What is Endometriosis?
Endometriosis is a condition when â€˜lining of the uterusâ€™ (also known as endometrium) is found outside the uterus. During menstrual period, this endometriotic tissue bleeds and swells-up and leads to pain before and during periods. This lining is mostly found around the uterus.
What the symptoms with endometriosis?
The most common symptoms are period pains. There is also pain associated with intercourse. Sometimes, this pelvic pain can last throughout the cycle. Pain can also be associated with endometriotic ovarian cysts (chocolate cysts or endometrioma) and involvement of bowel. Bowel involvement (rectovaginal endometriosis) is relatively uncommon but may lead to severe symptoms during periods such as pain during passing stools.
How is endometriosis diagnosed?
A thorough history and examination is vital for the correct diagnosis. If the endometriosis involves the ovaries, then pelvic ultrasound scan is helpful in making diagnosis.
A laparoscopy (look inside the tummy with a camera) is the standard technique to diagnose and treat at the same time.
How is endometriosis treated?
Endometriosis can be treated by medical or surgical means.
- Hormonal treatment with contraceptive pills or Mirena IUS.
- Medical treatment with pain reliefs
- Surgical treatment. This involves key hole/laparoscopic surgery to remove and excise all the visible endometriosis from the internal lining of the abdomen and pelvis.
Mr Raza offers a full range of treatments for this difficult condition including
- Laser laparoscopic excision of endometriosis
- Laparoscopic ablation of endometriosis
- Laparoscopic removal of endometrioma (cyst on the ovary)
- Tertiary level management for severe/rectovaginal disease
- Integrated treatment for endometriosis related fertility problems in liaison with fertility specialist
How can you prevent recurrence of Endometriosis?
A thorough removal of endometriosis is necessary to reduce the recurrence however this can happen in 15% of cases. Contraceptive pills and Mirena IUS may help to reduce the risk of recurrence.
Can endometriosis affect fertility?
Endometriosis can make it more difficult to get pregnant. The evidence shows that surgical treatment can help to increase the natural conception rates as well as IVF success.