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ENDOMETRIOSIS Endometriosis is a painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs. With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other. Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available. Symptoms The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual pain that's far worse than usual. They also tend to report that the pain increases over time. Common signs and symptoms of endometriosis may include: • Pelvic pain • Painful periods (dysmenorrhea) • Pain with intercourse • Pain with bowel movements or urination. • Excessive bleeding • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility. • fatigue • diarrhea • constipation • bloating or nausea, especially during menstrual periods. The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all. Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. Causes Although the exact cause of endometriosis is not certain, possible explanations include: • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle. • Transformation of peritoneal cells. In what's known as the "induction theory, " experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells. • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty. • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision. • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body. • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus. Risk factors Several factors place you at greater risk of developing endometriosis, such as: • Never giving birth • Starting your period at an early age • Going through menopause at an older age • Short menstrual cycles — for instance, less than 27 days • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces • Low body mass index • Alcohol consumption • One or more relatives (mother, aunt or sister) with endometriosis • Any medical condition that prevents the normal passage of menstrual flow out of the body • Uterine abnormalities Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen. Complications • Impaired fertility. Diagnosis • Pelvic exam • Transvaginal ultrasound • Laparoscopy. Treatment • Medications : Pain medications • Hormone therapy • Progestin therapy • Surgery ENDOMETRIOSIS TREATMENT IN JALANDHAR
Surgery Conservative treatment consists of the excision (called cystectomy) of the endometrium, adhesions, resection of endometriomas, and restoration of normal pelvic anatomy as much as is possible.Laparoscopy in Jalandhar, besides being used for diagnosis, can also be used to perform surgery. It's considered a "minimally invasive" surgery because the surgeon makes very small openings (incisions) at (or around) the belly button and lower portion of the belly. A thin telescope-like instrument (the laparoscope) is placed into one incision, which allows the doctor to look for endometriosis using a small camera attached to the laparoscope. Small instruments are inserted through the incisions to remove the endometriosis tissue and adhesions. Because the incisions are very small, there will only be small scars on the skin after the procedure, and all endometriosis can be removed, and women recover from surgery quicker and have a lower risk of adhesions. 55% to 100% of women develop adhesions following pelvic surgery, which can result in infertility, chronic abdominal and pelvic pain, and difficult reoperative surgery. Bhargava hospital ovarian suspension, a technique in which the ovaries are suspended for a week after surgery may be used to reduce the incidence of adhesions after endometriosis surgery. Conservative treatment involves excision of endometriosis while preserving the ovaries and uterus, very important for women wishing to conceive, but may increase the risk of recurrence. Endometriosis recurrence following conservative surgery is estimated as 21.5% at 2 years and 40-50% at 5 years. A hysterectomy (removal of the uterus) can be used to treat endometriosis in women who do not wish to conceive. However, this should only be done when combined with removal of the endometriosis by excision, as if endometriosis is not also removed at the time of hysterectomy, pain may still persist.For women with extreme pain, a presacral neurectomy may be very rarely performed where the nerves to the uterus are cut. However, this technique is almost never used due to the high incidence of associated complications including presacral haematoma and irreversible problems with urination and constipation. Gyne Doctor In Jalandhar
Prognosis Proper counseling of women with endometriosis requires attention to several aspects of the disorder. Of primary importance is the initial operative staging of the disease to obtain adequate information on which to base future decisions about therapy. The woman's symptoms and desire for childbearing dictate appropriate therapy. Not all therapy works for all women. Some women have recurrences after surgery or pseudo-menopause. In most cases, treatment will give women significant relief from pelvic pain and assist them in achieving pregnancy. The underlying process that causes endometriosis may not cease after surgical or medical intervention. Studies have shown that endometriosis recurs at a rate of 20 to 40 percent within five years following conservative surgery, unless hysterectomy is performed or menopause reached. Monitoring of women consists of periodic clinical examinations and sonography . Vaginal childbirth decreases recurrence of endometriosis. In contrast, endometriosis recurrence rates have been shown to be higher in women who have not given birth vaginally, such as in Cesarean section.
Pelvic pain Every woman experiences pelvic pain due to one or other reason many times in their life. Sometimes pelvic pain may be hinting towards a major disorder, while other times it may be part of a normal menstrual cycle. Here you can read the possible causes and treatment of pelvic pain. What is pelvic pain? As you know, pelvic region refers to the organs in your lower abdomen. Organs in your pelvic area include womb, bowel, bladder, fallopian tube, cervix, vagina ovaries etc. A pelvic pain occurs due to irregularities or dysfunction of any of these organs. The pain in the pelvic region may be acute or chronic. What causes pelvic pain? Pelvic pain may be caused by any disorder, infection or condition related to urinary, reproductive or digestive system in woman. Pelvic pain is one of the major symptoms of diseases affecting the reproductive system in woman. It includes: Endometriosis: A common gynaecological disorder in which the endometrium (uterine lining) grows outside the uterine cavity. Dysmenorrhoea: The menstrual cramps accompanying the periods may turn severe in women sometimes. Ovarian torsion: Twisting or rupturing of the ovary caused by ovarian masses or cysts. Uterine fibroids: Non-cancerous tumours that grow inside the female reproductive system leading to heavy bleeding Ovarian/cervical/uterine cancer: A cancerous growth in the pelvic region Pelvic inflammatory disease: A common infection that occurs in the pelvic region Ovulation: A pelvic pain that lasts for a few hours may occur when the egg is released from the ovaries. Ectopic pregnancy: A condition in which the fertilised egg attaches itself anywhere outside the uterus and begins to develop. Miscarriage during pregnancy: Loss of pregnancy in the initial 24 weeks. Premature labour: Labour occurring before 37 weeks of pregnancy. Placental Abruption: An emergency condition in which the placenta detaches from the uterus partially or wholly, before the baby is born. Chronic pelvic pain: The pain which lasts for more than six months. It can be caused due to history of accidents, physical abuse, chronic stress or depression etc. gynecologist hospital in Jalandhar
Dysmenorhea Today i want to tell you about a very common problem that is Dysmenorhea. It is basically the pain a female suffers during her menstrual cycle. It can be of three types; spastic, congestive and triple. Dysmenorhea is a common occurence but what are the alarming signs when you should approach your gynaecologist are- pain that starts prior to starting your bleeding and the pain that continues all throughtout the bleeding days and even after that, the pain that compels you to take intravenous analgesic and a leave from your work. The conditions like pelvic inflammatory disease, fibroid uterus, adenomyosis and endometriosis have to ruled out so that right and timely intervention make you pain free soon. Dysmenorhea in Jalandhar Gynecologist in Jalandhar
Laparoscopy Laparoscopy is a surgical procedure useful for the diagnosis and treatment of infertility, endometriosis, fibroids, blocked fallopian tubes, ovarian cyst and pelvic pain. This operation allows a direct view of the uterus, tubes, ovaries, other organs and the pelvic cavity in general. Our Virginia fertility specialist received years of training in laparoscopic surgery. Tubal reversal surgery can also be performed laparoscopically. Laparoscopy also called as minimally invasive surgery is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5 – 1.5 cm) as opposed to the larger incisions needed in laparotomy. Laparoscopy in Jalandhar Gynecologist in Jalandhar
Hello readers Today i want to tell you about a very common problem that is #Dysmenorhea. It is basically the pain a female suffers during her menstrual cycle. It can be of three types; spastic, congestive and triple. Dysmenorhea is a common occurrence but what are the alarming signs when you should approach your gynecologist are- pain that starts prior to starting your bleeding and the pain that continues all throughout the bleeding days and even after that, the pain that compels you to take intravenous analgesic and a leave from your work. The conditions like pelvic inflammatory disease, fibroid uterus, adenomyosis and endometriosis have to ruled out so that right and timely intervention make you pain free soon. Dysmenorhea in Jalandhar Gyne doctor in Jalandhar
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