Symptoms of Endometriosis
- Pelvic pain
- Lower abdominal or back pain
- Bloating, nausea, and vomiting
- Urinary frequency
- Pain during exercise
Laparoscopy is considered the primary diagnostic modality for endometriosis. This is an invasive procedure with an overall sensitivity of 97% but with a specificity of only 77%.
The following parts are, in descending order, the most common parts of involvement found during laparoscopy:
- Posterior cul-de-sac
- Broad ligament
- Uterosacral ligament
- Rectosigmoid colon
- Distal ureter
Management of Endometriosis
Endometriosis is a condition where tissues that usually grow inside the uterus, start growing outside the organ, for eg over the ovaries, fallopian tubes, urinary bladder, peritoneum etc.
Painful periods , heavy bleeding during periods ,pain during intercourse, pain while urinating or bowel movements, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.
Endometriosis Treatment usually depends on the following factors
-Severity of symptoms
-Severity of the disease
-Future plans for children
Visit The Gynae Point , for the Best Endometriosis Treatment in Gurgaon
Depending on these factors, the doctor might opt for the best endometriosis treatment from any of the following treatments:
Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs.
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include:
Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity.
Medroxyprogesterone: Continuous intake of this drug stops menstruation, which in turn stops the tissue build-up and reduces the symptoms. But on the other hand, water retention, nausea , bloating sensation and depression are some of the common effects of this drug.
Levonorgestrel releasing Intrauterine device- This is a hormone releasing synthetic device that is inserted into the uterus by a Gynaecologist. It releases a continuous low dose of progesterone into the body that subsequently arrests the progress of Endometriosis & relieves symptoms. It also acts as a contraceptive device & hence is not recommended for women who are planning a pregnancy. The side- effects are the same as for progesterone i.e nausea, water retention, bloating, depression etc.
Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: These medications block the hormones that stimulate ovaries to release their hormones. They may also stop the periods and thus the cyclical bleeding , which is the primary cause for the symptoms, is also stopped. An important side-effect of these medications is that sometimes they may lead to a decrease in bone marrow density & osteoporosis and abolish other beneficial effects of Estrogens.
Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. However, the decision for whether or not you are a suitable candidate for surgery, will be taken by your Gynaecologist after explaining all the benefits & risks of the procedure.Even women suffering from severe pain might find relief with conservative surgery.
Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age.