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Endometriosis Treatment in Bharatpur

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What is endometriosis?

Endometriosis is a female disease in which endometrial-like tissue is found outside of the uterus in other parts of the body. Lesions are characterized as estrogen-dependent, benign, inflammatory, stem-cell driven and at times progressive with diffuse fibrosis, deep infiltration, and resistance to apoptosis (cell death) and progesterone. This tissue, which normally lines the uterus, is associated with monthly menstruation and is often characterized by abnormal painful and heavy periods, as well as pelvic pain, severe cramps, and pain with sex.

 

Symptoms of endometriosis include:

  • Severe menstrual cramps, unrelieved with NSAIDS
  • Long-term lower-back and pelvic pain
  • Periods lasting longer than 7 days
  • Heavy menstrual bleeding where the pad or tampon needs changing every 1 to 2 hours
  • Bowel and urinary problems including pain, diarrhea, constipation, and bloating
  • Bloody stool or urine
  • Nausea and vomiting
  • Fatigue
  • Pain during intercourse
  • Spotting or bleeding between periods

Causes

The exact cause of endometriosis is not currently fully understood.

Possible explanations include:

 

Problems with menstrual flow: Menstrual blood enters the fallopian tubes and the pelvis instead of leaving the body in the usual way.

 

Embryonic cell growth: At times, embryonic cells lining the abdomen and pelvis develop into endometrial tissue within those cavities.

 

Fetal development: Data show that endometriosis can be present in a developing fetus, but pubertal estrogen levels are thought to trigger the symptoms.

 

Surgical scar: Endometrial cells can move during a procedure such as a hysterectomy or c-section.

 

Endometrial cell transport: The lymphatic system transports endometrial cells to various parts of the body.

 

Genetics: There may be an inherited component. A woman with a close family member who has endometriosis is more likely to develop endometriosis herself.

 

Hormones: Endometriosis is stimulated by the hormone estrogen.

 

Immune system: Problems with the immune system can prevent the destruction of extrauterine endometrial tissue.

 

Treatments

Pain medications: Either over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) or prescription drugs for the treatment of painful menses.

 

Hormones: Treatment may be with hormonal therapies such as hormonal birth control, Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists, Medroxyprogesterone (Depo-Provera) or Danazol. Placement of an intrauterine device (IUD) may also be recommended.

 

Surgery: Initial surgery will seek to remove the areas of endometriosis, but a hysterectomy with removal of both ovaries may be necessary.

Fertility treatment: Pregnancy may be recommended via in-vitro fertilization (IVF).

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