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Endometriosis

Overview:

Endometriosis is a condition where the tissues that normally line inside the uterus, grow outside the uterus. The tissues that grow inside are called Endometrium. Hence, this condition is called Endometriosis. It usually involves the fallopian tubes and the ovaries. Women who have Endometriosis develop tissues on the other part of the uterus, like other reproductive organs in the pelvis and in the abdominal cavity. Endometriosis causes intense pain during menstrual cycles due to minor bleeding inside the pelvis.

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Symptoms:

1. Extreme pain and excessive menstrual cramps in the lower abdomen or lower back.
2. Heavy or abnormal menstrual flow
3. Pain during intercourse
4. Painful urination
5. Painful bowel movements during menstrual cycles
6. Diarrhea and/or constipation

Management:

1. Oral Contraceptive Pill: Oral Contraceptive Pills are used to stop menstrual cycles or reduce the number of cycles in a year. These pills can slow the progress of endometriosis.
2. Laparoscopy: A Laparoscopic surgery involves injecting the patient with an anesthetic. A laparoscope is inserted into the abdominal cavity which allows the surgeon to see if there are any endometriosis tissues in the pelvis. This operation removes the tissues and helps improve symptoms and improve fertility.
3. Progestogens: Progestogens relieve pain for up to 80% of the women. Injections, IUDs, implants are taken regularly in this situation.
4. Hysterectomy: Hysterectomy is an option for women who choose to never have children. This involves removing the uterus, the ovaries and the fallopian tubes.

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