Endometriosis affects almost one-third of all women who undergo gynecologic surgery. Endometriosis develops during a woman’s reproductive period and most females with the ailment face infertility. Endometriosis lesions frequently cause significant discomfort and impairment. The significance and misery of this disease are undeniable.
It is defined by the abnormal development of endometrial tissue (uterine lining). Instead of exiting the uterus via the vagina (during menstruation), certain endometrial fragments can exit through the fallopian tubes & enter the pelvic region, where they get stuck on certain other pelvic structures. The ovaries are the most typical site for endometrial tissue implants. It is hormone-dependent.
Diagnosis of Endometriosis
A laparoscopy procedure is a surgical technique that enables a clinician to physically inspect the pelvic floor for endometrial adhesions, is often used to diagnose the problem. Unfortunately, because laparoscopy is a surgical treatment that necessitates an incision/cut and anesthesia, it is not appropriate for all people. Generally, only females with obvious indications and symptoms of the ailment are subjected to laparoscopy, but those with modest symptoms, even if the condition is pretty advanced, are not generally referred for surgical treatment until their problems become ever more obvious, which might also delay the diagnosis. Less intrusive techniques are being developed as a result. Endometrial biopsy, for which tissue samples are examined for the existence of aberrant nerve fibers, is one promising approach. This method has been shown in clinical studies to be useful in the early diagnosis of endometriosis.
Pain relievers can be the sole therapy required for moderate endometriosis. Surgical treatment and hormone injection to restrict ovulation for six to nine months are used to treat more severe endometriosis. Dysmenorrhea, dysuria, dyspareunia, dyschezia, and persistent pelvic discomfort are all symptoms of endometriosis. Without a prior definite diagnosis, empirical therapy of symptoms apparently caused by endometriosis should involve extensive counselling and a study of appropriate progestogens, analgesia, or a combination of oral contraceptive tablets.
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Milonee Patel (MBBS Student)
Volunteer at MedBound