Endometriosis is an extremely painful condition where a woman may experience a variety of symptoms like painful periods, painful sexual intercourse, infertility, rectal pain while defecating, infertility and chronic pelvic pain. It is a disease process where the endometrium which normally lines the uterine cavity is found on other organs especially the ovaries and behind the uterus. Like the endometrium of the uterine cavity, this endometrium also responds to the hormonal changes causing symptoms like painful periods, infertility and pain while having intercourse.
Endometriosis can be diagnosed on Sonography and may also need further imaging like MRI to diagnose any deep infiltrating lesions. Endometriosis is an important cause of Infertility. Dr Amrita Tandon is an expert who can offer both Laparoscopy and Infertility (IVF) treatment for Endometriosis in Mumbai.
The treatment of endometriosis depends on the extent of the disease, symptoms and the size of the chocolate cyst, the amount of peritoneal implants and deep infiltrating disease. The focus of treatment for infertility is on getting the woman pregnant. In the rest of the women with moderate and severe endometriosis the treatment is a combination of laparoscopic surgery followed by medication to suppress the disease. Unfortunately, there is no complete and permanent treatment of endometriosis. Both medicines and surgery cause a temporary relief from the disease process.
Women with endometriosis are given the option of freezing their oocytes or embryos via IVF prior to surgery. Laparoscopy is an excellent tool to diagnose and correct all forms of endometriosis. In mild endometriosis, the endometriotic areas on the undersurface of ovaries and on the uterosacral ligament are cauterized. The endometriotic cysts of the ovaries also known as chocolate cyst are opened and drained, the inner surface of the cyst is cauterized and the cyst wall can be peeled out. The ovaries which are stuck to their base are freed through the laparoscope. In severe endometriosis, uterus could be stuck or adherent posterior to the rectum and this can be released laparoscopically. The fallopian tube which are adherent in a woman with endometriosis can be freed with laparoscopy.