Endometriosis is the presence of functional endometrial tissue outside the uterine cavity. This tissue can be present anywhere within the abdominal cavity. Some studies have documented endometriosis within the lungs!
What are the causes of endometriosis?
Endometriosis is multi-factorial. Risks include family history of endometriosis, uterine
anomalies and in women who delay giving birth.
There are several theories on how endometriosis spreads. The most convincing one states that menstrual fluid passes retrograde from the uterus into the abdomen through the fallopian tubes. Ovarian hormones also play a vital role in the progression of endometriosis.
What are the symptoms of endometriosis?
• Cyclical pelvic pain Infertility
• Other complications are related to the adhesions caused in the pelvis by the disease itself.
What are my treatment options?
Several studies showed that medical intervention (OC pills, GnrH analogues) for endometriosis only relieves pain; it does not improve on fertility rates.
Surgical intervention (laparoscopic adhesiolysis and ovarian endometrioma excision) significantly enhances chances of pregnancy post treatment.
What is adenomyosis?
Adenomysis is the ingrowth of endometrial tissue into the uterine musculature, thus
making the uterus bulky.
Does adenomyosis require intervention?
Mostly ultrasound diagnosed “bulky” uterus or mild adenomysis do not require any treatment, but when it is associated with heavy bleeding or pelvic pain, then medical intervention is required. If medical management does not relieve pain, then surgical intervention is required.
How is adenomyosis treated surgically?
Adenomyosis is treated depending on the age and parity of the patient. A younger woman who has not yet completed her family life would usually undergo a wedge resection (wherein a small wedge shaped portion of the adenomysis is resected out ) . An older woman who has completed her family life would undergo a hysterectomy
What’s laparoscopic pre sacral neurectomy?
This is an alternative treatment for patients for pain relief associated with adenomyosis and endometriosis. This laparoscopic procedure helps patients with excessive pain due to endometriosis who do not respond to medical intervention. This is a very skilled laparoscopic procedure involving the removal of nerve tissue retroperitoneally from near the sacral promontory.
Indigo Womens Center is proudly one of the few hospitals in Chennai where this procedure can be performed.