Endometriosis

Understanding a Complex Condition

What is Endometriosis?
Endometriosis is a chronic medical condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These tissue growths can occur on the ovaries, fallopian tubes, bladder, bowel, and other pelvic organs, causing inflammation, scarring, pain and infertility.

This condition is more common than many realize, affecting approximately 1 in 10 women of reproductive age. Unfortunately, it is often underdiagnosed due to its overlapping symptoms with other conditions, and there are times where a woman's symptoms aren't taken seriously.

Symptoms of Endometriosis
The symptoms of endometriosis vary from person to person. Some women may experience severe symptoms, while others may have no symptoms at all. Common symptoms include:
  • Painful Periods (Dysmenorrhea): Severe cramping and pain during menstruation that may not respond to standard pain relief.

  • Chronic Pelvic Pain: Persistent pain in the pelvic region outside of menstrual cycles.

  • Pain During Intercourse: Discomfort or pain during or after sexual activity.

  • Heavy or Irregular Periods: Excessive menstrual bleeding or spotting between cycles.

  • Infertility: Difficulty conceiving due to excessive inflammation and scarring.

    • Blocked Fallopian Tubes: Scar tissue can prevent eggs from reaching the uterus.

    • Ovarian Damage: Endometriotic cysts may affect egg quality.

    • Chronic Inflammation: Inflammation can create an unfavorable environment for conception

  • Other Symptoms: Fatigue, bloating, constipation, or diarrhea, particularly around menstruation.

Did You Know?
  • Surprisingly, there are times where patients have no symptoms.
  • Some also have chronic lower backache and sciatica pain and will visit doctors for orthopaedic issues, but don't realise that these are symptoms of endometriosis.

  • Not all women with endometriosis face infertility. Many conceive naturally, and treatments like laparoscopic surgery, ovulation induction, or IVF can significantly improve the chances of pregnancy

Diagnosis of Endometriosis
Diagnosing endometriosis can be challenging as symptoms often mimic other conditions such as pelvic inflammatory disease (PID) or irritable bowel syndrome (IBS). The diagnostic process typically includes:
  • A detailed medical history and physical examination

  • Imaging tests such as edometriosis-focused ultrasound or MRI to identify endometrial growths

  • Laparoscopy: A minimally invasive procedure where a small camera is inserted into the abdomen to visually confirm the presence of endometriotic tissue and assess its severity.

Did You Know?
In many cases for patient's with endometriosis, ultrasound and MRI scans are normal and show negative findings.

Very Important! Early diagnosis and treatment is key to improving treatment outcomes and fertility.

Treatment Options for Endometriosis
There are several treatment options which can help manage the symptoms and improve quality of life and fertility:
  1. Medications:

    • Hormonal therapies to suppress endometriosis and regulate menstrual cycles.

    • Pain relief to manage discomfort.

  2. Surgical Treatments:

    • Laparoscopic Surgery: Removal of endometriotic tissue using a minimally invasive approach. This procedure is highly effective in relieving symptoms and improving fertility.

    • Robotic Surgery: An advanced surgical option for precise removal of endometriotic tissue, especially in complex cases.

  3. Lifestyle Changes:

    • Adopting a balanced diet, regular exercise, and stress management techniques can help alleviate symptoms.

Why Choose Dr. Smita for Endometriosis Care?
Dr. Smita Sinha is a highly qualified and compassionate gynaecologist with extensive experience in diagnosing and treating endometriosis. Her advanced training in robotic and laparoscopic surgeries ensures that patients receive the most effective and minimally invasive treatment options tailored to their needs. Dr. Smita is dedicated to helping women regain control of their lives and achieve optimal health, even in the face of complex conditions like endometriosis.
Dr Smita's ethos for treating endometriosis are as follows:
  1. Delicate Areas Are Involved:

    Tissue often affects sensitive areas like the ovaries, fallopian tubes, and other vital organs.

  2. Risk of Recurrence:

    If all the endometriotic tissue isn’t removed properly, it could come back, making the surgery less effective.

  3. Fertility Preservation:

    For women planning to conceive, it’s critical to preserve reproductive organs during surgery, which requires specialized skills