Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.
With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.
Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.
The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.
Common Signs and Symptoms of Endometriosis may include:
Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.
Pain with intercourse. Pain during or after sex is common with endometriosis.
Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.
Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).
Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.
Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.
The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.
Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.
When to see a doctor
See the doctor if you have signs and symptoms that may indicate endometriosis.
Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.
Although the exact cause of endometriosis is not certain, possible explanations include:
Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.
Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.
Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.
Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.
Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.
Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.
Several factors place you at greater risk of developing endometriosis, such as:
Never giving birth
Starting your period at an early age
Going through menopause at an older age
Short menstrual cycles — for instance, less than 27 days
Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces
Low body mass index
One or more relatives (mother, aunt or sister) with endometriosis
Any medical condition that prevents the normal passage of menstrual flow out of the body
Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.
The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.
Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.
Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.
Tests to check for physical clues of endometriosis include:
Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.
Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).
Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.
While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.
Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.
Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.
The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.
If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.
Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.
Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.
Therapies used to treat endometriosis include:
Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.
Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.
Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.
Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.
If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.
The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.
Assisted reproductive technologies
Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work.
Endometriosis worry about whether they’ll be able to conceive and carry a child. With endometriosis, uterine (endometrial) tissue collects outside of the uterus, in and around the reproductive organ. The result is often painful inflammation and the development of blood-filled cysts and bands of scar tissue called adhesions.
Fertility can be at risk when these endometrial tissue growths get in the way of the normal functioning of reproductive organs. Endometrial tissue that forms around the ovaries, for example, can keep eggs from being released. When the tissue forms around the fallopian tubes, it can get in the way of sperm traveling to the egg, or the fertilized egg from making its way to the uterus.
Although it can be challenging, G. David Adamson, MD a reproductive endocrinologist and surgeon with ARC Fertility and medical director of the Palo Alto Medical Foundation’s In Virtro Fertilization (IVF) Program sounds a hopeful note. Lots of women with endometriosis — as much as one-third — get pregnant naturally, without any fertility treatment at all, he says.
Even if a woman doesn’t conceive after a year of unprotected intercourse, he says that eventually, in some way or another, many women with endometriosis eventually do become pregnant. “With IVF, most women will get pregnant,” Dr. Adamson says.
“A big change from even a decade ago is the increased focus on research to understand and treat infertility in endometriosis going on around the world today,” adds Adamson, who is also president of the World Endometriosis Research Foundation. “Unfortunately, there isn’t a breakthrough yet, but we’re promoting global research and collaboration like never before. Many major research centers are collecting data and collaborating to find solutions.”
Surgery, Hormones, and Other Endometriosis Fertility Solutions
While endometriosis often makes conceiving a baby more difficult, it by no means prevents it, according to a review published in 2014 in Frontiers of Surgery. Surgery to remove endometriosis lesions is one option. But risks with this approach include the possibility that endometriosis symptoms will actually get worse, and interfere with blood flow to the ovaries. Surgery can also create scar tissue that’s worse than the original endometrial growth.
That said, surgery is also often successful, leading to pregnancy in 30 to 80 percent of women — though success depends in part on the severity of the disease, according to Adamson. A study published in June 2017 in the journal Acta Obstetricia et Gynecologica Scandinavica adds that surgery for endometriosis-associated infertility has become controversial in many parts of the world because its overall effectiveness is unclear.
If obstruction and blockages were the only problem, a simple surgery might be more consistently successful. But endometrial tissue in and around reproductive organs can lead to a separate set of problems, upsetting the normal chemistry of reproductive organs. It can get in the way of the delicate hormonal balance that helps fertility, for example, and change the mix of chemicals that make eggs ready to be fertilized.
Many experts believe IVF is helpful for women with severe endometriosis, especially those with many adhesions. But for women with mild disease, there’s still no clear consensus. The use of a hormone such as leuprolide along with IVF may help, but Adamson says researchers are still trying to understand how long women should be on this potent drug.
How to Make Pregnancy Possible
To prepare for making pregnancy possible with endometriosis, your doctor will probably start an evaluation of hormones and other chemicals in your body. Diagnostic tests like laparoscopy, hysteroscopy, and hysterosalpingography can also be very valuable in helping to understand what’s going on.
Making the choice among fertility drugs, surgery, IVF, and other assisted reproductive technologies is not easy. Fertility treatments can be expensive and are not always covered by insurance. Some treatment options work for some women, and not for others.
Choosing whether to pursue pregnancy with endometriosis is a very personal decision that depends on many factors, including the severity of your disease and your age. These factors can affect the quality and quantity of your eggs, even without the added complication of endometriosis.
Your decision might be influenced by heredity factors, too. Although most women with endometriosis have children who don’t go on to develop the condition, studies consistently show an increased risk of endometriosis for women whose mothers have it. Researchers don’t know yet whether this connection is the result of genetics or if it’s related to environmental factors — or both.
You Don’t Have to Live With Endometriosis Pain: Treatments and Therapies
Endometriosis is a chronic condition, and at present time, there is no cure. Don’t let this make you lose hope! While the disease cannot be totally eradicated, patients can find a significant reduction of painful symptoms — and in some cases, complete relief — through various traditional and nontraditional treatments as well as diet and lifestyle modifications. Appropriate treatments depend on age, severity of symptoms and disease, and whether the patient wants to get pregnant.
Untreated endometriosis can have long-lasting effects such as chronic pelvic pain; scar tissue, which can cause obstruction; and infertility. Rarely, endometriosis can contain cancer within it, says Leena S. Nathan, MD, an assistant clinical professor in the department of obstetrics and gynecology at UCLA Health in Westlake Village, California.
Traditional Medicine for Treating Endometriosis
Used for pain control by reducing inflammation or interrupting or suppressing menstruation or the production of hormones, including estradiol, the dominant female sex hormone.
Nonsteroid anti-inflammatory medication (NSAIDs) such as ibuprofen and naproxen can help with pain management.
Hormonal therapy (via hormonal contraceptives such as birth control pills, the vaginal ring, or patch) helps stop the tissues from growing, lessening endometrial pain. If these measures fail, oral or injectable hormones called GnRH agonists and/or antiprogesterones can turn off one of the hormones earlier in the menstrual cycle. In a review of 15 trials involving 1,821 women, pain scores improved by 60 percent to 100 percent with the use of GnRH agonists.
Possibly coming soon: The FDA is in the process of evaluating a new GnRH antagonist called elagolix, which could be approved for use by spring 2018. It limits estrogen and progesterone production as well as menstrual and other pelvic pain. Elagolix can be useful in moderate to severe pain associated with endometriosis. “It will be interesting to see how well this medication works and if it can be used long term without side effects,” says Dr. Nathan.
Surgery for Treating Endometriosis
Used initially or after oral therapies have failed, surgery is also an option: Laparoscopic surgery removes endometriosis lesions through excision, cutting pain nerves, and laser ablation burns off lesions. Less frequently, a hysterectomy is recommended. Studies have shown that laparoscopic ablation can reduce pain by 65 percent.
Usually, these procedures can be done without the need for open surgery. A thin tube with a video camera is inserted into the pelvis through a small cut near the navel. The tube also contains surgical instruments. It lights up the internal cavity so the surgeon can see and with the instruments, excise lesions. You will receive general anesthesia.
Usually, this can be done as out-patient surgery, but depending on the severity of the case, you may need to spend a night in the hospital.
Can Endometriosis Symptoms Come Back After Surgery?
Endometriosis is a chronic condition that will recur unless the menstrual cycle is stopped. “After surgery, we commonly suppress recurrent endometriosis by starting continuous birth control pills. This is safe and effective. The goal is to avoid having a period, which can lead to further implants and bleeding within the pelvis,” says Nathan. This can be accomplished with hormonal IUDs and GnRH agonists and antagonists, all of which decrease or stop menstrual bleeding. The ultimate therapy would be a hysterectomy and removal of one or both ovaries. Menopause will also serve to treat endometriosis as the menstrual cycle has stopped.
What You Eat and Endometriosis
Eating to prevent endometriosis
Watch what you eat! Certain foods can actually increase or lessen your risk of getting endometriosis, according to researchers.
Get lots of fruits and veggies. In one study, women who ate 14 or more servings per week of green vegetables (compared with those had less than six servings) had a 70 percent lower risk of developing endometriosis; participants who ate 14 or more servings of fruit per week maintained a 20 percent lower risk than those who ate fewer than six servings.
Cut back on red meat, dairy, caffeine, and alcohol. Studies have shown that these can significantly increase your risk of developing endometriosis.
Eating when you have been diagnosed with endometriosis disease
If you already have endometriosis, diet is still an important factor. While studies have been inexact as to benefits, some experts believe certain diets will help reduce inflammation, estrogen in the body, and oxidative stress.
Eat fruits and vegetables, which contain fiber, beneficial nutrients, vitamins, and antioxidants. Avoid grapefruit and other citrus fruits, which can disrupt estrogen excretion.
Limit trans and saturated fats, such as red meat and high-fat dairy. Focus on fats with omega-3s, found in cold-water fish, tree nuts, seeds, and extra-virgin, cold-pressed olive oil. These can reduce inflammation and pump up your immune system.
Go organic, raw, and fresh. Foods that aren’t labeled "organic" may contain pesticide residue.
Avoid processed foods, which have additives.
Replace iron lost from excessive bleeding with green, leafy vegetables, beetroot, dried apricots, eggs, and fish.
Try for 30 grams (g) of fiber daily. Found in fruits, vegetables, nuts, seeds, legumes, and whole grains, fiber helps get rid of estrogen and will also help with constipation, often a symptom of endometriosis.
Stay hydrated. Avoid caffeine, added sugars, and alcohol.
Should You Go Gluten-Free?
Avoiding gluten seems to be the hot craze these days, but a very preliminary study found that some women did find symptom reduction by trying the diet. Discuss with your physician to see if it is worth it for you.
Supplements Used to Treat Endometriosis
Some supplements may interfere with medication you are taking (especially if you are on blood thinners), so run it by your physician before taking anything new.
Combine 1,000 milligrams (mg) of vitamin C and 1,200 international units (IU) of vitamin E daily to reduce aches and pains.
Vitamin B complex: 50 mg daily to maintain estrogen and hormone balance
Fish oil: 1,000 mg daily
Alternative Therapies and Approaches for Endometriosis Treatment
Caution: If you do decide to try alternative remedies, discuss your choices ahead of time with your physician. Some of these may not be right for your particular situation or may interfere with your medication. Do not forgo your traditional therapy for an alternative route. You can create a complementary route together as a team with your doctor.
Acupuncture. An ancient Chinese practice, acupuncture stimulates certain parts of the body by the insertion of thin needles into skin. A review of studies discovered that it can not only reduce pain from endometriosis, it can also decrease blood levels of CA-125, a protein that is associated with the disease. Western researchers believe that the result is achieved because the needles stimulate nerves and certain pain-relieving chemicals such as norepinephrine.
Exercise. Regular strenuous exercise has been shown to decrease your chance of getting endometriosis. But what if you already have it?
There is no conclusive data saying that exercise will help specifically with endometriosis pain, but experts have hypothesized that it may help by reducing estrogen levels and stress, and increasing anti-inflammatory and antioxidant agents. Another study found that practicing hatha yoga, a type of yoga that features physical postures, significantly reduced chronic pain.
Biofeedback. A process using guided imagery and sensory response gives you some control over your body’s reaction to stress and pain by teaching you to recognize and act on given responses. You can find a trained practitioner at the Biofeedback Certification International Alliance or the Association for Applied Psychophysiology and Biofeedback.
Transcutaneous electrical nerve stimulation (TENS) is a pain-relief therapy delivered via the application of low-voltage electrical current. It has been shown to be effective in reducing discomfort in women with deep infiltrating endometriosis, possibly because it scrambles pain signals from the nerves.
Herbal extracts. Curcumin, puerarin, resveratrol, green tea epigallocatechin-3-gallate (EGCG), and ginsenoside Rg3 have been shown to reduce endometriosis lesions.
Preliminary studies indicate that cannabinoids might have beneficial effects against deep infiltrating endometriosis, possibly by limiting cell migration and associated pain.
This condition can cause pelvic pain and difficulty getting pregnant.
Endometriosis Definition: A Painful Chronic Disease Related to the Uterine Lining
Endometriosis is a condition in which tissue similar to the lining of the inside of the uterus — called the endometrium — grows outside the uterus. The most common places for endometriosis to occur are the ovaries, fallopian tubes, bowel, and outside walls of the uterus. Rarely, it can end up as far afield as the kidney, bladder, or lungs.
What Does Endometriosis Pain Feel Like?
Some women with endometriosis experience no symptoms, while others experience pelvic pain or pressure. The first sign or symptom for others is having difficulty getting pregnant.
Signs and Symptoms of Endometriosis
Some women with endometriosis experience severe pelvic pain that can interfere with everyday activities such as bowel movements, urination, and sexual intercourse, and can worsen during menstruation.
Endometriosis symptoms may include heavy or painful periods; pain in the intestines or lower abdomen, spotting or bleeding between menstrual periods, fatigue, diarrhea, constipation, nausea or distension, especially during menstruation.
Talk to your doctor if you're experiencing any of these symptoms. There's no cure for endometriosis, but several treatment options may help reduce pain or increase your chances of getting pregnant.
Learn More About Endometriosis Symptoms and Diagnosis
How Common Is Endometriosis in the United States?
While endometriosis is considered a common condition, it's difficult to know for sure how many women have it, because some women have no symptoms. The American College of Obstetricians and Gynecologists (ACOG) estimates that endometriosis affects about 1 in 10 women of reproductive age in the United States. That's about 5 million women. Endometriosis is most common in women in their thirties and forties, but can happen to any woman after menarche or first period.
How to Get a Firm Diagnosis of Endometriosis
Diagnosing endometriosis is not easy. At present, an official endometriosis diagnosis requires laparoscopic surgery, during which a doctor removes a sample of tissue, typically via a woman’s navel, which is then biopsied.
It may be tempting for a woman or her doctor to try medications before surgery, but an improvement in symptoms does not equal a proper diagnosis.
Treatments to Help Ease Endometriosis Pain and Other Symptoms
While the disease cannot be totally eradicated, women with endometriosis can reduce significantly the pain and other symptoms through traditional and nontraditional treatments. Changes to diet, exercise routines and lifestyle modifications or complementary modalities such as acupuncture may also help.
Don’t delay talking to your doctor about pelvic or lower abdominal pain or bad periods. You don’t have to endure these symptoms, and getting treated can help improve your overall health and quality of life. Without treatment, endometriosis can lead to long-term problems such as chronic pain; scar tissue and the obstruction issues it can cause; and infertility.
A variety of effective medication options range from nonsteroidal anti-inflammatory medication (NSAIDs) for pain management, to hormonal therapy such as those delivered via birth control pills, the vaginal ring, or the patch, which can help by stopping tissue growth and lessening pain. A third option, hormones called GnRH agonists, may be used.
Among other factors, appropriate treatments depend on age, the severity of symptoms, and if or when pregnancy may be desired.
एंडोमेट्रोसिस आणि पेल्व्हिक वेदना होऊ शकणार्या इतर परिस्थितींचे निदान करण्यासाठी आपले दुःख स्थान आणि जेव्हा असे होते तेव्हा आपले डॉक्टर आपल्या लक्षणांचे वर्णन करण्यास सांगतील.
एंडोमेट्रोपोसिसच्या भौतिक सुचनांसाठी तपासणी करण्यासाठी खालील गोष्टींचा समावेश होतो:
पेल्विक परीक्षा. पेल्विक परीक्षेच्या दरम्यान, आपल्या डॉक्टरांना आपल्या प्रसुतीच्या वेदनांमध्ये असामान्य (पॅल्पेट) भाग जाणवतात जसे की आपल्या प्रजननक्षम अवयवांवर सिस्ट किंवा आपल्या गर्भाशयाच्या मागे दुमडणे. बहुतेकदा एन्डोमेट्रोसिसच्या लहान भागास वाटले की त्यांच्यात रक्तवाहिन्या झाल्या नाहीत.
अल्ट्रासाऊंड आपल्या शरीराच्या आतील प्रतिमा तयार करण्यासाठी ही चाचणी उच्च-फ्रिक्वेंसी ध्वनी लाटा वापरते. प्रतिमा कॅप्चर करण्यासाठी, ट्रान्सड्यूसर नावाचे उपकरण आपल्या पोटाच्या विरुद्ध दाबले जाते किंवा आपल्या योनिमध्ये (ट्रान्सव्हॅग्नीनल अल्ट्रासाऊंड) घातले जाते. प्रजनन अवयवांचा उत्कृष्ट दृष्टीकोन मिळविण्यासाठी दोन्ही प्रकारचे अल्ट्रासाऊंड केले जाऊ शकते. मानक अल्ट्रासाऊंड इमेजिंग चाचणी आपल्या डॉक्टरांना निश्चितपणे सांगणार नाही की आपल्याकडे एंडोमेट्रोपिसिस आहे किंवा नाही, परंतु ते एंडोमेट्रॉयसिस (एंडोमेट्रीओमास) संबद्ध सिस्ट ओळखू शकते.
चुंबकीय अनुनाद इमेजिंग (एमआरआय). एमआरआय एक परीक्षा आहे जी आपल्या शरीरातील अवयव आणि ऊतींचे तपशीलवार प्रतिमा तयार करण्यासाठी चुंबकीय क्षेत्र आणि रेडिओ वेव्ह वापरते. काही लोकांसाठी, एक एमआरआय शस्त्रक्रिया नियोजन करण्यात मदत करते, आपल्या सर्जनला एंडोमेट्रियल इम्प्लांट्सचे स्थान आणि आकार याबद्दल तपशीलवार माहिती देते.
लॅपरोस्कोपी काही प्रकरणांमध्ये, आपला डॉक्टर आपल्याला अशा एखाद्या प्रक्रियेसाठी सर्जनकडे पाठवू शकतो ज्यामुळे सर्जन आपल्या ओटीपोटात (लेप्रोस्कोपी) पाहण्यास परवानगी देतो. आपण सामान्य अॅनेस्थेसियाखाली असताना, आपल्या सर्जन आपल्या नाभि जवळ एक छोटासा चाकू बनविते आणि गर्भाशयाच्या बाहेर एंडॉमेट्रियल टिश्यूची चिन्हे शोधत असताना लॅपरोस्कोप टाकतात.
लॅपरोस्कोपी एंडोमेट्रियल इम्प्लांट्सचे स्थान, मर्यादा आणि आकार याबद्दल माहिती प्रदान करू शकते. पुढील चाचणीसाठी आपले सर्जन टिशू नमुना (बायोप्सी) घेऊ शकते. सहसा, योग्य शल्यक्रिया नियोजनसह, आपले सर्जन लैपरोस्कोपी दरम्यान अँन्डोमेट्रोसिसशी पूर्णपणे उपचार करू शकते जेणेकरून आपल्याला केवळ एक शस्त्रक्रिया आवश्यक असेल.
एंडोमेट्रॉयसिसच्या उपचारांमध्ये सामान्यतः औषधे किंवा शस्त्रक्रिया समाविष्ट असते. आपण आणि आपला डॉक्टर निवडण्याचा दृष्टीकोन आपल्या चिन्हे आणि लक्षणे किती गंभीर आहे आणि आपण गर्भवती होण्याची आशा करत आहात यावर अवलंबून असते.
प्रारंभिक उपचार अपयशी झाल्यास डॉक्टरांनी सर्वसाधारणपणे रूग्णवाहक उपचार करण्याचा प्रयत्न करण्याचा सल्ला दिला आहे.
वेदनादायक मासिक पाळीत अडथळे कमी करण्यात मदत करण्यासाठी आपल्या डॉक्टरने शिफारस केली आहे की आपण नॉनस्टेरोइडल अँटी-इंफ्लॅमेटरी ड्रग्स (एनएसएड्स) इबप्रोफेन (अॅडविल, मोट्रिन आयबी, इतर) किंवा नेप्रोक्झेन सोडियम (अॅलेव्ह) सारखे ओव्हर-द-काउंटर वेद रिलीव्हर घेऊ शकता.
आपण गर्भवती होण्याचा प्रयत्न करीत नसल्यास आपला डॉक्टर हार्मोन थेरपीच्या सहाय्याने वेदना रिलीव्हर्ससह संयोजन करू शकतो.
पूरक संप्रेरक कधीकधी एंडोमेट्रोपिसिसच्या वेदना कमी करण्यात किंवा काढून टाकण्यात प्रभावी असतात. मासिक पाळीच्या दरम्यान हार्मोन्सचा उदय आणि पडणे एंडोमेट्रियल इम्प्लांट्सला जाड, ब्रेक डाउन आणि ब्लिड होऊ शकतात. हार्मोन औषधे एंडोमेट्रियल टिशूच्या वाढीस मंद करू शकतात आणि एंडोमेट्रियल टिश्यूच्या नवीन रोपणास प्रतिबंध करू शकतात.
एंडोमेट्रोपिसिससाठी हार्मोन थेरेपी कायमस्वरूपी निराकरण नाही. उपचार थांबविल्यानंतर आपण आपल्या लक्षणे परत करण्याचा अनुभव घेऊ शकता.
एंडोमेट्रोपोसिसच्या उपचारांसाठी वापरल्या जाणार्या उपचारांमध्ये हे समाविष्ट होते:
हार्मोनल गर्भ निरोधक. जन्म नियंत्रण गोळ्या, पॅच आणि योनि रिंग दर महिन्याला एंडोमेट्रियल ऊतक तयार करण्यासाठी जबाबदार हार्मोन नियंत्रित करण्यास मदत करतात. जेव्हा ते हार्मोनल गर्भनिरोधक वापरत असतात तेव्हा बरेचजण हलक्या आणि कमी मासिक पाळीचे प्रवाह करतात. हार्मोनल गर्भनिरोधकांचा वापर करून - विशेषत: सतत-चक्र चळवळ - काही प्रकरणांमध्ये वेदना कमी किंवा दूर करू शकते.
गोनाडोट्रॉपिन-रिलीझिंग हार्मोन (जीएन-आरएच) ऍगोनिस्ट आणि विरोधी. हे औषधे डिम्बग्रंथी-उत्तेजक संप्रेरकांचे उत्पादन रोखतात, इस्ट्रोजेनची पातळी कमी करतात आणि मासिक पाळी थांबवतात. यामुळे एंडोमेट्रियल टिश्यू कमी होऊ शकते. कारण ही औषधे कृत्रिम रजोनिवृत्ती तयार करतात, जीएन-आरएच एगोनिस्ट्ससह एस्ट्रोजेन किंवा प्रोजेस्टिनचा कमी डोस घेतल्यास आणि विरोधी पक्ष्यांमुळे रेशीम, योनि कोरडेपणा आणि हाडांच्या नुकसानासारख्या रजोनिवृत्तीचे दुष्परिणाम कमी होऊ शकतात. आपण औषध घेण्यास थांबता तेव्हा मासिक पाळी आणि गर्भवती परत येण्याची क्षमता.
प्रोगेस्टिन थेरपी. लेव्होनॉर्जेस्ट्रेल (मिरेना, स्कायला), गर्भनिरोधक इम्प्लांट (नेक्सप्लानन), गर्भनिरोधक इंजेक्शन (डेपो-प्रोवेरा) किंवा प्रोजेस्टिन पिल (कॅमिला) सह इंट्रायूटरिन डिव्हाइससह प्रोजेस्टिन थेरपीज, मासिक पाळी आणि एंडोमेट्रियल इम्प्लांट्सच्या वाढीस थांबवू शकतात. एंडोमेट्रोपोसिस चिन्हे आणि लक्षणे दूर करू शकते.
अॅरोमेटस इनहिबिटर. अॅरोमेटस इनहिबिटर औषधे आहेत जी आपल्या शरीरातील एस्ट्रोजेनची मात्रा कमी करतात. एन्डोमेट्रोपिसिसचा उपचार करण्यासाठी आपला डॉक्टर अॅरोमेटिस इनहिबिटरला प्रोजेस्टिन किंवा हार्मोनल गर्भनिरोधकसह शिफारस करु शकतो.