Welcome to Sreelatha Fertility (IVF) Centre
Endometriosis is a very common condition where cells of the lining of the uterus (endometrium) are found elsewhere, usually in the pelvic cavity, bowel, ovaries and fallopian tubes. It’s a condition of reproductive years. Retrograde Menstruation (backward’ bleeding carries tissue from the uterus through the fallopian tubes) during a period to the different places in the pelvic cavity.
Symptoms of Endometriosis:
Occasionally women may have no symptoms.
During the menstrual cycle, under the influence of the female hormones estrogen and progesterone, the lining (endometrium) of the uterus thickens and prepares itself for the implantation of the fertilized egg. If there is no pregnancy, the lining sheds as a period.
Endometriosis occurs when the cells of the lining of the uterus are found in other parts of the body, usually the pelvis. Each month this tissue thickens and bleeds in the same way as the lining of the uterus. This internal bleeding into the pelvis has no way of leaving the body. This causes inflammation, pain and damage to the reproductive organs and the normal anatomy of the pelvis.
Reproductive areas where endometriosis can be found
There is no simple test for endometriosis. Ultrasounds can identify chocolate cysts but not rule out endometriosis. Definitive diagnosis is formed by Laparoscopy.
The treatment depends on various factors. They are:
Pain-relieving drugs reduce inflammation and help to ease the pain. Also pain relieving anesthesia is an option
There is a range of hormone treatments which allow the endometriosis to shrink or disappear.
Surgical treatment depends on the site and the extent of endometriosis. It ranges from simple ablation of the endometriotic spots, cyst fulguration or excision, hysterectomy.
It can be done either by laparoscopy or as an open surgery (laparotomy)
Treatment options in infertile Women
Getting pregnant can be a problem for some women with endometriosis. If the endometriosis is mild then one can conceive normally or with little help in the form of ovulation induction with timed intercourse or IUI Moderate to severe endometriosis may require assistance. The options are ovulation induction flilowed by IUI or IVF