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Endometriosis, causes of Endometriosis

Understanding Endometriosis

In the case of endometriosis, the tissue lining the uterus grows into other organs, often around the ovaries, fallopian tubes and the tissue lining the pelvis. Infertility is a common symptom of endometriosis. It is common because scarring from the condition can block eggs from traveling through the fallopian tubes and may also damage eggs or sperm. Some people only realize that they have the condition when they find it hard getting pregnant.

People with endometriosis can sometimes be infertile, but researchers do not know exactly why this is the consequence. A recent study declared that endometriosis could hamper one’s chances of conceiving but does not equal infertility. Studies have calculatively realised that an astonishing 10.8 million women around the globe suffer from endometriosis with one-third of these women struggling to conceive.

The growing awareness about the different presentations of this entity, wider availability of advanced imaging modalities such as MRI, higher incidence of laparoscopic surgeries allowing for direct, many a times, accidental visualisation of endometriotic deposits as well as increased incidence of infertility and caesarean section rates could be responsible for the increasing incidence of endometriosis in the recent years.

Endometriosis does not equal infertility. It only implies that some women may have a harder time becoming pregnant. More familiar causes of this condition are as follows:-

  • Reverse menstruation when the flow of menstrual blood goes backwards into the pelvis and fallopian tubes rather than exiting the body
  • An embryonic cell development when there is embryonic cell development in the pelvic and abdominal regions
  • Dysfunctionality in immune system when the immune disorder is preventing the body from eliminating tissues from extrauterine sites
  • Genetic predisposition when there is a certain genetic role involved in passing this condition

Endometriosis causes adhesions and scar tissue, which result in the internal organs to get stuck to each other. This may cause blockage of tubes or ovaries. Once the endometriosis is treated consulting a gynaecologist then women can mostly conceive naturally without any assisted reproductive techniques.

Symptoms of Endometriosis

To help with the diagnosis of Endometriosis, take a look at the symptoms below:

  • Pain during intercourse
  • Heavy menstruation
  • Infertility
  • Pain while urinating
  • Extreme pain in pelvic area

However, there are many treatment options available. If one suspects endometriosis, it is advisable to consult a physician who can refer to a specialist gynaecologist. The correct treatment for one will depend on the condition and whether one is trying to get pregnant. A few treatment and management options for endometriosis are mentioned below:

  • Endometriosis can be managed with healthy lifestyle. There is no direct indication that lifestyle lessens the severity of endometriosis, however physical activity & workout, proper sleep & stress management might bring some help.
  • Endometriosis can be managed with hormone therapy.
  • Depending on the condition, endometriosis can be treated with the help of the surgeries (Laparoscopy, Laparotomy, Hysterectomy). These surgeries needs to be performed by trained gynaecologists.
Author: Dr Deepika Agarwal
Backed by over two decades of clinical experience, Dr. Deepika Aggarwal is one of the most trusted obstetricians and gynaecologists in Gurgaon. She is recognized internationally for her contributions to the field of obstetrics and gynaecology and is a member of the Royal College of Obstetrics and Gynaecology, London. She specializes in high-risk pregnancies, managing recurrent pregnancy losses, endoscopic surgeries, cervical screening for cancers, and normal deliveries post-cesarean section.