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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

ENDOMETRIOSIS

Endometriosis is a painful condition in which tissue lining the inside of your uterus grows outside the uterus. Endometriosis generally involves the ovaries, bowel and/or the tissue lining the pelvis. In rare cases, the endometrial tissue spreads beyond the pelvic region.

In endometriosis, displaced endometrial tissue acts the way it normally would: it thickens, breaks down and bleeds out of the body with each menstrual cycle. Since this displaced tissue has no way to exit the body, it becomes trapped inside the body. Surrounding tissue and organs can become irritated, and may develop scar tissue and adhesions (abnormal tissue that connects the organs together).

Length

The procedure may last for one to two hours, depending upon the level of proliferation of endometrial tissue outside the uterus.

Causes

  • Backflow of menstrual blood back through the Fallopian tube instead of outside the body (Retrograde menstruation).
  • Embryonic cell growth.
  • Attachment of endometrial tissue to scars after surgery.
  • Immune system disorder.

Diagnosis

  • The doctor will recommend an examination of the Pelvic region and an Ultrasound scan.
  • In some cases, a laparoscope may be used to view and even take samples of any endometrial growth outside the uterus. This is done through a small incision made in the abdominal wall.

Symptoms

Endometriosis is characterized by one or more of the following symptoms-

  • Painful and heavy bleeding menstrual cycle
  • Pain during intercourse
  • Painful bowel movements and urination
  • Fatigue, diarrhea, nausea, etc.

Procedure

Hormone therapy and pain medications may be prescribed in most cases. Surgery is usually reserved as a last resort, only performed in serious cases.

  • While performing a laparoscopic surgery, the surgeon introduces a laparoscope (a thin, flexible viewing instrument) through a small incision near your navel and inserts instruments to remove endometrial tissue through another small incision.
  • In extreme cases, a hysterectomy may be performed.

Follow up

  • The patient is required to report to the doctor periodically for at least a couple of months after surgery.
  • Also, the lifestyle is slightly affected, with a possibility of the condition recurring.

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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