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Endometriosis is a chronic condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These growths commonly occur on organs within the pelvis, such as the ovaries and fallopian tubes. The exact cause of endometriosis is not fully understood, but it is often associated with retrograde menstruation, where menstrual blood containing endometrial cells flows back through the fallopian tubes and attaches to pelvic organs. This ailment can lead to severe pelvic pain, heavy menstrual bleeding, infertility, and discomfort during intercourse or bowel movements.
In Lucknow, there has been an increasing awareness of endometriosis due to the efforts of specialists in endometriosis to make the residents aware of this condition. Women with a family history of endometriosis are at a higher risk, highlighting the importance of understanding this disease within families. Further information regarding endometriosis will be discussed in the subsequent sections.
Endometriosis can vary considerably among individuals in terms of its location, size, depth, and number of implants, leading to its categorisation into four stages:
Minimal: Characterised by superficial implants on the pelvic lining or ovaries.
Mild: This stage involves a greater number of implants on both the pelvic lining and ovaries compared to the minimal stage.
Moderate: Defined by the presence of numerous deep implants affecting the uterus, fallopian tubes, ovaries, and pelvic lining.
Severe: The most advanced stage, characterised by a large number of deep implants on the pelvic lining and ovaries, and lesions on the fallopian tubes and bowels.
The symptoms manifested by endometriosis patients can vary considerably and may include:
Pelvic pain often associated with menstrual periods.
Painful periods accompanied by heavy menstrual bleeding.
Difficulties in conception leading to infertility.
Discomfort or pain during intercourse.
Pain experienced during bowel movements or urination.
Chronic fatigue
Gastrointestinal symptoms including diarrhoea, constipation, bloating, and nausea
Endometriosis can be diagnosed using several tests performed by doctors specialising in endometriosis treatment:
Detailed medical history: This includes a thorough discussion about the symptoms and family history of endometriosis.
Pelvic exam: A doctor manually checks areas in the pelvis for abnormalities such as tender nodules or masses suggestive of endometriosis.
Transvaginal ultrasound An imaging test that uses sound waves to create pictures of the pelvic organs, allowing doctors to identify any endometrial implants or cysts within the uterus or ovaries.
MRI scan: Provides detailed images of organs and tissues, which can help identify deep endometriosis lesions that may not be visible on ultrasound.
Laparoscopic surgery The definitive diagnosis, where surgeons specialising in endometriosis examine the pelvic organs and take a biopsy of any suspicious tissue.
The best doctors specialising in endometriosis at Apollo Hospitals in Lucknow provide a range of treatments to help manage endometriosis, which include:
Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen are commonly prescribed to alleviate symptoms such as pelvic pain and menstrual cramps.
Hormonal Therapies: Birth control pills, progestins, and gonadotropin-releasing hormone (GnRH) agonists work to suppress oestrogen production and menstrual cycles.
Conservative Surgery: Doctors specialising in endometriosis treatment may conduct surgery to remove endometrial implants and adhesions while preserving the uterus and ovaries.
Assisted Reproductive Technologies: For those struggling with infertility, options like Intrauterine Insemination (IUI) or In Vitro Fertilisation (IVF) are available.
Hysterectomy: In severe cases, removal of the uterus and ovaries may be necessary if other treatments fail. This is performed by surgical specialists in endometriosis in Apollo hospitals.
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H1 | Abacavir: Uses, Dosage, Side Effects, and More |
H2 | What is Abacavir? |
H2 | Uses of Abacavir |
H2 | Dosage and Administration |
H3 | Important Considerations |
H2 | Side Effects |
H3 | Common Side Effects |
H3 | Serious Side Effects |
H2 | Interaction with Other Medicines |
H3 | Benefits of Abacavir |
H2 | Frequently Asked Questions |
H2 | Brand Names |
H2 | Conclusion |
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