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Obstetrics and Gynaecology

Endometriosis Unveiled: Symptoms, Diagnosis, and Treatment Approaches

Dr. Sujata Datta Mar 18, 2024

Endometriosis is a prevalent yet often misunderstood condition that affects women's reproductive organs. This chronic condition occurs when tissue similar to the lining of the uterus, known as endometrium, grows outside the uterus. This aberrant growth commonly affects the ovaries, fallopian tubes, and the tissue lining the pelvis. Endometriosis can cause various symptoms, ranging from mild discomfort to debilitating pain, and can impact fertility.

Symptoms of Endometriosis:

The symptoms of endometriosis can vary from person to person but commonly include chronic pelvic pain, painful periods (dysmenorrhea), painful intercourse (dyspareunia), pain while opening bowels (dyschezia) and infertility. Some individuals may also experience gastrointestinal symptoms such as diarrhoea, constipation, or bloating, particularly during menstruation.

Diagnosis:

Diagnosing endometriosis can be challenging due to its diverse symptoms and the absence of a definitive diagnostic test. Healthcare providers typically begin with a thorough medical history and physical examination, followed by imaging tests such as ultrasound or magnetic resonance imaging (MRI). In some cases, a minimally invasive procedure called laparoscopy may be necessary to visualize and confirm the presence of endometrial implants.

Treatment Approaches:

Treatment for endometriosis aims to manage symptoms, improve quality of life, and preserve fertility. Depending on the severity of symptoms and the individual's reproductive goals, treatment options may include medication, surgery, or a combination of both.

Medications commonly prescribed for endometriosis include nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain, hormonal therapies such as birth control pills, progestins, or gonadotropin-releasing hormone (GnRH) agonists to suppress estrogen production and reduce endometrial growth.

Surgical interventions, such as laparoscopic or robotic excision or ablation of endometrial implants, may be recommended for individuals with severe symptoms or fertility issues. In cases where fertility is a concern, assisted reproductive technologies (ART) such as in vitro fertilization (IVF) may be considered.

Conclusion:

Endometriosis is a complex and often challenging condition that requires a multidisciplinary approach for effective management. By raising awareness about its symptoms, diagnosis, and treatment options, individuals with endometriosis can receive timely and comprehensive care to improve their quality of life and reproductive outcomes. If you suspect you may have endometriosis or are experiencing symptoms suggestive of the condition, it is essential to consult with a healthcare professional for proper evaluation and management.

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Meet the doctor

Dr. Sujata Datta
Dr. Sujata Datta
CONSULTANT OBSTETRICS & GYNAECOLOGY | Fortis Anandapur
  • Obstetrics and Gynaecology | Obstetrics and Gynaecology | Robotic Surgery
  • Date 17 Years
  • INR 1300

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