ENDOMETRIOSIS

 In this condition, the endometrium that lines the uterus grows outside the uterus or womb.
 Endometriosis can be found on the ovaries, fallopian tubes, urinary bladder, or the intestines (rarely in lungs, around heart and brain).
 It commonly occurs in women at the age of 30-40 years.

CAUSES/RISK FACTORS

The exact cause is not certain, the possible risk factors are:
 Postponing first pregnancy
 Family history of endometriosis
 Surgical scar of cesarean (C-section) delivery or removal of the uterus.
 Disorder in the immune system

SYMPTOMS

About 25% of patients with endometriosis have no symptom; it may be accidentally discovered either during laparoscopy. The intensity of pain is not related to the extent of this condition. You may have mild endometriosis with severe pain or advanced disease with little or no pain.
 Periods – Painful, cramping, heavy, and lasts more than 7 days. Sometimes spotting or bleeding between periods.
 Chronic low back pain
 Pain during sexual relationship
 Difficulty in becoming pregnant.
 Blood in urine or stool; pain while urinating or passing stools especially during periods
 Constipation or diarrhea.
 Chronic fatigue
 Pain and bleeding from surgical scar during periods.

INVESTIGATIONS

 Ultrasonography/ MRI/ CT scan
 Laparoscopy and biopsy

COMPLICATIONS

 Infertility
 Cancer – Ovarian cancer is most common.
 Urinary tract obstruction – leads to infection

HOW TO PREVENT

 Don’t postpone your first pregnancy, if you are married and have a family history of Endometriosis.
 Avoid forcible pelvic examination during or a short time after periods.

GENERAL MANAGEMENT

 Avoid junk foods and dairy products; Consume organic fruits and vegetables; avoid alcohol and caffeine
 For pain relief – Exercise regularly and take warm baths; you can put a heating pad or hot warm bottle on your belly during pain. Do meditation/yoga.

HOMEOPATHIC MANAGEMENT

Homeopathy can provide the best treatment for menstrual irregularities and infertility. With homeopathic treatment, you can get relieved of pain, and also prevent further progression of the disease. The chance of pregnancy will also increase with homeopathy.