विवरण
The exact cause of endometriosis is unknown, but hormones, genetics, and immune system problems may play a role. Endometriosis can also lead to infertility by affecting the ovaries, fallopian tubes, and the tissues surrounding the uterus. Treatment for endometriosis-related infertility typically involves medication or surgery to remove the endometrial tissue. In vitro fertilization (IVF) and other assisted reproductive technologies can also help women with endometriosis and infertility to conceive.
सारांश
- Endometriosis is an inflammatory condition where the uterine lining grows outside the uterus, leading to scarring and adhesions. It's a top cause of infertility, with a high prevalence among women of reproductive age, often causing chronic pelvic pain. Improved detection rates are seen due to better imaging technologies.
- Diagnosis is often delayed due to unawareness, asymptomatic cases, and atypical presentations. Menstrual pain severe enough to disrupt daily life should not be considered normal. Diagnosis is typically confirmed through clinical exams, blood tests, ultrasounds, MRIs, and laparoscopy.
- Endometriosis can significantly impact quality of life, affecting education, work, relationships, and mental health, due to pain and potential infertility. There is no permanent cure, requiring lifelong management focusing on medical treatment to minimize surgical interventions. Treatment plans must be customized based on individual needs.
- Types of endometriosis include superficial peritoneal lesions, ovarian endometriomas, deep infiltrating endometriosis affecting surrounding organs, and abdominal wall endometriosis. While the exact cause remains unclear, theories include retrograde menstruation, in situ development, and in situ metaplasia.
- Management options include surgical (conservative or definitive) and medical (painkillers, hormonal therapies, IUDs). The chosen approach depends on factors like age, symptoms, disease extent, reproductive plans, and treatment risks. Laparoscopic removal of lesions is generally favored.
- Endometriosis can cause infertility through distorted anatomy, endocrine abnormalities affecting ovulation and egg quality, and altered peritoneal fluid with immune system abnormalities. Early-stage endometriosis with infertility is often treated with laparoscopy to remove lesions.
- Endometriomas (chocolate cysts on the ovaries) can damage ovarian reserve during surgery. Options include drainage alone (with high recurrence) or cystectomy (which risks follicle damage). CO2 laser ablation is a newer method aiming to minimize ovarian damage.
- For endometriomas and infertility, options include expectant management (waiting for natural conception), IUI, or IVF, considering age, sperm count, adhesions, and financial factors. IVF is typically advised for women over 38, those with sperm abnormalities, tubal damage, long-term infertility, or recurrent endometriosis.
नमूना प्रमाण पत्र
वक्ताओं के बारे में
डॉ. रिपल मनीष
Specialist Obstetrician & Gynaecologist, Laparoscopic surgeon Emirates Speciality Hospital , DHCC Dubai,UAE.
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