By Dr Zulfikar Bux
Assistant Professor of Emergency Medicine
Endometriosis is becoming more common and is a leading cause of infertility in women. 10% of women
worldwide have endometriosis. The prevalence of endometriosis in women with infertility is as high as to 30–50%. It is often a missed condition and women tend to endure unnecessarily because of this.
WHAT IS ENDOMETRIOSIS?
Endometriosis is a condition that affects women. It can cause pain in the lower part of the belly and trouble getting pregnant.
Endometriosis occurs when tissue normally found in a woman’s uterus (womb) grows outside of the uterus. This tissue, which does not belong outside the uterus, can then breakdown, bleed, and cause symptoms. It can grow on the tubes, ovaries, bladder and even the intestines.
WHAT ARE THE SYMPTOMS OF ENDOMETRIOSIS?
Some women with endometriosis have no symptoms. But most have pain in the lower part of the belly that can occur:
*Before or during monthly periods
*Between monthly periods
*During or after sex
*When urinating or having a bowel movement (often during monthly periods)
Other symptoms of endometriosis can include:
*Trouble getting pregnant
*Growths on the ovaries that a doctor can feel during an exam
All of these symptoms can also be caused by conditions that are not endometriosis. But if you have any of these symptoms, tell your doctor.
IS THERE A TEST FOR ENDOMETRIOSIS?
Tests such as ultrasounds and CAT scans of the belly can clue in on endometriosis, but they are not as accurate. Your doctor or nurse might suspect you have it by learning about your symptoms and doing an exam. The only way to know for sure if you have endometriosis is for a doctor to do surgery and look for endometriosis tissue outside the uterus.
HOW IS ENDOMETRIOSIS TREATED?
Endometriosis can be treated in different ways. The right treatment for you will depend on your symptoms and on whether you want to be able to get pregnant in the future.
Doctors can use medicines to treat endometriosis. These include:
*Pain medicines – There are medicines that can treat the pain caused by endometriosis. But these medicines do not make the endometriosis go away.
*Birth control medicines – Certain birth control medicines can help reduce pain symptoms. This treatment is not appropriate for women who are trying to get pregnant.
*Hormones that stop monthly periods – Most doctors do not recommend that women use this treatment for longer than one year, because it can have side effects. Also, this treatment is not appropriate for women who are trying to get pregnant.
Some women choose to have surgery to treat endometriosis. Different types of surgery can include:
*Laparoscopy – In this type of surgery, a doctor will make a small cut in the belly and put a tube with a camera inside the body. Then he or she can see and remove endometriosis tissue.
*Hysterectomy – A hysterectomy is surgery to remove a woman’s uterus. Sometimes, the doctor will also remove the ovaries and tubes that connect the ovaries to the uterus. A woman cannot get pregnant after her uterus is removed.
WHAT IF I AM HAVING TROUBLE GETTING PREGNANT?
If you are having trouble getting pregnant, talk with your doctor. There are different medicines and treatments that can help a woman get pregnant. If you feel you are having symptoms suggestive of Endometriosis, you should visit your doctor and let him/her know of your thoughts. It may help to alleviate your painful days.
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