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Thu, 14 Dec 2023

Endometriosis

What is Endometriosis ?

Endometriosis is a chronic ,painful and debilitating disorder, in which tissue which normally lines your uterus, also called as endometrium, grows outside your uterus. With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle, causing pain and other symptoms. When endometriosis involves the ovaries, endometrial cyst called endometriomas or chocolate cysts may form. Fertility problems also may develop because of altered anatomy and adhesions in endometriosis.

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What are the symptoms?

  • Painful periods (dysmenorrhea).
  • Pain during sexual intercourse (dysparenuia)
  • Pain with bowel movements or urination.
  • Chronic pelvic pain
  • Excessive bleeding or bleeding between periods
  • Infertility
  • Other symptoms like fatigue and tiredness, diarrhea, constipation, bloating or nausea, especially during menstrual periods.
When to visit a gynecologist?

Endometriosis is a challenging condition, early diagnosis helps in planning a complete management and averting complications. It is most ideal for you to visit a gynecologist if you have any of the above mentioned symptoms, at the earliest. Any episode of painful periods or pelvic pain should be evaluated, comprehensively.

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Why do you have all these symptoms in endometriosis?

Although the exact cause of endometriosis is not certain, possible explanations include:

Retrograde menstruation. In retrograde menstruation, menstrual blood flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells present in the menstrual blood, stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle causing the symptoms of pain and discomfort.
Transformation of peritoneal cells. In what is known as the "induction theory," experts propose that immune factors promote transformation of peritoneal cells into endometrial cells.
Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells into endometrial cell implants during puberty.
Endometrial cell transport. The blood vessels or tissue fluid system may transport endometrial cells to other parts of the body.
Immune system disorder. A problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.
Genetic theory. Certain genes have been linked to endometriosis
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Complications of Endometriosis:

  • Chocolate cysts or endometrial cyst of the ovaries
  • Infertility
  • Endometrial carcinoma
  • Ovarian cancer
Management

Diagnosis & Endometriosis Treatment

We at Queen’s Gynecology provide the best endometriosis treatment in Delhi with utmost precision, since early management can affect the overall quality of life of our patient. Detailed history taking and close follow-ups are mandatory in avoiding complications. Endometriosis treatment can be a challenge, since more than one modality may be preferred for a patient. At Queen’s Gynecology Clinic in South Delhi, we have a team of the best endometriosis specialists in Delhi who are trained in endometriosis management, be it surgical endometriosis treatment or non-surgical treatments. We understand that it can subdue your quality of life, hence offer multidisciplinary support and care.

Endometriosis Treatment in India includes:

  • Medical management with: Painkillers, Hormonal Therapy, Aromatase inhibitors
  • Intrauterine device like Mirena
  • Laparoscopic Endometriosis Surgery
  • Hystrectomy or uterus removal surgery

FAQ's

  1. How much does an endometriosis surgery cost in Delhi?
  2. The cost of an endometriosis surgery in Delhi can deviate widely depending on aspects such as the type of surgery, hospital facilities, surgeon's expertise, and any additional medical services required. Additionally, the cost can vary based on the complications and the individual’s condition.

    Laparoscopic surgery is the most favored treatment option for endometriosis in Delhi. The cost varies from one clinic to another. It's essential to consult with healthcare providers and hospitals directly to get accurate and up-to-date information regarding the specific surgery and associated costs. 

    Additionally, health insurance coverage can also influence the overall expenses for the procedure. To get the right estimate, consult our professionals at Queen's Gynecology in Delhi. 

  3. Can endometriosis be cured permanently?
  4. Endometriosis cannot be permanently cured, but its symptoms can be better managed and controlled through various approaches. While there is no guaranteed permanent solution, treatments such as hormonal therapies, pain management, and surgical interventions can provide relief and improve the quality of life for individuals with endometriosis. 

    Some women may experience a reduction in symptoms or even a period of remission, but recurrence is possible. Ongoing research aims to develop better treatments and understand the underlying mechanisms of endometriosis, offering hope for more effective management strategies and potentially closer-to-permanent solutions in the future. 

  5. At what age does endometriosis stop?
  6. Endometriosis doesn't have a specific age at which it naturally stops. The condition is generally linked to the menstrual cycle and is fueled by estrogen. Symptoms can persist until menopause when estrogen production decreases significantly. 

    However, some women might experience relief from symptoms after menopause. It's important to note that endometriosis can be diagnosed and treated in women of various ages, including adolescents and older adults. 

    Treatment approaches vary and can include hormonal therapies, pain management, and surgery, depending on the individual's health, preferences, and goals. Consulting with a healthcare provider can provide personalized guidance on managing endometriosis at any age.

  7. How do you sleep with endometriosis?
  8. Sleeping with endometriosis can be challenging due to the pain and discomfort caused. To improve sleep quality, consider these tips:

    • Pillow Support: Use pillows to cushion and support areas of discomfort, like the abdomen or lower back.
    • Comfortable Position: Experiment with different sleep positions to find what's most comfortable for you, such as a fetal position or on your side with your knees bent.
    • Heat Therapy: Utilize a hot water bottle or heating pad to soothe pelvic pain before sleep.
    • Medication: Consult your doctor for pain-relief medication recommendations that can help manage pain during the night.
    • Relaxation Techniques: Practice deep breathing, meditation, or gentle stretches before bed to ease stress and promote relaxation.
    • Bedding: Opt for soft, breathable bedding and pajamas to enhance comfort.
    • Limit Fluid Intake: Reduce nighttime disruptions by limiting liquids before bedtime.
    • Sleep Environment: Create a calming sleep environment with dim lighting and minimal distractions.

    Remember, it's crucial to consult your healthcare provider for personalized advice on managing endometriosis-related sleep difficulties.

  9. Is walking good for endometriosis?

Yes, walking can be beneficial for managing endometriosis. While there's no one-size-fits-all solution, light to moderate exercise like walking can help alleviate symptoms. 

Walking promotes blood circulation, reduces stress, and releases endorphins, which may help manage pain and improve overall well-being. It can also prevent stiffness and improve digestion. Confer with your healthcare provider before beginning any exercise regimen.

Testimonials

Pia

Dr Priya is an amazing doctor. She is so generous. I had been consulting her since my first pregnancy. It was a c-sec. Throughout my pregnancy she was always there for my late night calls and doubt sessions. I got recovered within a week after surgery. Even now I am pregnant with a second kid after a year of my first delivery. I am more confident and a happy mother because of her. Thank you Dr. Priya. I really can't express in words.

Neelima Singh

Dr. Priya is very patient and empathetic person and answer all your queries with a detailed honest response. She is also available on WhatsApp which is a great help in times of unseen emergencies. She is very knowledgeable and has a very pleasant personality. She did not recommend any unnecessary tests and medication. Even for females over 40+, who are struggling with the harmonal issues, her consultation is boon. Thanks Dr Priya for being there for us!

Radhika Gupta

Dr. Priya is very patient and empathetic person and answer all your queries with a detailed honest response. She is also available on WhatsApp which is a great help in times of unseen emergencies. She is very knowledgeable and has a very pleasant personality. She did not recommend any unnecessary tests and medication. Even for females over 40+, who are struggling with the harmonal issues, her consultation is boon. Thanks Dr Priya for being there for us!

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