Endometriosis and Infertility

Endometriosis affects 1 in 10 women during their reproductive years. In infertility women who undergo laparoscopy, the prevalence is about 30%-40%.

Endometriosis is a condition in which there is presence of functioning endometrium in sites other than uterine mucous (inside the uterus).

Endometriosis can occur at any site. It can be present inside the abdomen or extra abdominal sites.

COMMON SITES ARE:

RARE AND REMOTE SITES:

SYMPTOMS

The most common symptom of endometriosis in lower abdominal pain which tends to radiate from front to back bone and inner side of thigh

OTHER SYMPTOMS

TREATMENT

PAIN KILLER

HORMONAL THERAPY

SURGERY

ADVANTAGES

PROCEDURE

The procedure begins with laparoscopic inspection of all the abdomen and pelvic organs and anatomy and mapping of endometrial lesions are seen. If adhesions are present, adhesiolysis (cutting of adhesions) to restore the anatomy.

Ovarian endometrial cystectomy is done by draining the chocolate coloured material and removal of the cyst wall. The cyst wall is later sent for Histopathological examination.

Endometrial implants can be seen on the surface of peritoneum seen as “powder burns” appearance. These lesions can be destroyed by ablation and fulguration with use of different energy sources.

The destruction/ablation of surface endometriosis at the time of laparoscopy improves future fertility.

RISKS AND COMPLICATIONS:

POSTOPERATIVE RECOVERY:

The patient might be discharged on the same day or next day of operation, unless there is some associated medical problems. The patients are advised to take rest for a week before there recovered. However, doing strenuous work or exercises should be with held for 6 weeks.

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