Endometriosis

It is a disease where the lining of womb (from where menstrual blood originates) grows outside the uterus in the pelvic cavity and/or anywhere in body and causes inflammation, pain, fibrosis and scarring where it develops.

Symptoms:

  • Long term pelvic pain-cannot explain the cause of pain
  • Severe dysmenorrhea- excessive pain before and during menstrual cycles which requires
  • break from routine work or job
  • Dyspareunia- deep pain during intercourse
  • Infertility
  • IBS-irritable bowel symptoms worsen specifically around menses time
  • Dyschezia- blood in stool if it involves your rectum or sigmoid colon
  • Cyclical hemoptysis and shoulder tip pain
  • Cyclical neuralgia if involves pelvic nerves

Meet the best endometriosis specialist in Abu Dhabi, Dr Ripal Madnani who has a vast experience in dealing endometriosis cases suffering from infertility. She has treated such patients by holistic approach and has individualized approach to each case. She can treat this condition from both perspective (infertility and pain-quality of life). She is considered one of the best infertility specialists in Abu Dhabi in a view to give best results for infertility associated with endometriosis.

  • Endometriosis Treatment depends on
  • severity of endometriosis,
  • Severity of symptoms-pain,
  • Suffering from infertility,
  • Your age,
  • Plans for future pregnancy,
  • Involvement of surrounding organs- ureter, bowel, parametrium

According to ESHRE international guidelines for the endometriosis treatment in Abu Dhabi, the laparoscopic surgery for endometriosis is considered the option for relief of pain and before starting the ART treatment options (IVF/IUI).

As the time passes the inflammation, fibrosis, scarring and adhesions will increase and hence pelvic pain increases and chance of getting pregnant naturally decreases. When you have menopause, the symptoms may improve but still you need laparoscopic treatment of endometriosis.

There is a small risk of developing endometroid cancer, epithelial ovarian cancer, clear cell cancer if it is not treated for long time specifically when in you have family history (Mother or sister) of cancer.

Women with endometriosis can face fertility issues, bowel complaints (pain/bleeding with bowel movements, irritable bowel symptoms around period time), bladder problems (blood in urine during periods, kidney swelling in advanced cases of endometriosis). If endometriosis develops in distant organs like lungs, diaphragm, liver then multidisciplinary care is advised.

There are no measures that can prevent endometriosis because currently there is no confirmed etiology that is responsible to develop endometriosis. But there are certain conditions that can decrease the risk of it are pregnancy, breastfeeding, maintain healthy lifestyle, late starting of menstrual cycles.

It depends on the type, site, and size of disease. If it is only minimal or mild, usually surgery is enough to increase the chances of conception naturally. If it is severe endometriosis or involving or damaging the tubes, then after surgical correction IVF is usually required to achieve a pregnancy.

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