This is a condition where cells similar to Endometrium(lining inside the uterus) are present in sites other than the uterus.
- Women may present with chronic pelvic pain— Lower back and lower abdominal pain.
- Painful periods—which becomes worst over time
- Pain during intercourse and
- Pain during passing urine.
About 1/3rd of women may present with infertility.
- Genetic predisposition, runs in families.
- Women who have not given birth, Women with early menarche & menopause are at higher risk.
- Diagnosed by physical Examination and ultrasound pelvis. A vaginal ultrasound may be necessary.
- At times—Ultrasound may not show any significant changes. In such cases, Diagnostic Laparoscopy is done if the pain is persistent.
Those presenting with infertility--) may have
- Ovarian cysts-choclate cysts which have to be removed with Laparoscopy.
- May have tubal adhesions-in such cases Diagnostic hysterolaparoscopy is done and
adhesions released and tubal patency is checked.
- In patients with minimal Endometriosis, IUI can be tried.
- In patients with severe Endometriosis, IVF may be needed.
- In women presenting with dysmenorrhea and pelvic pain--) Oral contraceptive pills and progestogen will help.