Endometriosis is a common gynecological condition affects 25 million Indian women. The name is derived from endometrium which are tissues lining the uterus. During your menstrual cycle, the endometrium grows inside your uterus and is shed when you don’t get pregnant. Endometriosis involves the tissues grows outside your uterus and other reproductive organs, tissues lining the pelvis or the abdominal cavity.
Women with endometriosis, the endometrium tissues do not exit the body after your menstrual cycle but get trapped in your uterus. When endometrium involves the ovaries, a cyst called endometriomas may form. Endometriosis causes the surrounding tissues to become irritated and form scar tissues and adhesion. The fibrous endometrium tissue can stick with each other.
Endometriosis can cause severe pain, especially during menstruation. It can also cause fertility problems.
Endometriosis is found on:-
• Ovaries
• Fallopian tubes
• Tissues holding the uterus in place
• The outer surface of the ovaries.
It can be found in other reproductive organs such as vagina, cervix, and vulva. In some cases it bowel, bladder, and rectum. In rare cases, endometriosis can be found in other parts of the body such as lungs, brains, and skin.
Symptoms
Women experience different symptoms of endometriosis. Common symptoms of endometriosis are:-
• Painful period and excessive menstrual cramps in the lower back and abdomen.
• Pain during intercourse.
• Unusually and heavy menstrual bleeding. Several women experience bleeding between periods.
• Infertility
• Painful urination and bowel movement during menstruation.
• Other symptoms may include fatigue, diarrhea, constipation, bloating, or nausea, especially during periods.
Book a gynecologist in Mumbai if you are experiencing signs and symptoms of endometriosis.
Causes
Researchers are unsure about what causes endometriosis. According to researchers, endometriosis may be caused by:-
• Retrograde menstrual flow caused when some tissue that sheds after menstruation enters the fallopian tubes into other areas of the body such as your pelvic region.
• Endometriosis may be genetic. The condition can run in some families.
• Problems in your immune system and some cancers.
• Hormonal problems.
• During surgeries such as Cesarean or hysterectomy, the endometrial tissues could be moved by mistake.
Diagnosis
The best gynecologist in Mumbai will evaluate your medical history and complete a physical examination that will include a pelvic examination. They may perform a laparoscopy procedure to collect biopsy samples. Laparoscopy is a minor surgical where a thin tube with a camera is inserted into your abdomen via a small incision.
Other tests ordered by them may include imaging tests such as ultrasound and MRI scans.
Treatment
The best gynecologist in Mumbai treats endometriosis either medically or surgically. They prefer to treat the condition medically before opting for surgical treatment. Treatment options include:-
• Pain medication prescribed may be over-the-counter pain medication or nonsteroidal anti-inflammatory drugs.
• Supplementary hormonal therapy can help with the pain and slow down endometrial tissue growth.
Endometrioses can cause fertility problems. The gynecologist near me may suggest fertility treatment.
The gynecologist near me may opt for laparotomy to remove the displaced endometrium. They may suggest a hysterectomy to remove the uterus and in some cases ovaries.
