Endometriosis

The endometrium is the tissue that lines the inside of the uterus (womb). Endometriosis is a condition where endometrial tissue is found outside the uterus in the abdomen. If left untreated theses endometrial patches could give rise to infertility (due to blocked fallopian tubes) and adhesions. In the ovary they cause cysts (blood filled bubbles) called “Chocolate Cysts”

Symptoms of Endometriosis

Diagnose

Endometriosis is diagnosed either by an Ultrasound scan (if chocolate cysts are seen) and diagnosis is confirmed by a Diagnostic Laparoscopy where the patches of endometriosis are not only seen but can be treated at the same time.
Diathermy application to the patches reduces the inflammation/ CYSTECTOMY (taking away the cyst with the wall is compulsory) when done successfully results in pregnancy

Treatment

If endometriosis is left untreated, it becomes worse in about 4 in 10 cases. Endometriosis is not a cancerous condition. The main aims of treatment are to improve pain and help the couple to conceive.
GnRH (gonadotrophin releasing hormone) analogues- these are given as a course of 3 or 6 injections and are quite effective. Use of these injections however, is limited in young patients where fertility is an issue.

Surgery

Laparoscopy using a HD camera is useful in diagnosisng and treating ENDOMETRIOTIC PATCHES/NODULES in the abdomen and also to remove cysts. Laparoscopy can also open blocked tubes using FTC (FALLOPIAN TUBE CATHETERISATION) and endometriosis cysts can be operated upon.
For prolonged Infertility, advanced procedures like IUI and IVF-ICSI/IMSI (Test tube baby) can be used although most patients conceive naturally after treatment.
What is laparoscopic cystectomy?
LAP CYSTECTOMY is an operative procedure(key hole surgery) where we remove the cyst wall that is lining the cyst. The advantage of this procedure is that it prevents the cyst from recurring or coming back again
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