Endometriosis

What is Endometriosis?

Endometriosis is a chronic condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus. This tissue behaves like the lining inside the uterus, thickening, breaking down, and bleeding with each menstrual cycle. However, since it’s outside the uterus, it cannot exit the body. This leads to irritation, scarring, and sometimes severe pain.

What are the causes of Endometriosis?

The exact cause of endometriosis remains unclear, but potential factors include:

Retrograde Menstruation

Menstrual blood flowing backward into the pelvic cavity instead of leaving the body.

Immune System Disorders

Issues with the immune system might allow endometrial cells to implant and grow in abnormal locations.

Hormonal Imbalances

Elevated estrogen levels may promote the development of endometriosis.

What are the symptoms of Endometriosis?

Some symptoms of endometriosis to watch out for are:

Pelvic Pain

Often associated with menstruation, but can occur at any time during the menstrual cycle.

Menstrual Irregularities

Heavy menstrual bleeding or irregular periods.

Painful Intercourse

Discomfort during or after sexual activity.

Painful Bowel Movements or Urination

Discomfort during bowel movements or urination, especially during menstruation.

Infertility

Difficulty conceiving might be a symptom in some cases.

Who is at risk of Endometriosis?

Factors that might increase the risk of developing endometriosis include:

Age

Most commonly diagnosed during reproductive years, usually between the ages of 25 and 40.

Family History

Having a close relative with endometriosis increases the likelihood of developing it.

Menstrual History

Short menstrual cycles or starting menstruation at an early age might elevate the risk. Moreover, those with shorter menstrual cycles are also at risk. 

How do you prevent Endometriosis?

Preventive measures may include:

Hormonal Birth Control

Continuous use of hormonal contraceptives might reduce or eliminate periods, potentially decreasing the likelihood of endometrial tissue developing outside the uterus.

Regular Health Check-ups

Routine gynecological examinations can aid in early detection and management.

How is Endometriosis diagnosed?

Diagnosing endometriosis involves various methods:

Pelvic Exams

Physical examinations to check for abnormalities or tender areas in the pelvis.

Ultrasound Imaging

Using sound waves to create images of the pelvic area and detect the presence of endometrial tissue.

Laparoscopy

A surgical procedure allowing direct visualization and confirmation of endometriosis.

How is Endometriosis treated?

Treatment options include:

Pain Medications

Over-the-counter pain relievers to manage discomfort.

Hormone Therapy

Hormonal treatments to regulate menstrual cycles and reduce pain.

Surgical Interventions

Laparoscopic surgery to remove endometrial tissue or, in severe cases, a hysterectomy might be recommended.

IntimaV Treatments for Endometriosis

Adhesiolysis

Adhesiolysis is a surgical procedure aimed at removing adhesions (scar tissue) commonly associated with endometriosis. This technique aims to restore organ mobility, alleviate pain, and improve fertility by separating tissues affected by adhesions, offering relief for individuals with endometriosis-related complications.

Hysterectomy

In severe cases of endometriosis, hysterectomy involves the surgical removal of the uterus, often accompanied by removal of other affected reproductive organs. This procedure aims to alleviate symptoms, such as chronic pelvic pain or heavy menstrual bleeding, and is considered when other treatments have been ineffective or when fertility is no longer a concern.

Ovarian Cystectomy/ Oophorectomy

Ovarian cystectomy and oophorectomy are surgical procedures tailored to address ovarian complications associated with endometriosis. An ovarian cystectomy involves the careful removal of cysts from the ovaries, preserving ovarian tissue and functionality, which can be crucial for individuals seeking fertility preservation. Oophorectomy, on the other hand, entails the removal of one or both ovaries and is typically considered in more severe cases where cysts are recurrent or when there’s a significant risk of ovarian cancer. Both procedures aim to alleviate pain, reduce the risk of further cyst formation, and manage the symptoms of endometriosis, with the choice of surgery depending on the individual’s condition, symptoms, and reproductive goals.