ENDOMETRIOSIS

The lining tissue of the uterus is named endometrium. every month a woman produces endometrium among the cavity of the womb. the liner tissues are shed through the cervix into the vagina throughout the menstrual periods.

For unknown reasons, in some women these tissues grow outside the womb. this can be known as endometriosis.

The blood and alternative biochemical's discharged by the endometriosis cells can irritate the surrounding tissues, inflicting pelvic pain. when these cells become active throughout menstrual bleeding, they cause painful periods. Eventually the body could form connective tissue round the injuries caused by endometriosis tissues, inflicting additional severe chronic pain and problem in falling pregnant.

Endometriosis could be a common condition among women of all ages, races and backgrounds. Some clinical studies calculable that one in ten women have endometriosis.

In general, endometriosis is more common in ladies in their 20’s and 30’s, however even adolescents will develop endometriosis. It decreases with menopause.

There are varied hypotheses on the causes and formation of endometriosis, however up to now there's still no single theory that may totally justify its actual cause. However, there seems to be a genetic element. If a woman’s mother or sister has had endometriosis, she herself is a lot of probably to possess endometriosis likewise.


Although endometriosis is a common condition, several young women do not realize they have endometriosis until they have severe pain or difficulty in getting pregnant.

The major symptoms of endometriosis are:

  • Painful periods often affecting normal activities, causing missing school or work
  • Deep pain during sex
  • Pain when opening bowel especially during a period
  • Cyclical pain starting 1-2 days before menstrual bleeding
  • Pain radiating to the back, upper thighs or buttock
  • Difficulty in getting pregnant

If you have got these warning symptoms, your doctor may advise you on whether or not you must be checked for endometriosis.


Endometriosis can cause severe pelvic pain that affect a woman’s normal activities and daily performance.

In addition, endometriosis will have an effect on fertility. For a healthy woman in her 20s, the normal probability of obtaining pregnant is concerning 25% per month. Delicate type of endometriosis will cause the possibilities to drop to around 7% per month. A lot of intensive endometriosis that lead to scarring, block of the fallopian tubes or “chocolate cysts” within the ovaries (endometrioma) reduce these possibilities further.

When endometriosis tissues are deeply planted within the pelvis (called deeply infiltrative endometriosis), they cause scarring, adhesions between pelvic structures and irritation to the pelvic nerves. In some severe cases, they will grow on internal organ, bladder and ureters, inflicting pain or disfunction from these organs.


The best way to check for endometriosis is by having a specialist gynecologist observe your personal medical record and also the results of a pelvic examination. Our gynecologist can then prepare the foremost applicable tests for you.

If the endometriosis involves ovary, associate degree female internal reproductive organ “chocolate cyst” (endometrioma) could show up on a pelvic ultrasound scan.

If you've got important internal organ symptoms, we will organize a special scan known as sonovaginography with an experienced ultrasound specialist to seem at the possibility of intestine involvement by endometriosis.

Based on your symptoms and test results, we'll then work on a tailored treatment arrange that matches your individual wants and conditions.


Medical treatments can give symptomatic relief. However, they do not treat the cause and therefore the effects are solely temporary. Painkillers could facilitate to relieve painful periods or pelvic pain. hormonal treatments like contraceptive pills will suppress the activities of endometriosis cells and briefly scale back the symptoms, however the illness can come back once the treatment stops. hormonal treatments also are not appropriate for women who are attempting to fall pregnant.

The most effective way to take away endometriosis is with laparoscopic (keyhole) surgery. strong clinical proof have shown that removal of endometriosis by experienced surgeons will provide the advantages of:

  • Improved pain
  • Improved fertility – more likely to get pregnant and later have a take-home baby
  • Reduced recurrence of endometriosis

Using advanced laparoscopic surgery to get rid of endometriosis is one in all our specialised areas.