Endometriosis is a common medical condition that affects women, and it occurs when the tissue lining the uterus grows outside of the uterus. It can cause severe pain, especially during menstrual periods, and lead to fertility issues if left untreated.
Common symptoms of endometriosis include pelvic pain, painful periods, cramps a week before and after menstruating heavy menstrual bleeding, acute pain in the lower abdominal region, pain following sexual intercourse, irregular bowel movements, lower back pain during the periods, and infertility (when left untreated). It is important to note that some patients diagnosed with endometriosis experience no adverse symptoms.
The exact cause of endometriosis is not known. However, there are several theories and speculations that scientists and doctors believe could be the possible reasons behind this condition. Some common causes are retrograde menstruation, embryonic cell transformation, transformation of peritoneal cells, endometrial cell transport, and surgical complications.
Doctors typically ask about the patient's symptoms and medical history to diagnose endometriosis. Routine blood tests and physical examinations, including a pelvic exam, ultrasound, MRI, or laparoscopy, may be performed to get a more accurate picture of what's happening inside the body.
Endometriosis is classified into four stages, ranging from minimal to severe, based on the extent, depth, and location of endometrial implants, as well as the presence of scar tissue and size of the endometrial tissue in the ovaries.
Pre-treatment preparation:
Before undergoing treatment for endometriosis, a thorough medical examination will be carried out, and it may involve a pelvic exam, ultrasound, MRI, or laparoscopy. It would help to inform the doctor of any medications you are taking, as some may need to be stopped before treatment.
Treatment process:
There are several treatment options for endometriosis, including medication, surgery, and alternative therapies. The type of treatment recommended will depend on the severity of the condition, the symptoms experienced, and the individual's overall health.
Endometriosis Surgery
When it comes to treating endometriosis, various surgical and diagnostic procedures are available, all of which are laparoscopy-based and done under anesthesia. It means that the procedures are entirely painless. Laparoscopy uses a small catheter-like instrument with a camera and lens. Once the patient is under anesthesia, the surgeon creates a small keyhole in the abdomen and injects carbon dioxide gas to lift it above the small intestines, creating space for the procedure. Then, the laparoscope is inserted to provide a high-definition view of the internal organs on a digital monitor. This imaging helps determine the exact status of the endometriosis, its severity, and its grade.
For grade II endometriosis, the surgeon excises the tiny blood deposits using specialized medical equipment (LAPEX - laparoscopy and excision). The more extensive blood deposits are burned for grade III through ablation (laparoscopy and ablation). For grade IV or endometrioma cysts, the surgeon removes the cyst on the ovaries through specialized medical equipment (laparoscopic cystectomy) and ablates the other blood deposits in the abdomen.
In some cases, if the woman is over 40 years old or does not want any more children, the uterus may be removed (hysterectomy) while excising or ablating all the other blood deposits in the abdomen.
Post-treatment process:
After treatment, following up with regular appointments with the doctor to monitor the condition is essential. Women undergoing surgery for endometriosis may require several weeks to recover fully. It is essential to avoid strenuous activities, heavy lifting, or sexual intercourse for a few weeks after surgery. Hormonal therapies may cause side effects such as mood swings, weight gain, or hot flashes.
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