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Endometriosis

Endometriosis is a disease, which is diagnosed when cells, similar to those in the endometrium, grow outside of uterus and causes chronic inflammation. Endometriosis is caused by female hormone disorders. This disease is a second common gynecological condition, which is diagnosed for 5-10% of women. In Europe, 16 million women are suffering from this disease.
The most common symptoms of endometriosis:

  • irregular and painful menstrual period;
  • painful sexual intercourse;
  • chronic pelvic pain;
  • lower abdominal pain;
  • brown discharge before or after the menstrual period;
  • painful defecation during the menstrual period;
  • infertility;
  • chronic fatigue.

DIAGNOSIS: ultrasound scanning is usually the first method to test the hypothesis of endometriosis. In order to confirm the diagnosis, laparoscopy is applied. During laparoscopy, a small incision is made and the tissue is examined.

TREATMENT: There is no versatile method of treatment for endometriosis. The method is applied according to each patient’s health condition and complaints. Pain and other consequences of endometriosis are cured with nonsteroidal anti-inflammatory drugs, progestins, combined hormonal contraceptives and hormonal medications. Infertility can be treated by ovulation induction, assisted insemination procedures and laparoscopic surgery. If the disease progresses then surgical methods of treatment are suggested. Conservative surgery can restore the normal anatomy of the genitals and destroy the endometrial growths. If the condition does not improve with other treatments and a woman does not plan to get pregnant in the future, last-resort surgery is applied. During the surgery, ovaries, fallopian tubes and uterus are removed.