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ENDOMETRIOSIS

  • Endometriosis is a common female health disorder where tissue from the lining of the womb (endometrium) is found in other parts of the body such as the the ovaries and fallopian tubes, outside the womb, the lining of the inside of the abdomen, the bowel or bladder. Endometriosis is a long-term condition and its symptoms can vary from person to person. Endometriosis may be broadly classified into mild and severe endometriosis. How severe the symptoms are depends on where in your body the abnormal tissue is, rather than the amount of tissue you have. A small amount can be more painful than a large amount. Severe endometriosis causes pelvic scarring and distortion of pelvic anatomy. The tubes can become damaged or blocked and the ovaries often contain cysts of endometriosis (endometriomas) and may become adherent to the uterus, bowel or pelvic side wall. Any of these anatomic distortions can result in infertility.In some cases the eggs in the ovaries can be damaged, resulting in decreased ovarian reserve and reduced egg quantity and quality

    Common symptoms include :

    • Difficulty getting pregnant or not being able to get pregnant at all
    • Painful periods or heavy periods
    • Pain in the lower abdomen, pelvis or lower back.
    • Pain during and after sex
    • Bleeding between periods

    Our doctors may suspect endometriosis based on the above symptoms and with physical examination or ultrasound scan findings. However, the only way to accurately diagnose endometriosis is to perform a surgical procedure called laparoscopy that allows us look inside the abdominal cavity with a narrow telescope called laparoscope. There is good evidence that removing endometriosis tissue and adhesions, endometriomas (cysts) and making the ovaries mobile during keyhole (laparoscopic) surgery can improve your chances of having a successful pregnancy. For many patients with severe or recurring endometriosis, after laparoscopy, IVF is one of the only options left for achieving pregnancy.