FIND THE RIGHT DOCTOR FOR ENDOMETRIOSIS
Endometriosis is a disorder in which tissue similar
to the tissue that forms the lining of your uterus grows outside of your
uterine cavity. The lining of your uterus is called the endometrium.
Endometriosis occurs when endometrial tissue grows
on your ovaries, bowel, and tissues lining your pelvis. It’s unusual for
endometrial tissue to spread beyond your pelvic region, but it’s not
impossible. Endometrial tissue growing outside of your uterus is known as an
endometrial implant.
The hormonal changes of your menstrual cycle affect
the misplaced endometrial tissue, causing the area to become inflamed and
painful. This means the tissue will grow, thicken, and break down. Over time,
the tissue that has broken down has nowhere to go and becomes trapped in your pelvis.
This tissue trapped in your pelvis can cause:
- irritation
- scar
formation
- adhesion,
in which tissue binds your pelvic organs together
- severe
pain during your periods
- fertility
problems
Endometriosis is a common gynecological condition,
affecting up to 40 percent of
women. You’re not alone if you have this disorder.
The symptoms of
endometriosis vary. Some women experience mild symptoms but others can have
moderate to severe symptoms. The severity of your pain doesn’t indicate the
degree or stage of the condition. You may have a mild form of the disease yet
experience agonizing pain. It’s also possible to have a severe form and have
very little discomfort.
Pelvic pain is the
most common symptom of endometriosis. You may also have the following symptoms:
The primary symptom of endometriosis is pelvic pain,
often associated with menstrual periods. Although many experience cramping
during their menstrual periods, those with endometriosis typically describe
menstrual pain that's far worse than usual. Pain also may increase over time.
Common signs and
symptoms of endometriosis include:
·
Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and
extend several days into a menstrual period. You may also have lower back and
abdominal pain.
·
Pain with intercourse. Pain during or after sex is common with
endometriosis.
·
Pain
with bowel movements or urination. You're most likely to experience these symptoms
during a menstrual period.
·
Excessive bleeding. You may experience occasional heavy menstrual periods
or bleeding between periods (intermenstrual bleeding).
·
Infertility. Sometimes, endometriosis is first diagnosed in
those seeking treatment for infertility.
·
Other signs and symptoms. You may experience fatigue,
diarrhea, constipation, bloating or nausea, especially during menstrual
periods.
You may also have
no symptoms. It’s important that you get regular gynecological exams, which
will allow your best gynecologist in near you to monitor any changes. This is particularly
important if you have two or more symptoms.
Endometriosis has four stages or types. It
can be any of the following:
- minimal
- mild
- moderate
- severe
Different factors determine the stage of the
disorder. These factors can include the location, number, size, and depth of
endometrial implants.
Stage 1: Minimal
In minimal endometriosis, there are small
lesions or wounds and shallow endometrial implants on your ovary. There may
also be inflammation in or around your pelvic cavity.
Stage 2: Mild
Mild endometriosis involves light lesions and
shallow implants on an ovary and the pelvic lining.
Stage 3: Moderate
Moderate endometriosis involves deep implants
on your ovary and pelvic lining. There can also be more lesions.
Stage 4: Severe
The most severe stage of endometriosis
involves deep implants on your pelvic lining and ovaries. There may also be
lesions on your fallopian tubes and bowels.
The symptoms of
endometriosis can be similar to the symptoms of other conditions, such as
ovarian cysts and pelvic inflammatory disease. Treating your pain requires an accurate
diagnosis.
Your best gynecologist in greater noida west will
perform one or more of the following tests:
Detailed history
Your doctor will
note your symptoms and personal or family history of endometriosis. A general
health assessment may also be performed to determine if there are any other
signs of a long-term disorder.
Physical exam
During a pelvic exam, your best Gynaecologist doctor will manually feel your abdomen for
cysts or scars behind the uterus.
Ultrasound
Your doctor may
use a transvaginal ultrasound or
an abdominal ultrasound. In a
transvaginal ultrasound, a transducer is inserted into your vagina.
Both types of
ultrasound provide images of your reproductive organs. They can help your
doctor identify cysts associated with endometriosis, but they aren’t effective
in ruling out the disease.
Laparoscopy
The only certain
method for identifying endometriosis is by viewing it directly. This is done by
a minor surgical procedure known as a laparoscopy. Once diagnosed, the tissue can be removed in the
same procedure.
Infertility
The main complication of endometriosis
is impaired fertility. Approximately one-third to one-half of women with
endometriosis have difficulty getting pregnant.
For pregnancy to occur, an egg must be released from an
ovary, travel through the neighboring fallopian tube, become fertilized by a
sperm cell and attach itself to the uterine wall to begin development.
Endometriosis may obstruct the tube and keep the egg and sperm from uniting.
But the condition also seems to affect fertility in less-direct ways, such as
by damaging the sperm or egg.
Even so, many with mild to moderate endometriosis can
still conceive and carry a pregnancy to term. Best Doctors sometimes advise those
with endometriosis not to delay having children because the condition may
worsen with time.
Cancer
Ovarian cancer does occur at higher than expected rates
in those with endometriosis. But the overall lifetime risk of ovarian cancer is
low to begin with. Some studies suggest that endometriosis increases that risk,
but it's still relatively low. Although rare, another type of cancer —
endometriosis-associated adenocarcinoma — can develop later in life in those
who have had endometriosis.
Several factors place you at greater risk of
developing endometriosis, such as:
·
Never giving
birth
·
Starting your
period at an early age
·
Going through
menopause at an older age
·
Short
menstrual cycles — for instance, less than 27 days
·
Heavy
menstrual periods that last longer than seven days
·
Having higher
levels of estrogen in your body or a greater lifetime exposure to estrogen your
body produces
·
Low body mass
index
·
One or more
relatives (mother, aunt or sister) with endometriosis
·
Any medical
condition that prevents the normal passage of menstrual flow out of the body
·
Reproductive
tract abnormalities
Endometriosis
usually develops several years after the onset of menstruation (menarche).
Signs and symptoms of endometriosis may temporarily improve with pregnancy and
may go away completely with menopause, unless you're taking estrogens.
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