This is a painful disorder where tissue that are supposed to be lining the inside of the uterus called endometrium, start growing outside of it. It mostly involves the ovaries, fallopian tubes and tissue lining the pelvis but in very rare cases can spread beyond the pelvic organs.
The exact cause behind endometriosis is not clear, but reasons ranging from retrograde menstruation to immune system disorder can be some of the factors that lead to it.
Endometriosis is characterized by a pelvic pain, mostly during one’s menstrual period. Most women experience cramping during one’s period, but for a woman suffering from endometriosis the menstrual pain is far sever and keeps increasing with time.
Some of the other common symptoms of Endometriosis are painful intercourse, pain during bowel movements or urination, excessive bleeding and infertility, fatigue, bloating and nausea.
Due to immense similarity in symptoms, Endometriosis can sometimes be confused with ovarian cysts or pelvic inflammatory disease. It can also be mistaken for irritable bowel syndrome (IBS), which is a condition that causes bouts of diarrhea, constipation and abdominal cramping.
In the case of Endometriosis, the displaced endometrial tissue acts as it would usually do – by breaking down and bleeding with each menstrual cycle. Yet since this displaced tissue has no natural route of exiting the body, it becomes trapped. And thus there arises a need for a surgical procedure.
When endometriosis, involves the ovaries and cysts also, a condition called the endometriomas may occur. In such a state, the surrounding tissue might become irritated leading to the development of scar tissue and adhesions.
There are certain other causes that are said to be the reason behind endometriosis, for instance the transformation of peritoneal cells that line the inner side of the abdomen to convert into endometrial cells.
Hormones may also cause a freak embryonic cell transformation, where cells in the earliest stage of development are transformed into endometrial cell implants, especially during puberty.
In certain rare cases, a surgical incision may cause endometrial cells to attach to it. This can happen after a hysterectomy or C-section.
Endometrial cell transport is another way by which blood vessels of tissue fluid via the lymphatic system might transfer endometrial cells to the other parts of the body.
Finally, an immune system disorder might make the body incapable of recognizing the endometrial tissue that is growing outside the uterus.
Treating Endometriosis requires an interdisciplinary approach since there is a high chance of it leading to infertility. Quite often one third to one half women diagnosed with this, have difficulty getting pregnant.
At the Milann Fertility Clinic the treatment offered is comprehensive. Such that women diagnosed with endometriosis can also hope to carry a baby to full term.
The various treatment methods range from hormone therapy using hormonal contraceptives, progestin therapy, pain medication, conservative surgery etc.
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