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  • Endometriosis explained – Dr Hrishikesh Pai

    Published on March 16, 2022

    Millions of females have unbearable menstrual cycles that disrupt their livelihood every month, and they have no idea why.

    Endometriosis, or chronic inflammation of the pelvis, is a typical cause that can be treated. And it’s critical because no one should have to live with chronic pain, and delaying treatment for endometriosis can result in infertility.

    According to Dr. Hrishikesh Pai, an excellent Gynecologist from Mumbai, Endometriosis is a disorder where the tissue that goes along the uterus extends outside of it, attaching to the ovaries, pelvic tissue, or fallopian tubes.

    The endometrium, or uterine lining, develops and is cleared as menstrual discharge during a typical menstrual cycle.

    Endometriosis, on the other hand, is characterized by the accumulation of endometrium cells outside the uterus, resulting in:

    • Bleeding
    • Swelling
    • Scarring
    • Pain within the pelvis and abdomen

    The condition affects about 10% of women during their reproductive years.

    While the exact cause is still unknown, researchers suspect the following factors:

    • Menstruation in reverse (when a menstrual flow goes backward, through the fallopian tubes, into the pelvis)
    • A problem with the immune system
    • Unbalanced hormones
    • Previous abdominal surgeries have left scarring.
    • Endometriosis runs in the family, so it’s more likely.

    Don’t dismiss the signs and symptoms.

    According to Dr. Hrishikesh Pai, a leading Infertility specialist from India, the most common symptom is pelvic pain during menstruation, but there are other warning signs as well:

    1. Your menstrual cramps are unbearably painful.

    The most common symptom of endometriosis is painful, debilitating cramps during your period that worsen over time and persist despite lifestyle changes or medication.

    Women describe period pain (also known as dysmenorrhea) as so severe that it interferes with their daily lives and forces them to change their routines.

    The following are some of the reasons why this type of pain occurs: Endometriosis is a disorder in which the endometrium (tissue identical to the uterine lining) develops externally from the uterus, where it is not considered to be.

    This tissue can spread to other regions of the abdomen, including:

    • The ovaries
    • Fallopian tubes
    • Bowel
    • Bladder

    This tissue breaks down and bleeds at the end of your menstrual period because it has nowhere to go. The following are the causes of bleeding:

    • Abdominal pain and cramping
    • Back cramps
    • Nausea

    These signs can be severe, especially if you urinate during your period or have a bowel movement.

    2. You are experiencing other issues during your period.

    Some women with endometriosis experience excessive bleeding (menorrhagia).

    They may experience heavy bleeding (menometrorrhagia) or spotting between periods.

    Endometriosis can also lead to other issues during your period, including:

    • Fatigue
    • Diarrhea
    • Constipation
    • Nausea

    3. You’re having a hard time conceiving.

    According to Dr. Hrishikesh Pai, Mumbai’s expert gynecologist, endometriosis affects about one out of every four women who try to conceive. Some women aren’t aware they have endometriosis until they seek help with their fertility problems.

    Women with endometriosis may require advanced fertility treatment to improve their chances of becoming pregnant, depending on how the disease affects their bodies.

    4. Sexual activity is physically unpleasant or painful.

    Pain during or after sex is another symptom of endometriosis (dyspareunia).

    This pain can feel like it’s deep within your body, and it varies depending on your sexual position and the stage of the menstrual cycle you’re in.

    Consult your gynecologist if you experience any of these symptoms.

    You’ll want pain relief, but you’ll also want to rule out endometrial cancer, which can show similar symptoms.

    If you’re having trouble conceiving and have pelvic pain, you should see a reproductive endocrinologist specializing in endometriosis.

    Treatments from surgery to diet

    Endometriosis pain can be relieved with over-the-counter pain relievers like ibuprofen or acetaminophen, as well as birth control pills that block the hormones that cause the endometriosis to grow.

    Hormone therapy and laparoscopic surgery to remove the errant cells might help.

    According to new research, changing your diet can help you fight endometriosis. According to studies, women who eat a diet rich in vegetables and fruits are less likely to develop advanced endometriosis.

    This is because edible plants contain isoflavones, which are anti-inflammatory compounds.

    Green tea, which contains anti-inflammatory compounds, has been shown to reduce endometriosis lesions in lab studies. To assist, foods high in vitamin D have been delivered, such as:

    • Fatty fish
    • Cheese
    • Eggs
    • Liver
    • Milk
    • Yogurt
    • Orange juice

    Fertility and endometriosis

    Endometriosis can make it difficult for a fertilized egg to attach to the uterus lining and start a pregnancy.

    As a result, the disease is a common threat to fertility: twenty-five to fifty percent of infertile women have it.

    And between thirty and fifty percent of those women will require medical assistance to conceive.

    Laparoscopic surgery and intrauterine insemination are two options for treatment.

    According to Dr. Hrishikesh Pai, a leading gynecologist from Mumbai, your fertility specialist will discuss your medical histories with you and your partner and perform the necessary testing.

    It can take some time to figure out what’s causing your infertility but don’t give up once you do, whether it’s endometriosis or something else.

    They will devise a treatment plan to assist you in conceiving.

    Monthly pain does not have to be “just part of being a woman.”

    If endometriosis is the cause, know that it can be treated and won’t prevent you from getting pregnant.

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