Know More About Endometriosis

Hello Everyone,

This is Dr. Sanket Pisat. I am a consultant Gynecological Laparoscopic surgeon working in Adheri in Mumbai.

And today we are going to talk about endometriosis. Endometriosis, as you may have heard from newspapers or report, is a disease that effects the reproductive track of the females quite commonly. The incidence of endometriosis in the past few years, mainly attributed to a late age of marriage, a late age of pregnancy or sometime because of having no children at all. So what is actually endometriosis? Endometriosis is the abnormal growth of the uterine lining which should normally be growing within the uterus at places where it should not be growing like the other organs within the abdominal cavity for example on the ovaries. What happens that is this endometrial lining causes pockets of blood filled tissues on the other organs like the ovaries or the intestines and result in tremendously painful periods to the patient, also sometimes resulting in infertility. The diagnosis of endometriosis is largely clinical, in a sense that sequelae or a set of symptoms commonly suggest that you may be suggesting from endometriosis. These include very heavy periods, tremendously painful periods or an onset of pain just before the periods but going away as the period start or sometimes just plainly infertility. Other times in some patient it may be a difficulty in sexual intercourse or pain during sexual intercourse and all of these require intensive investigation. Sometimes endometriosis can be diagnosed by an ultrasound examination in which the cyst in the ovary show the presence of endometriosis and these are the patients who require surgery. Endometriosis surgery can nowadays be done by laparoscopy or minimally invasive surgery in which there are hardly three or four cuts take in the abdomen which are less than a centimetre in size and the entire disease of endometriosis can be removed by surgery through these three or four ports. Of course, some pockets of endometriosis which are attached to vital organs within the body may not be removed but these then can be managed by medicines alone. In other patients, endometriosis is not as wide spread, the entire disease can be controlled by medicines alone and the patient can be given long term therapy for about three months or six months to make sure that the endometriosis stays quist and does not grow again. A word of conscience for these patients with endometriosis who are also suffering from infertility is that it is essential to plan pregnancy and child birth early because endometriosis is a disease of recurrence and a disease of progression and as age advances an endometriosis increases in intensity. It becomes more and more to conceive either naturally or by any form of assistive reproductive techniques.

If you have any further question in regards please feel free to contact me via Lybrate. Thank you.