ENDOMETRIOSIS

What is Endometriosis?

Endometriosis is a condition where the womb lining responsible for menstruation (or endometrium) is found outside the womb. It is a common condition affecting about 10 per cent of women. As many as 30% of women complaining of severe menstrual pain are found to be suffering from endometriosis, but the condition is often under diagnosed as it may also be present in women with symptoms unrelated to periods or those who experience minimal discomfort. Endometriosis can cause inflammation, scarring and adhesions of tissues in the pelvis, resulting in infertility and debilitating pain.

 

You may have endometriosis if you suffer from any of the following symptoms:

  • Painful menstruation
  • Pain during sexual activity
  • Chronic pelvic pain
  • Heavy or irregular menstruation
  • Pelvic bloating (from endometriotic cysts or enlarged womb from infiltrative endometriosis)
  • Subfertility
  • Bowel-related symptoms during menstruation (painful bowel movements, diarrhoea, constipation)
  • Urinary-related symptoms during menstruation (painful urination, bloody urination)
  • You can also be asymptomatic and have endometriosis or endometriotic cysts
  • endometriosis and infertility
How common is Endometrosis?

Endometriosis has been found in approximately 6-10% of reproductive aged women. Women experiencing fertility problems are much more common (21-47% of women). Those women with chronic pelvic pain have the highest prevalence (71-87%). The average age at the time of diagnosis is 28 years old.

United Medical, a one-stop women’s gynaecologist clinic, offers ladies of all ages a screening via endoscopy polyps.

Is Endometriosis a genetic disease?

Endometriosis is a complex disease that has a definite genetic component. First of all, it does run in families. If a sister or mother has endometriosis, the risk for a woman to have endometriosis is 7-10 times higher. Genetic studies have (so far) identified seven genetic areas that increase the risk of endometriosis. The more abnormal genetic areas a woman has, the more severe the degree of endometriosis.

How does Endometriosis cause infertility?

The more severe forms of endometriosis are associated with scar tissue in the abdomen which causes distortion of the pelvic anatomy which makes it harder for an egg to get into the fallopian tube at the time of ovulation. It is uncertain about how milder endometriosis may cause infertility.

 

One theory suggests that a woman’s eggs might be directly affected. For example, a study looking at the use of donated eggs found no difference in pregnancy rates between women with endometriosis and those without. This would suggest an egg problem. However, another study looked at the practice of splitting the eggs from one egg donor into two women (one with and one without endometriosis) and found lower pregnancy rates in the endometriosis group. This would suggest a uterine problem.

How is Endometriosis diagnosed?

The gold standard for diagnosing endometriosis is still surgery with biopsy of suspected areas and subsequent confirmation under the microscope. Much effort has gone into trying to find a blood test that could accurately identify endometriosis but to date such a marker remains elusive.

Where do you feel Endometriosis pain?

The exact symptoms of endometriosis depend on where in the body the patches of uterine lining develop. This is why not everyone with endometriosis will experience the same symptom. For example, some patients have only mild pain, and a few don’t feel any pain or symptoms at all. For this reason, it’s not always possible to tell the difference between regular menstrual pain and endometriosis pain. However, some of the common symptoms include the following:

  • Severe menstrual pain or cramping
  • Pain during sexual intercourse
  • Chronic lower back pain
  • Pain when urinating or defecating
  • Lower abdominal pain
  • Pelvic pain outside of your menstrual pain

 

Infertility

The only way to make sure of endometriosis is with keyhole surgery called laparoscopy, but doctors may be able to get a general picture of your condition with medical imaging like MRI, or a routine pelvic exam.

Endometriosis pain: How to treat Endometriosis?

If you’re one of the 176 million individuals worldwide who suffer from endometriosis, you know that it can be excruciating. But too often, girls assume or are told that their pain is “all just part of being a woman”, albeit requiring immediate treatments. But you don’t have to put up with the pain of endometriosis. If you are experiencing pain in Endometriosis, kindly contact United Medical for assistance.

Treatment to control pain

Treatment to alleviate pain is different than treatment to improve fertility. For the control of pain, the main objective is the suppression of hormones that cause endometriosis to develop.

 

At United Medical clinic, we’re a group of qualified professionals with the right skill set and tools to help you in bolstering rate of fertility, fetal conditioning, and overseeing the entire delivery journey together with you. Contact us for appointment booking – Doctor’s profiles.

Treatment To improve fertility

For the improvement of fertility, studies have found that surgery for milder stages of endometriosis has a beneficial effect. However, the impact is relatively small. For more severe stages of endometriosis, there is more uncertainty about whether surgery helps. And there is some risk. Women with endometriosis involving the ovaries are more likely to have decreased ovarian reserve. Surgery to remove ovarian endometriosis will further decrease this reserve.

 

IVF does improve the chance for pregnancy in women with endometriosis. It is unclear whether endometriosis still has some impact, however.

Why is laparoscopic surgery a preferred choice?

Laparoscopic surgery may lead to shorter or no hospital stay, minimal post-op discomfort, reduced analgesia, faster return to normal activities and may leave less of a scarring compared to traditional surgeries.

United Medical Services

Our team at the Endometriosis Centre provides seamless care to patients. Seeking to understand the individual needs of the patient with endometriosis, we offer the following services tailored to improve quality of life for each woman who suffer from endometriosis- related symptoms.

 

Consultations to evaluate your symptoms and needs:

  • Advice on medications to improve symptoms – there is a wide range of medications including non-hormonal and hormonal medications available. We will discuss with you the benefits and side effects of the available options and adjust therapy according to your needs
  • Surgery Diagnostic laparoscopy – to confirm the presence of endometriosis. Therapeutic surgery can also be done at the same occasion.
  • Therapeutic laparoscopy – to restore normal pelvic anatomy and excise endometriosis. Aims to relief pain and/or symptoms and improve fertility
  • Excision of endometriotic cysts
  • Hysterectomy with or without removal of ovaries
  • Other pain relief methods including medications and injections
  • Diagnostic ultrasound scan services
  • Outpatient hysteroscopy services
Planning Ahead
You may wish to prepare a list of questions to ask before seeing us so that you will not miss out anything important. Ask for the appointment on a day when you know you will not be having your period. Be sure to bring a list of all medications and supplements that you are taking.
Can I walk in for an appointment or service?
We want to make sure we cater enough time for your visit with our doctor. As such, we strongly advise that you make a prior appointment with our staff. Our specialist will then meet you on the allocated time for a detailed discussion. Please call or email us for an appointment.

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