Endometriosis
Endometriosis
Let me explain something very important to you today, and I want you to listen carefully. Endometriosis is not just another condition—it’s something that requires your attention. It’s a disorder in which tissue, very similar to the lining of your uterus (the endometrium), starts growing outside the uterus. Now, this tissue behaves as it would inside your uterus—it thickens, breaks down, and bleeds every month—but there’s no way for it to exit your body. This creates all kinds of problems like pain, inflammation, and sometimes scar tissue, which makes things stick together inside your body. I don’t want you to ignore this.
What is Endometriosis?
Women in their reproductive years, especially between ages 15 and 49, are most commonly affected by endometriosis. It’s a condition I see far too often, and trust me, you need to take it seriously. Although the exact cause remains unclear, factors such as hormonal fluctuations, immune dysfunction, and genetics may contribute to its development. And while it may not be curable, there are many ways to manage the symptoms and lead a full, healthy life if you get proper treatment.
What are the Symptoms of Endometriosis?
I understand that sometimes you might feel like the pain during your periods is just “normal.” Severe pelvic pain, particularly during menstruation, is a major symptom of endometriosis and should not be dismissed:
- Pelvic pain: Persistent discomfort should never be dismissed, as early diagnosis leads to better management. The pain isn’t something you should just “deal with.” It’s a sign that something is wrong. Don’t ignore it.
- Heavy periods (menorrhagia): If you are bleeding excessively, it’s not okay. You can’t just assume this is how it is for every woman. It can lead to anemia, and you deserve better than that.
- Pain during intercourse: Pain during sex is not something you should tolerate. It can be a sign of endometriosis, and it’s important to address it as soon as possible.
- Pain with bowel movements or urination: You shouldn’t feel like your whole digestive system is out of control because of your periods. It’s time to get checked.
- Infertility: If you’re having trouble getting pregnant, this could be a result of endometriosis, and you need to take that seriously. We can help with fertility treatments, but it starts with getting a diagnosis.
- Fatigue: Many patients experience unexplained chronic fatigue, which should be addressed during consultations.
And remember, not everyone has all of these symptoms. Some women have little to no pain, while others are completely debilitated. It’s why you need to come in for a check-up—don’t wait for things to get worse.
What Causes Endometriosis?
I know you’re probably asking yourself, “Why me?” While there isn’t a clear answer, I’ll explain what we know so far. Endometriosis can happen because of several reasons:
- Retrograde menstruation: Menstrual blood may flow backward into the pelvic region instead of exiting the body. That’s when the endometrial tissue starts growing where it shouldn’t. Trust me when I say this needs to be addressed before it gets out of hand.
- Embryonic cell transformation: Hormonal influences during puberty may cause pelvic cells to mimic endometrial tissue. Yes, hormones are powerful, and they need to be in balance, which is why we keep track of your hormone levels closely.
- Immune system issues: If your immune system isn’t functioning properly, it might not be able to recognize and destroy endometrial tissue growing outside the uterus. This is something we can work on managing, but it requires regular attention.
- Genetics: Women with a family history of endometriosis are at higher risk. This is why I urge you to talk openly with your family about your health history.
How is Endometriosis Diagnosed?
Listen carefully—this condition won’t just go away on its own, and diagnosing it early is essential to avoid further complications. I can’t stress this enough—if you’re experiencing any of the symptoms I mentioned, we need to do something about it. Here’s how we diagnose endometriosis:
Pelvic exam
I will do a thorough pelvic exam to feel for abnormalities like cysts or scar tissue. This is one of the first steps we take.
Ultrasound
This helps us see any cysts that might be present, especially endometriomas (cysts caused by endometriosis).
MRI
This might be necessary to get a clearer picture of the condition, especially if endometriosis is severe or widespread.
Laparoscopy
Laparoscopy is the most effective method for confirming endometriosis. It’s a minimally invasive procedure where a camera is inserted into your abdomen to directly view the tissue. Don’t worry—it’s done under anesthesia, and I’ll be there with you every step of the way.
Once we have a diagnosis, we can move forward with the right treatment plan for you.
What is the Treatment for Endometriosis?
Now, I know you’re wondering about treatment options, and I want you to know that there are several ways we can manage endometriosis. I’ll explain what I recommend based on your specific situation.
Medications
- Pain relief: Anti-inflammatory medications like ibuprofen can help manage symptoms. But don’t just pop pills without addressing the root cause!
- Hormonal therapies: Birth control methods, including pills and IUDs, can reduce pain and abnormal bleeding associated with endometriosis. Hormones play a huge role, and balancing them is a big part of the treatment plan.
- GnRH agonists: These are used to create a temporary menopause-like state to suppress menstruation and shrink endometrial tissue. Yes, it may sound intense, but it’s often necessary for severe cases.
- Progestin therapy: This therapy can shrink the endometrial tissue, reduce pain, and help manage other symptoms.
Surgical Treatments: For severe endometriosis or if other treatments aren’t working, surgery might be the best option.
- Laparoscopic surgery: A minimally invasive surgery that aims to remove or destroy endometrial tissue that causes complications in endometriosis. It’s a common approach, and recovery is typically fast, but it’s still surgery.
- Hysterectomy: In cases where other treatments haven’t worked, and if you’re done having children, a hysterectomy might be considered. We might remove your uterus and even your ovaries to eliminate the condition, but we’ll discuss this thoroughly before making that decision.
Fertility Treatment: For individuals facing infertility due to endometriosis, fertility options such as IVF (in vitro fertilization) and other treatments may be recommended based on your individual circumstances. The key is to seek help early if you’re trying to conceive.
Conclusion
Endometriosis is not something to take lightly. I understand it can be overwhelming, but I’m here to guide you. If you’re experiencing symptoms, please don’t hesitate to come in and talk to me. Together, we will develop a tailored treatment approach to help you regain control and improve your health. Don’t suffer in silence—your well-being is a top priority.
Frequently Asked Questions
Anyone with a uterus can develop endometriosis. It’s most commonly diagnosed in women between 15 and 49 years old. If you’re experiencing symptoms, don’t delay in seeking evaluation, no matter your age.
Yes, endometriosis can run in families. If your mother or sister has it, you’re at a higher risk. It’s crucial to be conscious of your family medical history to better understand potential health risks.
Endometriosis is a chronic condition that does not resolve on its own. Early intervention is vital to managing symptoms effectively.
Yes, you can still get pregnant. However, endometriosis can cause fertility issues, and getting pregnant may be more difficult. Don’t wait until you’re ready to conceive—seek treatment early if you have concerns about fertility.
Surgery is often necessary to remove endometrial tissue, but many cases can be managed without it through medications and hormonal treatments. Let’s talk about your options.
Technically, you can live with endometriosis, but why would you want to suffer in silence?: If you’re experiencing pain or other troubling symptoms, it’s important to seek medical care without hesitation.
No, endometriosis is not a tumor. The condition involves tissue similar to the endometrium growing outside the uterus, though it is not cancerous.
Symptoms may include intense pelvic pain, especially during menstruation, heavy bleeding, discomfort during intercourse, and difficulty conceiving. If any of these sound familiar, come in for an exam.
Laparoscopic surgery typically takes 1-2 weeks for recovery, but more invasive procedures may take longer. We’ll guide you through every step of the recovery process.
Working hours
Need expert care? We are available at the below hours. Schedule your visit today!
MON – SAT
8AM – 10AM
5PM – 8PM
BOOK
SUNDAY
By Appointment
BOOK
Consult Dr. Indira Sarin
Experience excellence in urogynecology care with Rajasthan’s first urogynecologist
Call Us
917725924746
Reach Us
Urja Advanced Superspeciality Medicentre, railway station, 707, opposite Durgapura, Shanti Nagar, Durgapura, Jaipur, Rajasthan 302018