header image Professor Hakim Dilshad Hussain Tabssum (Gold Medalist) Ex-member: American Infertility Association (USA)
 
 

Endometriosis

Endometriosis  Endometriosis

Endometriosis can cause painful periods, persistent pain in the pelvic area, infertility, and other symptoms. . Treatment with out Surgery painkillers and normal hormone with ……………. Successful Herbal Treatment any side-effects.

  • What is endometriosis?
  • Who gets endometriosis?
  • What causes endometriosis?
  • What are the symptoms of endometriosis?
  • How is the diagnosis of endometriosis confirmed?
  • How does endometriosis progress?
  • What are the aims of treatment?
  • Not treating as an option
  • Painkillers for endometriosis
  • Hormone treatments for endometriosis
  • Surgery for endometriosis
  • Some general points about the treatment of endometriosis
  • Age and plans for pregnancy
  • Successful Herbal Treatment with out any side-effects
  • Length of treatment

What is endometriosis ?

Endometriosis is a gynecological condition in which cells from the lining of the uterus (endometrium) appear and flourish outside the uterine cavity, most commonly on the membrane which lines the abdominal cavity, the peritoneum. The uterine cavity is lined with endometrial cells, which are under the influence of female hormones. Endometrial cells in areas outside the uterus are also influenced by hormonal changes and respond in a way that is similar to the cells found inside the uterus. Symptoms of endometriosis are pain and infertility. The pain often is worse with the menstrual cycle and is the most common cause of secondary dysmenorrhea.Endometriosis is typically seen during the reproductive years; it has been estimated that endometriosis occurs in roughly 6–10% of women.Symptoms may depend on the site of active endometriosis. Its main but not universal symptom is pelvic pain in various manifestations. There is an established association between endometriosis and infertility. Endometriosis has a significant social and psychological impact.

Who gets endometriosis?

The exact number of women who develop endometriosis is not known. This is because many women have endometriosis without symptoms, or with mild symptoms, and are never diagnosed. Investigations to diagnose endometriosis are only done if symptoms become troublesome and are not eased by initial treatments (see below). Estimates vary so that from about 1 in 10 to as many as 5 in 10 of all women develop some degree of endometriosis. If symptoms develop they typically begin between the ages of 25-40. Sometimes symptoms begin in the teenage years. Endometriosis can affect any woman. However.Sometimes it runs in families. Therefore, endometriosis is more common in close blood relatives of affected women. Endometriosis is rare in women past the menopause, as to develop endometriosis you need oestrogen, the female hormone. Oestrogen levels fall after the menopause. The combined oral contraceptive pill (often called ‘the pill’) reduces the risk of developing endometriosis.

What causes endometriosis?

The exact cause is not known. It is thought that some cells from the womb (uterus) lining (the endometrium) get outside the uterus into the pelvic area. They get there by spilling backwards along the Fallopian tubes when you have a period. The ‘spilt’ endometrial cells then continue to survive next to the uterus, ovary, bladder, bowel, or Fallopian tube. The cells respond to the female hormone oestrogen, just like the lining of the uterus does each month. Throughout each month the cells multiply and swell, and then break down as if ready to be shed at the time of your period. However, because they are trapped inside the pelvic area, they cannot escape. They form patches of tissue called endometriosis. Patches of endometriosis tend to be ‘sticky’ and may join organs to each other. The medical term for this is adhesions. For example, the bladder or bowel may ‘stick’ to the uterus. Large patches of endometriosis may form into cysts which bleed each month when you have a period. The cysts can fill with dark blood; this is known as ‘chocolate cysts.

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