Endometriosis is a painful dysfunction during which the tissues much like the interior lining of the uterus or endometrium develop outdoors the uterus. It’s a long run situation which may have a big impact on the bodily, sexual, psychological and social facet of a girl, and in addition a pair attempting to conceive. “Endometriosis often involves the ovaries, Fallopian tubes and the tissues lining the pelvis, called the peritoneum. However, in severe cases, it may involve the bladder, bowel and ureters. Due to the absence of an outlet, when these tissues shed within the body, the blood tends to collect in a closed space and form cysts in the ovary,” explains Dr Geeth Monnappa, Gynecologist, Fortis La Femme, Bengaluru.
She provides that this results in the manufacturing of a dense inflammatory response resulting in a situation known as ‘Frozen pelvis’. “This is where the tubes and ovaries are stuck to the uterus, thus altering the anatomy and interfering with egg pick up,” she tells indianexpress.com
When is it suspected that one is affected by endometriosis?
There are a number of causes, however one of the prevalent ones is when a girl complains of long-term decrease belly or pelvic ache which impacts her every day actions. “Other is having painful stools or urination during periods. In some cases, women also suffer excruciating pain during or after sexual intercourse,” says Dr Monnappa, including: “Endometriosis often causes problems in conceiving as it distorts the anatomy of the Fallopian tube and ovary and interferes with the egg pick up by the fallopian tube.” “Not only that, but endometriosis also interferes with the egg release and the quality along with the receptivity of the inner lining of the uterus to pregnancy, thus making it difficult for a woman to conceive naturally,” she says.
How can one affirm the analysis?
Dr Monnappa shares the assorted choices accessible to substantiate the analysis. These embrace:
- Stomach and pelvic examination: This examination is inconclusive and the analysis requires imaging within the type of ultrasound or MRI
- Ultrasound: This may simply detect endometriotic cysts within the ovaries and even its deposits within the bowel, bladder and uterus.
- MRI: Could be thought-about to evaluate the extent of endometriosis. particularly if it includes the organs outdoors the pelvis previous to surgical procedure for higher planning of the process.
- Laparoscopy: One of the simplest ways to diagnose and deal with endometriosis.
Dr Monnappa says, “what is alarming about endometriosis is that the severity of the symptoms doesn’t often correlate with the severity of the condition. This is because an asymptomatic or mildly symptomatic woman may have severe endometriosis and vice-versa making it difficult for the patient to comprehend the nature of the disease or the severity of her condition.”