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Endometriosis Treatment in Delhi

Endometriosis is a lifelong but manageable gynecological condition. It occurs when endometrial implants, made of tissue similar to the uterus lining, grow in other parts of the body. This tissue helps prepare the womb lining for ovulation, but in endometriosis, it develops outside the uterus.

Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus, most commonly in the pelvic region. It can affect various parts of the body, including the ovaries, peritoneum, fallopian tubes, and lymph nodes. Normally, this tissue is expelled during menstruation, but when displaced, it has no way to exit the body. As a result, the trapped tissue can grow into lesions, causing pain and potentially affecting daily activities and overall well-being. This condition impacts an estimated 6% to 10% of women worldwide, often leading to discomfort and complications in bodily functions.

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Stages of Endometriosis

This condition has four stages:

  • Stage 1 (Minimal): Small implants, lesions, or wounds are present in the tissue or organs lining the abdomen or pelvis, with little to no scar tissue.
  • Stage 2 (Mild): More implants develop compared to stage 1, penetrating deeper into the tissue and forming scar tissue.
  • Stage 3 (Moderate): Deep implants are present, along with small ovarian cysts on one or both ovaries. Thick scar tissues, known as adhesions, also form.
  • Stage 4 (Severe): This is the most advanced stage, with widespread deep implants, thicker adhesions, and the formation of large cysts on one or both ovaries.

Signs and Symptoms of Endometriosis

The major symptom of endometriosis is severe pelvic pain that’s usually related to menstrual periods. This pain also increases over time:

General signs and symptoms of endometriosis are:

  • Painful periods (dysmenorrhea): Cramps and pelvic pain may begin early and continue even after the menstrual cycle, often accompanied by abdominal and lower back pain.
  • Pain during intercourse: Discomfort or pain may occur during or after sexual activity.
  • Pain during urination or bowel movements: These symptoms typically appear during the menstrual cycle.
  • Excessive bleeding: Heavy menstrual periods or bleeding between cycles may occur.
  • Infertility: In some cases, endometriosis is diagnosed in women undergoing infertility treatment.
  • Other symptoms: Fatigue, constipation, diarrhea, nausea, and bloating, especially during menstrual periods, may also be experienced.

The intensity of pain does not always reflect the severity of the condition. Some individuals with mild endometriosis may experience severe pain, while others with advanced endometriosis may have little to no discomfort.

Causes of Endometriosis

The oldest theory suggests that endometriosis occurs due to retrograde menstruation, where menstrual blood flows backward through the fallopian tubes into the pelvic cavity instead of exiting through the vagina.

Another theory proposes that hormones trigger the transformation of cells outside the uterus into endometrial-like cells, similar to those lining the uterus.

Some researchers believe that certain abdominal cells originate from embryonic cells and later transform into endometrial tissue. These cells change shape and function like endometrial cells.

Another idea, known as the Mullerian theory, suggests that endometriosis starts in fetal development when misplaced cell tissues react to puberty hormones. Additionally, genetic factors and environmental toxins may also contribute to its development.

Treatment Options for Endometriosis

For treating endometriosis surgery is possible. However, it is considered only when other treatment options don’t work or are not effective. Other treatment options are:

  • Pain medications: Specialists may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Motrin IB, Advil, etc.) or other prescription medications to help relieve menstrual pain.
  • Hormones: Hormonal therapies such as Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists, hormonal birth control, Danazol, and Medroxyprogesterone (Depo-Provera) may be used for treatment. Additionally, a specialist may recommend an intrauterine device (IUD) for managing the condition.
  • Surgery: In the initial stages, surgery may be performed to remove the affected areas of endometriosis. However, in severe cases, a hysterectomy, along with the removal of both ovaries, may be required.
  • Fertility treatment: For women facing infertility due to endometriosis, pregnancy may be achieved through in-vitro fertilization (IVF).

Risk Factors Associated with Endometriosis

There are several risk factors associated with the development of endometriosis, such as:

  • Starting periods at an early age
  • Not giving birth at all
  • Getting menopause at an older age
  • Having short menstrual cycles — for example, less than 26 or 27 days
  • Having heavy menstrual periods, which last more than seven days
  • Having higher estrogen levels within the body or higher lifetime exposure to estrogen
  • Having a lower body mass index
  • Any medical condition that may prevent normal menstrual flow through your body
  • Any family member (mother, sister, or aunt) with a history of endometriosis
  • Having one or more reproductive tract abnormalities
  • Can endometriosis go away on its own?

    Endometriosis does not usually go away on its own. It is a chronic condition where tissue similar to the lining of the uterus grows outside the uterus, causing pain, inflammation, and sometimes fertility issues. While symptoms may fluctuate, they typically persist or worsen without treatment.

    However, in some cases, endometriosis symptoms may improve naturally, especially after menopause, when estrogen levels decrease. Hormonal treatments, medications, or surgery are often needed to manage symptoms effectively. If you suspect you have endometriosis, it's best to consult a doctor for proper diagnosis and treatment options.

    Best Endometriosis Treatment Hospital in Delhi

    SCI Hospital provides top-quality medical care and advanced facilities for patients with endometriosis. Our team of experienced surgeons and medical specialists is dedicated to delivering effective and high-quality treatment.

    We offer comprehensive treatment options, including surgery, fertility treatments, hormonal therapy, and pain management, ensuring the best possible care for our patients.

    SCI Healthcare also provides multi-disciplinary healthcare services tailored to women's unique health needs, emphasizing advanced, compassionate, and patient-centered care with a strong focus on safety and well-being.

    Dr. Dhwani Mago

    DGO, MBBS, Obstetrician, Gynecologist, Infertility Specialist

    • Obstetrician, Gynecologist, Infertility Specialist
    • 17+ Years Experience
    Dr. Mamta Goel

    DNB, DGO, MBBS, Gynecologist, Obstetrician

    • Gynecologist, Obstetrician
    • 22+ Years Experience
    Dr. Shivani Sachdev Gour

    MBBS, MD, DNB - Obstetrics & Gynecology, Infertility Specialist

    • Infertility Specialist
    • 26+ Years Experience

    FAQs

    If endometriosis is not removed, it can cause pain, bloating, excess menstrual bleeding, and digestive disorders. Over time, this condition can also affect a person’s fertility. When the endometriosis tissue grows outside the uterus, it affects other body organs.

    Endometriosis affects women during their reproductive years, between the ages of 25 and 35 years.

    Endometriosis is a condition associated with high levels of chronic stress. The intensity of stress correlates with pain severity and prolonged disease.

    Endometriosis is a condition in which the tissue resembling the lining of the uterus grows outside the uterine cavity, whereas PCOS is a condition that affects the female’s hormone levels. Females with PCOS will have high levels of male hormones.

    Some basics to prevent endometriosis include proper care:

    • Consider using hormonal birth control such as pills or patches with lower doses of estrogen
    • Reduce the intake of alcohol as it raises estrogen levels
    • Exercise four hours a week
    • Avoid drinks with caffeine

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    Written By: Dr. Mamta Goel
    Education: DNB - Obstetrics & Gynecology, DGO, MBBS
    Experience: 22 Years

    Dr. Mamta Goel is a renowned Gynaecologist and Obstetrician with over 15 years of experience in her field. She has had the privilege of being trained in some of the most prestigious institutions in India, including Army Hospital, Delhi, and Army Base Hospital, New Delhi. Her expertise lies in providing comprehensive care to women, focusing on preventative care, diagnosis, and managing various gynaecological and obstetric conditions. Dr. Goel is known for her compassionate and empathetic approach to patient care.

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