Endometriosis treatment

Endometriosis — disease that occurs when the endometrium moves outside the uterine cavity. It’s a chronic and hormone-dependent illness prone to relapse.

Endometriosis occurs cysts and inflammations (foci of endometriosis) that settle in different organs.

The cause is unknown. Endometriosis — disease of actively menstruating women.

Hormonal imbalance, reduced immunity, genetic predisposition and environmental factors lead to the transport of endometrial cells outside the uterine cavity and their spread to surrounding tissues and organs.

At risk of women of childbearing age with:

• Genetic predisposition,
• Hormonal disorders,
• Early onset of menstruation, late first birth,
• Inflammatory diseases of genital organs,
• Postponed surgical interventions,
• Obese,
• Active sexual life during menstruation.

Distinguish endometriosis:

• Genital:
  • Internal — in body or cervix (called adenomyosis),
  • External — in ovaries, vagina, perineum, fallopian tubes,
• Non—genital, also called extragenital — in the bladder, lungs, kidneys, intestines, etc.

There are 4 stages of endometriosis:

• Stage 1 — small superficial and single foci,
• Stage 2 — lesions penetrate deeper into tissues and their number increases,
• Stage 3 — deep multiple foci with endometrioid cysts and adhesions,
• Stage 4 — numerous deep foci that grow into neighboring organs, large cysts, an extensive adhesive process in small pelvis.

The manifestations of endometriosis depend on the depth of the foci in the fabric. In addition, symptoms of endometriosis differ depending on lesions location.

• Pain — manifested in different ways:
  • Pain in the lower abdomen before and during menstruation,
  • Pain during intercourse,
• Intestinal damage — diarrhea, constipation, pain during bowel movement,
• Bladder involvement — frequent urination, pain when urinating,
• In severe and protracted course — chronic pelvic pain,
• Adenomyosis — heavy menstruation, prolonged bleeding.

The most unpleasant and difficult manifestation of endometriosis — inability to get pregnant.

Endometrioid cysts — foci of endometriosis; cavities in which blood accumulates during menstruation.

• Occur in 10-15% of women,
• They’re called chocolate because of their characteristic color,
• Diameter: 2-10 cm,
• Often double-sided,
• Often combined with other foci of endometriosis.

Yes, after the onset of menopause, hormonal function of ovaries turns off and illness declines.

In childbearing age, it’s impossible to finally recover from endometriosis. But disease can be brought under control, achieve desired pregnancy and avoid premature menopause.

No. Without qualified treatment, endometriosis always progresses. This is fraught with serious complications.

Endometriosis has a detrimental effect on the body in general and on on fertilization in particular.

Yes. But women with endometriosis have an increased risk of inability to get pregnant or more difficult pregnancies.

The body fights against endometriosis foci. Because of this, there is a sharp increase in inflammatory factors and a simultaneous deterioration of the background favorable for pregnancy.

Despite the fact that a meeting of a sperm with an egg and fertilization is possible, there’s no normal attachment of embryo.

Endometriotic tissue grows and bleeds every month during your period. This leads to the formation of adhesions that block fallopian tubes and make it difficult for pregnancy to develop.

Endometriosis increases the risk of:

• Preterm birth — 1.3 times,
• Ectopic pregnancy — 2.7 times,
• Placenta previa — 2.2 times,
• Spontaneous miscarriage in early stages — 1.8 times,
• Unexplained pre- and postpartum hemorrhage — 1.7 and 1.3 times, respectively.

The advantages of laparoscopic intervention by foreign doctors are:

• The operation takes no more than 1-1.5 hours,
• Painstaking work of doctors with small lesions under magnification,
• Fast and short rehabilitation,
• 1-2 days after the surgery, the patient can live a normal life.