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Endometriosis

Get the best endometriosis treatment in India for a trouble-free pregnancy

Has your inability to conceive a child because of your endometriosis left you heartbroken?

Almost every couple desires to become parents. The desire to become a parent is an innate human feeling and often parenting is regarded as a joyful, rewarding and life-changing experience. But sometimes a few couples fail to become parents because of some medical reasons. Generally the inability to become parents is reversible by getting best yet timely treatment.

The inability to become a parent leaves the couples distraught. Especially, the women when they come to know that they are not becoming a parent because of some underlying health condition in them. 

The guilt of not being able to conceive a child often leaves the woman in depression. But can depression help in reversing infertility due to endometriosis? The answer is a big no.

However, with the help of appropriate treatment, you can realise your dream of becoming pregnant and having your child. Yes, with appropriate treatment to reverse your endometriosis you can now actualize your dream of becoming a mother without any difficulty as Amy did.

Amy, a 32-year-old media personnel, was living a happy life where she was married to her long-time boyfriend who supported her to excel in her career. However, Amy always felt that her family was incomplete without a child.  

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Considering Amy’s desire the couple planned to have a baby. But, despite trying to have a child for more than a year the couple failed. The failure to have a child left the couple depressed. The failure left the couple curious to know the reason why they failed to conceive a child.

Out of curiosity, the couple visited the doctor to ascertain the cause of their inability to have a child. The doctor suggested a few tests and scans for both Chris and Amy.

When the test reports came the doctor found some abnormal cellular growth in the ovaries of Amy. After inquiring about Amy’s menstrual history the doctor was sure that Amy had endometriosis. 

The diagnosis of endometriosis left both Chris and Amy disappointed. Saddened by the diagnosis Amy and Chris started looking for treatment for endometriosis. While searching online for the treatment of endometriosis Chris visited the MedicoExperts website and dropped an inquiry with our patient care department.

The MedicoExperts patient care department contacted Chris, and explained his issue to the team and forwarded all the reports to the patient care manager of MedicoExpert. After receiving the reports, online video consultation is arranged with one of our empanelled gynaecologists for the treatment.

During the consultation, the doctor explained the different procedures for reversing endometriosis.

After understanding all the aspects of the treatment, Chris and Amy decided to go for the endometriosis treatment with our empanelled doctor.

The couple flew to India for the treatment. The patient care team of MedicoExpert ensure hassle-free hospitalisation for Amy. After the paperwork was done the doctors conducted a few blood tests to understand Amy’s overall health condition. 

Once the reports showed that Amy can undergo the surgery to get rid of the endometrial implants the doctor performed the surgery for Amy to remove the implanted endometrial tissues. 

Within a few days after the surgery, Amy was discharged from the hospital. Within a few months after the procedure, Amy conceived and after nine months she gave birth to a beautiful child.

Like Amy, you too can become a mother by reversing your Endometriosis. But before understanding the treatment for endometriosis let us first understand more about endometriosis.

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What is endometriosis?

Endometriosis is a painful menstrual disorder in which the endometrium or inner lining tissue of the uterus grows outside the inner lining. Endometriosis is caused due to endometrial tissue implanted anywhere outside the inner lining. 

These endometrial tissues generally spread in the pelvic region like ovaries, bowel or tissues lining the pelvis. In very rare cases it exceeds the pelvic region. In a few cases, men also developed endometriosis

Displaced endometrial tissue continues to function as it did in the uterus— it thickens, breaks down and bleeds with each menstrual cycle. As these displaced tissues break down it has no way to leave the body, and it gets caught inside the body.

With the accumulation of the broken down cells, the surrounding tissue may get irritated and ultimately grow scar tissue. The scared tissues can cause severe pain during and before menstruation. 

Let us now understand about the symptoms of endometriosis.

What are the symptoms of endometriosis?

The primary symptom of endometriosis is a pain in the lower abdomen and back. The pain gets worse before and during the periods. Generally the pain associated with endometriosis can be so intense that women are unable to do their daily tasks during this time. With time the pain associated with endometriosis gets worse.

Apart from the pain in lower abdomen and back the common signs and symptoms of endometriosis include:

Dysmenorrhea or painful periods is a prominent symptom of endometriosis. The pelvic pain and cramping usually begin before and last several days during the menstrual period.

The pain extends typically from the lower abdomen to the back and thighs. The pain is generally cutting and stabbing in nature.

Pain during sexual intercourse is common among women with endometriosis.

Women with endometriosis experience pain during bowel movements or urination. These symptoms usually occur during the menstrual period.

Women with endometriosis experience heavy menstrual bleeding. Sometimes the women may also experience bleeding between periods.

The risk of developing infertility is twice as high in women having endometriosis than a normal woman

Apart from the above-mentioned symptoms, women with endometriosis may also experience diarrhoea, constipation, nausea, bloating, or fatigue during their periods. Based on the severity of endometriosis the extent of symptoms may vary. 

Since we have understood about the symptoms of endometriosis let us get an insight about the causes of endometriosis.

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What are the common causes of endometriosis?

Although doctors are yet to ascertain the exact cause of endometriosis here are a few reasons that doctors think can cause endometriosis:

Retrograde menstruation happens when the menstrual blood containing endometrial cells (inner lining of the uterus)  that were supposed to come out of the body flows back into the body. 

These endometrial cells that were supposed to leave the body now stick to the inner lining of the structures present in the lower abdomen. Once these cells stick to the walls of other organs they start to grow and thicken on the surface they are attached to. Once the cells thicken they begin to bleed during each menstrual cycle.

Generally women develop a scar- a mark that  typically present on the skin after an injury or a wound has healed-.  These scars sometimes act as implant sites where the endometrial cells attach to it.

Generally the scars are caused after any gynaecological surgeries like caesarean section, hysterectomy (complete removal of uterus).

Sometimes due to some hormonal changes a few different types of cells present in the body transform into cells similar to the endometrial cell when the girls attain their puberty.

Sometimes because of hormonal imbalance or due to some immune factors the peritoneal cells(cells present on the inner side of the abdomen) convert into endometrial (inner lining of the uterus) like cells.

Occasionally, the blood vessels or sometimes the other bodily fluids transport endometrial cells from the inner lining of the uterus to other parts of the body.

In a few women, an alteration in the immune system may make it difficult for the body to recognize and destroy endometrial-like tissue growing outside the inner lining of the uterus.

After understanding about the causes of endometriosis let us understand about the different stages of endometriosis.

What are the different stages of endometriosis?

Stage 1 or Minimal stage of endometriosis:

During the first stage of endometriosis, the growth of the endometrial cell lining on the surface of the implant  is small and shallow. 

Stage 2 or Mild stage of endometriosis:

During the second stage of endometriosis, the endometrial lining begins to thicken at the implanted site. 

Stage 3 or Moderate stage of endometriosis:

In the third stage of endometriosis the endometrial lining becomes thick often causing suffering during menstrual periods.

Stage 4 or severe stage of endometriosis:

It is the most severe stage in which the endometrial cell that has attached to different organs  starts to affect the organs where they have got implanted also during menstruation. Commonly the endometrial cell implants on the ovaries, rectum and urethra (the urinary outlet).

After understanding about the stages of endometriosis let us get a better understanding about the diagnostic tests that help to diagnose endometriosis.

How to diagnose endometriosis?

To diagnose endometriosis the doctor may suggest you:

Physical exam

During a physical pelvic examination, the doctor uses a special medical tool speculum to see the inside of the vagina and cervix. During the examination, the doctor may also inspect your abdomen for any cysts or scars around the lower abdomen.

Ultrasound

To detect abnormal endometrial growth outside the inner lining of the uterus the doctor may advise transvaginal or abdominal ultrasound. The ultrasound helps the doctor to identify any abnormal growth. 

Laparoscopy

Sometimes when a physical examination or ultrasound fails to identify endometriosis then the doctor may perform a laparoscopy to view the abnormal endometrial lining growth. Once laparoscopy helps in diagnosing endometriosis the doctor can get the abnormal tissue growth removed in the same procedure.

Let us now understand about the treatment options for endometriosis.

What are the best endometriosis treatment options?

The best treatment for endometriosis includes surgery and/or medication. The best treatment approach for endometriosis is proposed depending on the severity of the signs and symptoms experienced and whether the patient is young i.e. if she still wishes to conceive.

However, the best doctors usually prefer to primarily use conservative treatment to ensure fertility is maintained. The best endometriosis treatment options in India are as follows:

Over-the-counter pain medications are generally prescribed to provide relief from menstrual pain, cramps and other associated symptoms.

Non-steroidal anti-inflammatory drugs (NSAIDs) may help with endometriosis-related pain. However, it is advisable to avoid taking any medication without consulting the doctor.

Often the supplementary hormones are helpful in reducing or suppressing endometriosis pain. During the menstrual cycle the rise and fall of hormones causes endometrial implants to thicken, break down and bleed. Hormone therapy can delay the growth of endometrial tissue and prevent the creation of new endometrial tissue replacements.

  • Hormonal contraceptives
  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
  • Medroxyprogesterone (Depo-Provera)
  • Danazol

If the patient is young and wishes to conceive, the approach employed is to remove the excess endometrial growth without causing damage to the uterus or the ovaries.

Conservative surgery can be done either through traditional abdominal surgery (more extensive) or through the minimally-invasive laparoscopic approach.

Newer approaches like robotic surgery for endometriosis are being performed which benefit the patient with shorter recovery time and shorter hospital stay.

Through robotic surgery for endometriosis, surgeons can expertly and precisely handle complexities and complex endometriosis cases requiring ureter and bowel resections.

Women with endometriosis experience difficulty or trouble in conceiving. If the condition is severe, and a surgical approach is not suggested, the doctor will recommend opting for fertility treatment.

The treatment could range from ovary stimulation to produce more eggs to in-vitro fertilisation.

In severe cases, the safest option recommended could be surgery to remove the uterus and cervix (total hysterectomy) and both ovaries. Hysterectomy is usually considered a last choice, especially for women of reproductive age.

Let us now understand who is at risk of developing endometriosis.

Who is at risk of developing endometriosis?

Several factors increase a woman’s risk of developing endometriosis. Some of the factors that increase a woman’s risk to develop endometriosis include:

Age

Women of all ages are at risk for endometriosis, however, it generally affects women who are in their 30s and 40s.

Family history

Women who had a biological relative like the mother, grandmother, sister, or maternal aunt who had endometriosis are at risk of developing endometriosis.

Women who never got pregnant:

Women who never got pregnant are at an elevated risk of developing endometriosis. However, it does not mean that endometriosis cannot occur in women who’ve had children. 

Menstrual history

Women whose menarche started at a young age and those who experience heavier and longer periods are at higher risk of developing endometriosis.

Let us now understand what happens when endometriosis is left untreated.

What will happen if endometriosis is left untreated?

If endometriosis is left untreated it can cause:

  • Infertility
  • Severe pain in the lower abdomen and back
  • Uterine adhesions and ovarian cysts
  • Pain while passing bowel or urine
  • Pelvic infection
  • Ovarian cancer

Now that we have understood what happens when endometriosis is left untreated let us understand how to choose a country for endometriosis treatment.

How to choose a country for endometriosis treatment?

Selecting the best country for endometriosis treatment is a challenging task. However, ensuring to follow a few tips you can select the best country for undergoing the endometriosis treatment procedure:

  • Select a country that offers advanced healthcare facilities
  • Look for a country that offers cost-effective yet the best treatment.
  • Choose a country that is well-connected by flights from your home country
  • Choose a country that has well-developed local transportation facilities, to ease your local commute.

How to choose a hospital for the best endometriosis treatment in India?

Selecting a hospital for endometriosis is vital and the selection must be done after much speculation. 

While considering a hospital you should ascertain that the hospital you have selected is accredited by JCI and NABH. These certifications help to ascertain if the hospital has advanced healthcare equipment, well-trained healthcare staff and a good and hygienic environment.

The modern equipment, well-trained staff and a hygienic environment plays a crucial role in healing and managing any complications that might develop after a surgical procedure. 

How to choose the best endometriosis specialist in India?

Selecting the best endometriosis specialist in India is a crucial decision that you will make. The selection of a doctor is crucial because the outcome of the procedure mainly depends on the expertise of the doctor you have selected.

While selecting the best endometriosis doctor in India you must ascertain that:

  • The doctor holds expertise in treating endometriosis
  • You are comfortable talking to the doctor and sharing your concerns
  • The doctor has successfully treated women with endometriosis in past

What is the success rate of endometriosis treatment to reverse infertility in India?

The success rate of endometriosis treatment in India is over 98% with significant improvement.

Women who undergo endometriosis treatment in India can be assured of improvement in conditions like pain in lower abdomen and back, menstrual cramps, infertility, difficulty in conception, etc.

Laparoscopic and conservative surgeries are known to save the fertility of women and also relieve them of painful symptoms of endometriosis.

What is the cost of endometriosis treatment in India?

Also, there may be an additional cost during the treatment to perform any pre-procedure or to manage post-procedure complications.

Frequently Asked Questions and patient concerns:

1. Can endometriosis be cured completely?

There is no permanent cure for endometriosis however with medication, hormone therapy and surgery you can manage the symptoms. In some cases, unmanaged endometriosis can cause severe complications.

You must also understand that with treatment for endometriosis you can reverse your infertility and embrace motherhood. 

2. How is endometriosis removed?

While medicine and hormone therapy can manage the symptoms of endometriosis.

Unlike medication and hormones, therapy surgery helps in removing the endometrial cells from the implanted site. However, endometriosis returns within a few months after the surgery.

3. What can you expect before and after endometriosis treatment?

Before the endometriosis treatment, you might experience heavy menstrual bleeding with severe pain in the lower abdomen and back.

However, the pain and heavy bleeding can be managed with treatment.

4. What is the best endometriosis treatment for infertility?

Laparoscopic surgery or robotic surgery has emerged as the best endometriosis treatment for infertility to remove endometrial cells from the implanted sites.

5. How long can you live with endometriosis?

Doctors say that a woman who lives with endometriosis suffers a lot of pain and difficulty, especially around their menstrual period.

Typically, women with endometriosis undergo surgery to manage the symptoms.

6. Is it necessary to remove the uterus to treat endometriosis?

You will NOT need to have your uterus removed (hysterectomy). All treatment will be aimed at relieving your pain and preserving your ability to have children someday.

7. Is endometriosis cancerous?

There have been studies that indicate that unmanaged endometriosis can grow abnormally to manifest itself as cancerous overgrowth.

8. Will I be able to conceive after getting treated for endometriosis?

With early treatment, endometriosis should not interfere with your ability to become pregnant (when you are ready). Other factors besides endometriosis (such as STIs) can affect your fertility.

It’s important to take good care of your reproductive health by always practising safe sex.

9. Can pregnancy reverse endometriosis?

No, pregnancy does not cure endometriosis. Women may find temporary relief after delivery and nursing the baby; however, the condition returns in most cases. 

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