for a
few months.
A female who has completed her family and having endometriosis, needs to be treated (or) not?
Even though the female has completed her
family she needs to be treated if symptomatic like pain (or) any other symptoms
due to adhesions.
What are the modalities of treatment for a female who has finished family and is having endometriosis?
Surgical---3D
Laparoscopy-Removal of cyst alone
Removal of uterus and ovaries if both are
damaged
Medical – oral
contraceptive pills
Intra uterine devices like mirena
Projesterona
Dinogest tablets
KEY POINTS
Contact your gynaecologist for
- Painful periods
- Painful inter course
- Heavy prolonged periods
- Inability to conceive
- Pain abdomen
- Back pain.
Gynecology treatment in Chennai
