It’s okay to talk about it- Endometriosis – IVF Gangaram

Know more about Endometriosis

Just because you can not see, does not mean it does not exist. Over 200 million women worldwide are estimated to have Endometriosis. Learn More about Endometriosis from our specialist.

  1. What is endometriosis?

Endometriosis is deposits of endometrial tissue into the surfaces of an abdomen. These deposits can occur over the ovaries, tubes, intestines and peritoneal surfaces.


  1. If I have endometriosis what signs do I experience?

The following are the common symptoms of endometriosis:

  • Painful periods
  • Lower abdominal pain
  • Lower back pain
  • Painful intercourse especially with deep penetration
  • Infertility
  • Nausea, vomiting, dizziness and fainting attacks during the period.


  1. What happens in endometriosis?

The female hormone estrogen induces the endometriotic implants to develop to induce pain and swelling. These implants outside the uterus don’t have any way to leave the human body and be inflamed and swollen. If endometriosis happens in ovaries it can cause cyst formation which is often called the chocolate cyst.

  1. What are the major causes for endometriosis?

No one knows for sure what causes endometriosis. One theory is based on the belief that menstrual fluid containing endometrial cells that normally flows from the vagina, moves backward through the tubes and drips into the abdominal cavity and leads to implants on surrounding organs.


  1. How can endometriosis cause infertility?

The deposits of endometrial tissue bleed during menstruation and therefore expand to form a cyst or stick to organs around the pelvic region destroying the relationship between the ovaries and tube. In such instances even if the tubes seem patent, there is a difficulty of the egg being picked through the tube and transported into the uterus.


  1. Can the symptoms rely upon the severity of this disease?

Symptoms may begin very right after your first period or show up years after. The most common symptom of endometriosis is the pain. The severity of pain doesn’t seem to be linked exclusively to how intense and extensive the endometriosis is.


  1. Where is endometriosis found?

Endometriosis can affect the organs and structures of the pelvis i.e.:

  • Ovaries, uterus and fallopian tubes.
  • Cul-de-sac (extension of the abdominal cavity, like a pouch, that lies between the rectum and back of the uterus.
  • Endometriosis may also be seen in the lungs, diaphragm, brain, small and large intestines yet this is very rare.


  1. What is the diagnosis of endometriosis?

Endometriotic cysts can be diagnosed with help of ultrasound. A definite diagnosis of endometriosis requires looking through a laparoscope at the internal organs where it can be treated at the same step.


  1. So how exactly can one suspect endometriosis?

Previously nonpainful menstruation gets painful and also there may also be pain during intercourse. Endometriosis could also be associated with difficulty in conceiving. The presence of cyst during the ultrasound with thick material gives rise to suspicion of endometriosis.


  1. What is the treatment line of endometriosis?

You can find several different treatment modalities available for endometriosis. They vary between medical treatment which includes the use of hormonal drugs to surgical treatment which is done by either laparoscopy or by open operation.


  • Pain Medication:

Hormones in the form of pills (estrogen & progesterone), Danazol (weak male hormone) & GnRH agonist (Gonadotropin releasing hormone) can be given to suppress endometriosis.


  • Surgery:

Laparoscopic surgery is the ideal type treatment for an endometriotic cyst or to release adhesions. Sometimes open surgery may be required depending on the patient medical condition.


  • Infertility treatment:

Infertility management can be surgical ablation of endometriotic implants immediately followed by medical treatment for ovulation induction with either timed intercourse or IUI (intrauterine insemination). IVF (in-vitro-fertilisation) may be the only option in severe endometriosis or failure to conceive despite the above-mentioned treatment.


  1. How can I get rid of endometriosis?

Endometriosis is a progressive disease and it lasts till you menopause. The process of endometriosis can be halted by surgery or medicines mentioned above but it can recur after some time (1-2 years after surgery and approx 3 months of stopping medical treatment).


  1. Does endometriosis lead to complications if I conceive?

Endometriosis remains subsided and symptoms disappear during pregnancy and lactation as there are no regular menses during this time.


In the case of any query related to Endometriosis, contact our experts or write to us at info@ivfgangaram.com.



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