Our health expert on the A-Z of Endometriosis

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. Symptoms Painful menses

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 Diagnosis 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. . Treatment

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 state. Surgical

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 .