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.