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EndometriosisIn Jaipur

Endometriosis, a common yet often misunderstood condition affecting millions of women worldwide, occurs when tissue similar to the lining of the uterus grows outside the womb. This condition can lead to debilitating symptoms like pelvic pain, painful menstruation, infertility, and gastrointestinal issues. Effective treatment for endometriosis aims to alleviate these complications and improve quality of life.

If you're considering treatment for endometriosis, reach out to us, or book a direct appointment with our gynaecologist. At the CK Birla Hospital in Jaipur, we are dedicated to ensuring that your endometriosis treatment is as safe, comfortable, and effective as possible. We're here to guide you every step of the way towards a successful recovery.

What are the causes of endometriosis?

The exact cause of endometriosis remains unidentified. In this condition, tissue resembling the uterine lining proliferates in incorrect locations within the body. Such growths commonly occur outside the uterus, encompassing areas such as the fallopian tubes, ovaries, intestine, and pelvic cavity, resulting in distressing symptoms. The associated pain is often linked to heightened inflammation and the formation of fibrosis and adhesions.

The presence of endometrial-like tissue beyond the confines of the uterus can prompt the development of scar tissue known as adhesions. These areas of scar tissue may conjoin organs, establishing connections between them that would not typically exist, consequently causing discomfort and pain.

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What are the risks if endometriosis is not treated timely?

If left untreated, endometriosis poses various risks, like:

  • Chronic pelvic pain worsens over time.
  • Infertility risk increases due to disrupted reproductive organ function.
  • Adhesions and scarring within the pelvic cavity can lead to organ binding and further complications.
  • Ovarian cysts (endometriomas) may develop, causing pain and potential rupture.
  • Mental health can suffer, with depression, anxiety, and stress common.
  • Daily activities and relationships may be affected by severe symptoms.
  • Some studies suggest a slightly higher risk of certain cancers, like ovarian cancer.

Early diagnosis and treatment are crucial for symptom management, preventing complications, and improving long-term outcomes.

What are the types of endometriosis?

Endometriosis manifests in four stages/types, determined by factors like location, number, size, and depth of implants:

  • Minimal: Small lesions and shallow implants on ovaries, with pelvic inflammation.
  • Mild: Light lesions and shallow implants on ovaries and pelvic lining.
  • Moderate: Many deep implants on ovaries and pelvic lining, accompanied by more lesions.
  • Severe: Numerous deep implants on pelvic lining and ovaries, possible lesions on fallopian tubes and bowels, and cysts on one or both ovaries.

Each stage varies in severity and symptomatology, influencing treatment approaches and prognosis. Early detection and management are crucial for mitigating symptoms and preserving fertility.

What are the types of endometriosis treatment?

Your healthcare provider will tailor your endometriosis treatment plan considering several factors, like:

  • Severity of endometriosis
  • Future pregnancy plans
  • Age
  • The severity of symptoms, particularly pain

Treatment typically involves a combination of pain management and addressing fertility concerns, such as:

Medications

These help in controlling symptoms and improving fertility. The various medications are:

  • Pain relievers
  • Hormone therapies (birth control options, Gonadotropin-releasing hormone (GnRH) medications and Danazol)
  • Danazol 

Surgery

Surgery may be recommended to confirm and treat endometriosis, offering pain relief and potential fertility improvement. Surgical options include:

  • Laparoscopy: Minimally invasive to identify and remove lesions.
  • Hysterectomy: Reserved for severe cases with consideration of future fertility desires and the presence of other uterine conditions like adenomyosis.

Aftercare

Potential recurrence post-surgery, requiring ongoing management and possibly combining medication with pelvic floor physical therapy.

IVF (In Vitro Fertilisation)

Recommended for those with endometriosis seeking pregnancy.

What is the average cost of an endometriosis treatment?

The cost of an endometriosis treatment varies as per the specific type of treatment advised by a healthcare provider, such as:

  • Medications
  • Surgery
  • IVF (In Vitro Fertilisation)

The cost can also vary widely depending on several factors, including the location, the extent of the treatment, the doctor’s experience, and the hospital's pricing structure.

To get an explicit estimate for the cost of an endometriosis treatment at the CK Birla Hospital in Jaipur, contact the hospital directly. Additionally, you can consult with our board-certified gynaecologist to discuss your specific needs and receive a personalised quote for the treatment.

How can you prevent endometriosis?

Preventing endometriosis is not always within one's control. While certain measures can lower the likelihood of developing the condition, it may still occur despite precautions. 

Genetic predisposition could play a role in the development of endometriosis, particularly if close relatives like mothers or grandmothers have been diagnosed with it. Discussing your family history with a healthcare provider can help assess your risk.

Several factors can potentially decrease the risk of endometriosis:

  • Pregnancy
  • Breastfeeding
  • Maintaining a healthy weight
  • The onset of menstruation at a later age

What are the advantages of laparoscopic/robotic endometriosis surgery over traditional endometriosis surgery? 

The advantages of laparoscopic/robotic endometriosis surgery over traditional endometriosis surgery are summarised below:

Feature

Laparoscopic/Robotic Surgery

Open Surgery

Incision size

Small, keyhole incisions

Larger, single incision

Recovery time

Generally shorter

Longer

Postoperative pain

Typically less

Typically more

Hospital stay

Shorter (often same-day discharge)

Longer

Cosmetic result

Minimal scarring

More noticeable scar

Return to normal activities

Quicker

Slower

However, the choice between laparoscopic/robotic and open surgery depends on individual patient factors and surgeon expertise. Each method has its own set of advantages and should be considered in the context of the patient's overall health and specific circumstances.

What is the diagnosis before an endometriosis treatment?

The symptoms of endometriosis are akin to other conditions like ovarian cysts, pelvic inflammatory disease, and irritable bowel syndrome (IBS), often leading to delayed diagnosis. Timely diagnosis is crucial and it can take 4 to 11 years for some. It is important to be patient with yourself and the medical process.

The diagnostic tests are:

Detailed history

  • Note symptoms and personal/family endometriosis history.
  • General health assessment for other potential disorders.

Physical exam - Pelvic exam to observe the vagina, cervix, and abdomen for cysts or scars behind the uterus.

Ultrasound

  • Transvaginal or abdominal ultrasound to image reproductive organs.
  • Useful for identifying cysts but not definitive for ruling out endometriosis.

Laparoscopy

  • Direct visualisation through minor surgery.
  • This is the only certain method for diagnosis and tissue removal is possible during the procedure.

What are the pre-treatment/surgery instructions for endometriosis?

Pre-treatment and surgery instructions for endometriosis involve these steps:

  • Consultation with a specialist to discuss treatment options.
  • Consider medical management like hormonal medications.
  • Undergo pelvic exam and imaging for assessment.
  • Complete preoperative tests to evaluate health status.
  • Adjust or stop medications as advised by the doctor.
  • Follow NPO (nothing by mouth) instructions before surgery.
  • Prepare bowel if required with dietary changes or laxatives.
  • Consider smoking cessation to reduce complications.
  • Arrange for assistance during recovery.
  • Follow specific instructions provided by the healthcare team closely for optimal outcomes.

Open communication with healthcare providers is crucial for understanding and adhering to these instructions.

What are the post-surgery instructions for endometriosis?

Post-surgery instructions for endometriosis include:

  • Pain management: Take prescribed medications as directed.
  • Rest: Avoid strenuous activities and heavy lifting.
  • Follow-up appointments: Attend all scheduled visits for monitoring.
  • Diet: Adhere to any dietary recommendations provided.
  • Wound care: Keep incisions clean and follow care instructions.
  • Activity restrictions: Avoid intense exercise until cleared by the surgeon.
  • Bowel and bladder function: Monitor closely for any changes.
  • Hormonal therapy: Follow dosage and schedule as directed.
  • Emotional support: Seek assistance if needed.
  • Signs of complications: Be aware of warning signs and contact the provider promptly if any concerns arise.

How do you recover after endometriosis treatment?

Recovery after endometriosis treatment varies by method, such as:

  • Medication: Manage side effects, adhere to dosage and attend follow-ups.
  • Laparoscopic surgery: Rest for days to weeks, follow post-op care and gradually resume activities.
  • Laparotomy: Longer recovery, follow wound care, pain management and rest extensively.
  • Alternative therapies: Implement changes gradually, maintain lifestyle adjustments and seek practitioner guidance.

Regardless of treatment type, prioritise self-care by:

  • Resting adequately.
  • Maintaining a balanced diet and hydration.
  • Managing stress.
  • Seeking support from loved ones or groups.
  • Monitoring for unexpected symptoms and consulting a healthcare provider promptly.

Why should you choose CK Birla Hospitals in Jaipur for endometriosis treatment?

CK Birla Hospitals, Jaipur is among the eminent multi-special hospitals operating in the city for decades. The hospital has integrated the most amazing and experienced doctors including other staff members. We ensure dedicating ourselves to offering exceptional and satisfactory patient care. The primary objective behind the inception of this hospital is to make healthcare services available to everyone at an affordable cost including the finest treatment. So, if you are looking for a gynaecologist in Jaipur, then get in touch with our most skilled and highly talented healthcare professionals at RBH.

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FAQs

What is endometriosis?

Endometriosis is a medical condition where tissue similar to the lining inside the uterus (the endometrium) grows outside the uterus, often on the ovaries, fallopian tubes, and other pelvic organs. This tissue can lead to discomfort, inflammation, and occasionally issues with conception.

What are the symptoms of endometriosis?

Symptoms can vary, but common ones include pelvic pain, painful periods, pain during intercourse, infertility, heavy menstrual bleeding, fatigue, and gastrointestinal issues such as diarrhoea, constipation, or bloating, especially during menstruation.

Can endometriosis cause infertility?

Endometriosis may cause infertility, but not all women are affected. Factors like growth extent and location influence fertility, yet treatment can aid conception.

Is endometriosis hereditary?

While the exact cause of endometriosis is not fully understood, genetics may play a role. Women who have an ancestry of endometriosis are more likely to get the illness themselves.

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