What Is Endometriosis?
A condition in which the uterine lining known as endometrium grows outside the uterus is called endometriosis. The cysts may form in the ovaries and the endometriosis may grow on the abdominal or pelvic lining. In many cases scarring occurs which blocks the tubes thus causing the infertility. Endometriosis is known to be a major cause of infertility in women. Endometriosis is suspected on the basis of some symptoms but the exact diagnosis is possible through laparoscopy which is a surgical procedure.
The causes of endometriosis are unknown and it is said that it often run in families. The factors that contribute to the endometriosis are unclear. 75 percent women having pelvic pain also have endometriosis. The symptoms of endometriosis start appearing after 25 years but any women who menstruate can be at the risk of having this disease.
Symptoms of Endometriosis
The symptoms of endometriosis usually appear in the women who are infertile. The disease is more common in women who have family history of endometriosis. Some factors include
- Short menstrual cycles that are less than 28 days
- Longer menstrual cycles in which bleeding is more than 5 days
- Painful cramping around menstruation.
- Very painful menstrual cycle
- Congenital abnormal uterus
- Very tight cervical opening
- Discomfort during bowel movements
Pain is not always the indicator of this disease. The early diagnosis of this problem can help the patient to manage the symptoms in a better way.
Causes of Endometriosis
The exact cause is unknown but some factors contribute to this problem for example
- Retrograde menstruation
- Growth of embryonic cell
- Surgical scar implantation
- Endometrial cells transport
- Immune system disorder
The following factors will place you at greater risk of having endometriosis like
- Never giving birth
- Relatives like mother, aunt or sister having endometriosis
- Any medical condition in which the normal passage of menstrual flow is prevented to flow out of the body
- pelvic infection history
- Uterine abnormalities
The Available Treatments
There are no permanent treatments available for this condition but some treatments are done to control the symptoms of this problem. For example birth control pills help in relieving the pain caused by endometriosis.
There is also a surgical treatment of endometriosis. This treatment improves the fertility and boosts the pregnancy rates. In this treatment a surgery is done to remove the endometrial tissue. Strong pain and anti-inflammatory medications are also given to treat pain but these medications do not treat fertility.
Endometriosis is known to be the most under diagnosed problem.
When the endometriosis is mild, it is treated with medicines and when surgery is performed, it treats the pain temporary.
Mild endometriosis is also treated with intrauterine insemination and ovarian hyperstimulation. It also boosts fertility but in that case when infertility factors are not present.
In case of severe endometriosis, the treatment does not improve the fertility. But in some cases the surgical treatment of diseases increases the chances of pregnancy. But overall chances of pregnancy are low.