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Endometriosis

A disorder in which tissue that normally lines the uterus grows outside the uterus and can be found on the ovaries, tubes, intestines, bladder or other pelvic organs.
Painful periods, painful intercourse, pain with bowel movement or urination, excessive bleeding and infertility.

Diagnosis:

pelvic examination
Trans vaginal Ultrasound
MRI
Laparoscopy

Treatment:

Medical Management

Pain medication
Hormone therapy – OCP, Progestins, GnRH, agonists

Surgical Management

Conservative laparoscopic surgery in patients trying to become pregnant.
Hysterectomy with removal of the ovaries in older patients who have finished their family.

ART

As endometriosis is a chronic progressive condition which can impair fertility it is advisable that patients seek fertility treatments and try to conceive as early as possible.

Embryo

Embryo refers to the early stage of growth and differentiation of an organism after fertilization till the 8th week when the fetal period begins.

Stages of embryo development in IVF

Fertilization is visible approximately 17 to 18 hours later with the development of two round bodies called pronuclei in the centre of the egg
30 hours- from fertilization, the now fertilized egg will divide producing a two cell embryo.
Day 2 – four cell embryo stage
Day 3 – eight cell embryo stage
Day 4 – morula or ball of cells
Day 5 – blastocyst

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