The prevalence and management of Endometriosis.
- Endometriosis is the disease in which endometrium, i. e. the tissue that normally lines the uterus or womb, happens to grow outside of the uterus and on other areas in the body where it doesn’t belong. Total incidence is 1-2%. Usually the patients with endometriosis tend to have a very strong mental constitution, high achiever and usually very competitive with themselves.
- Common signs and symptoms are painful periods, pain with intercourse, pain during urination and defecation, infertility and excessive bleeding.
- In short, endometriosis is a chronic disease that causes severe pain and fertility problems.
- Endometriosis is of minimal, mild, moderate and severe stages.
- The most common sites affected are the pelvic peritoneum and ovaries. Diagnosis is through transvaginal ultrasound, rectal endoscopical ultrasound, 3 D ultrasound or by MRI.
- Surgery is required only in patients with more than 4 to 6 cm lesions accompanied by severe pain.
- Infertility treatment: In young patients with good AMH, IUI is suggested.
- In patients with decreased AMH and grade 3 or 4 endometriosis, IVF is required.
- Egg freezing is an evolving option in unmarried female to preserve fertility in such cases.