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Endometriosis

What is Endometriosis ?
Endometriosis is a condition where tissue, similar to the tissue that normally grows inside the uterus, also grows outside of the uterus. The tissue inside the uterus is called “endometrium” and the tissue outside of the uterus is called “endometriosis”. The most common places where endometriosis occurs are the ovaries, the fallopian tubes, the bowel, and the areas in front, in back, and to the sides of the uterus.

Some women with endometriosis have few or no symptoms while others have pain or difficulty becoming pregnant. There is no cure for endometriosis, but there are several treatment options. The best treatment depends on your individual situation.

There are several treatment options for women with endometriosis:

⇒ Nonsteroidal antiinflammatory drugs

⇒ Hormonal birth control

⇒ Other forms of hormone treatment (gonadotropin releasing hormone agonists. Dinogest)

⇒ Surgery

The best treatment depends on your future plans to become pregnant and what symptoms are most bothersome.

⇒ Surgery — Surgery might be an option to treat endometriosis

The goal of surgery is to remove endometriosis implants and scar tissue. More than 80 percent of women who have surgery have less pain for several months after surgery. However, there is a good chance that the pain will come back unless you take some form of treatment after surgery (like hormonal birth control).

⇒ Laparoscopy — Laparoscopy is one way to perform surgery, and is commonly used to diagnose and treat endometriosis. During laparoscopy, a doctor makes several small cuts to place instruments inside the abdomen and pelvis. One of these instruments has a light and camera, which allows the doctor to see the organs on a screen.

⇒ Treatment of an endometrioma — Medicines are unlikely to make an endometrioma go away. Surgery to remove the endometrioma if it is larger than 4 to 5 cm, symptomatic or enlarging, is usually recommended because surgery can confirm the diagnosis, prevent complications (such as rupture of the endometrioma), and treat any symptoms, such as pain.

⇒ Removal of the uterus or ovaries — called hysterectomy

●You have tried other treatments but continue to have severe symptoms.

●You do not want to become pregnant in the future.

●You want a permanent treatment.

●Surgery to remove the ovaries and fallopian tubes is called salpingo-oophorectomy. It is not always necessary to remove the ovaries to treat endometriosis; this decision will depend on your age and your preferences.