Endometriosis

Types of Endometriosis

Depending on the area/organs it affects, endometriosis can be classified into the following types

• Superficial Endometriosis: Also known as peritoneal endometriosis, it is the most common and least severe type, characterized by the development of endometrial tissue on the abdominal lining, i.e. peritoneum.
• Endometriomas: Often referred to as chocolate cysts, these are the most common type of endometriosis, accounting for 14 to 77% of the cases. These tiny fluid-filled cysts are most likely to develop in the ovaries.
• Deeply Infiltrating Endometriosis (DIE): It refers to the endometriosis that spreads deep within the organs. In rare cases, it can lead to scarring that binds the surrounding organs leading to a condition called frozen pelvis.
• Abdominal Wall Endometriosis (AWE): It is a rare type of endometriosis, marked by the development of endometrial tissue on the abdominal wall, primarily after a major surgical intervention involving the uterus.

When should you consider seeing our experts?

Endometriosis is a chronic condition that can manifest in different ways. You should consider seeing our expert if you have been experiencing any of the following lately.

• Severe back pain during Menstrual Periods
• Severe Menstrual cramps
• Chronic Pelvic Pain that lasts longer than 6 months
• Pain during or following sexual intercourse
• Bloating, constipation, or diarrhoea
• Problems related to conception
• Traces of blood in stools/urine

What causes Endometriosis?

Although the specific cause of endometriosis is unknown, various theories exist.

According to one such theory, some of the menstrual blood goes back via the fallopian tubes and into the pelvis during menstruation, where it implants and develops.

Another hypothesis is that endometrial tissue is transported to other areas of the body via the bloodstream or lymphatic system. Genetics, hormonal abnormalities, and immune system dysfunction are all possible causes.

Stages of Endometriosis

Endometriosis is broadly classified into 4 types. These are:

• Stage I or Minimal stage
• Stage II or Mild stage
• Stage III or Moderate stage
• Stage IV or Severe stage

Endometriosis and Fertility

It has been seen that women with endometriosis are at an increased risk of experiencing problems with conception.

Nearly 30 - 50 % of women suffering from the condition are likely to experience infertility. This especially holds true for women with severe endometriosis, who have distorted pelvic anatomy, scarring, adhesions and inflammation

Fortunately, there is hope for women with endometriosis, who wish to conceive. With expert consultation and proper treatment, it is possible for you to conceive naturally

How we diagnose you

Endometriosis can be often challenging to diagnose because many of its symptoms coincide with those of other illnesses

At Surya Hospital, we diagnose our patients using a wide range of modalities that include evaluation of medical history, pelvic examination, evaluation of symptoms

Various imaging techniques may also be used, which include:

• Ultrasound or MRI scans, to look out for any abnormalities in the pelvis
• Laparoscopy for observing the pelvic organs

Treatments

Surya Hospitals provides a variety of endometriosis treatment methods, based on the severity of the ailment and the patient's treatment goals. Among the treatment options are:

• Pain Relief: While some pain relievers may suffice for moderate cases of endometriosis, prescription pain relievers or hormone therapy may be required for more severe pain.
• Hormone Therapy: Pills such as birth control pills can assist in regulating hormones. The menstrual cycle is shortened, and endometrial tissue growth is reduced.
• Surgery: When endometriosis causes significant pain or infertility, surgery may be required to remove the endometrial tissue as well as any adhesions or scarring.
• Fertility Therapies: Treatments such as in vitro fertilisation (IVF), may be advised for women with endometriosis who are experiencing infertility.