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Endometriosis Understanding The Problem with Dr. Amita Shah

Endometriosis Understanding The Problem with Dr. Amita Shah

Endometriosis occurs in about 1 in 10 women of reproductive age. The diagnosis of endometriosis is most common when a woman reaches her 30s and 40s. Diagnosis of Endometriosis, rather happens very late as women continue to suffer from pain during periods thinking it is a normal physiological menstrual cramp!!

What is Endometriosis? 

Endometriosis is a condition in which the tissue that lines the uterus or womb is present in other organs. Endometriosis is usually found in the lower abdomen or pelvis, but it can appear anywhere in the body. Most commonly it tends to deposit on the ovaries, leading to the formation of Endometriotic Ovarian Cysts.

Endometriosis Understanding the Condition

What are the Symptoms of Endometriosis? 

The most common symptom of Endometriosis is lower abdominal or pelvic pain, and backache, especially with menstruation (dysmenorrhea). Some women also experience pain with sexual intercourse (dyspareunia).

Other symptoms may include changes in bowel and bladder symptoms (such as pain with bowel movements, bloating, constipation, blood in the urine, or pain with urination), and possibly abnormal vaginal bleeding. Endometriosis is also a common cause of Infertility.

How is Endometriosis Diagnosed? 

Clinical diagnosis of Endometriosis can be made based on symptoms and clinical /pelvic examination by the doctor. Ultrasound can help to diagnose endometriotic cysts. However, a definitive diagnosis can be made only on Laparoscopy. (wherein a Surgeon would visualize the abdomen and pelvis using a camera).

endometriosis laparoscopy helps to diagnose even the smallest of endometriotic lesions. A tissue sample (biopsy) from a suspected endometriosis lesion at the time of surgery can confirm the diagnosis.

Why Does Endometriosis Cause Pain in Some Women? 

When a woman with Endometriosis has her period, she has bleeding not only from the cells and tissue inside the uterus but also from the cells and tissue outside the uterus. The endometriosis lesions cause inflammation and irritation, creating pain.

What Causes Endometriosis? 

The exact cause of Endometriosis is not known, but several theories offer possible explanations. When a woman has her period, some of the blood and tissue from her uterus travels out through the fallopian tubes and into the pelvis and very rarely other areas of the body.

This is called retrograde menstruation. Nearly all women have some degree of retrograde menstruation, so abnormalities of the endometrial tissue in the uterus, a receptive environment in the pelvis, and alterations in the local immune system likely contribute to the development of endometriosis.

How does Endometriosis Affect Fertility and my Ability to Get Pregnant? 

Almost 40% of women with infertility have Endometriosis. Inflammation from endometriosis may negatively impact the function of the ovary, egg, fallopian tubes, or uterus.

In addition, scar tissue that is often present in patients with Endometriosis can cause blockage or distortion of the fallopian tubes, so they are unable to pick up and transport the egg after ovulation.

What is the Treatment for Endometriosis? 

Treatment for Endometriosis depends on the extent of the disease, the degree of symptoms, and the desire for future children. Endometriosis may be treated with medication, surgery, or both. The first-line therapy for endometriosis is with medications, particularly when pain is the primary problem.

As endometriosis lesions are sensitive to ovarian hormones, medical therapies aim to lower estrogen levels and/or shrink the lesions with a form of progesterone called progestin.

If medical therapy fails or in certain cases to treat infertility, surgery can be used to remove or burn as much of the endometriosis as possible without injuring other internal organs.

Laparoscopy is the best modality to surgically treat Endometriosis as it helps to identify the minutest of lesions because of magnification by the camera.

Do I Need to Have a Hysterectomy? 

No, a hysterectomy is not necessary. However, if a woman with endometriosis is not interested in becoming pregnant, she and her doctor may decide to remove the uterus and possibly the ovaries if other treatments are ineffective.

Is Endometriosis Cancer? 

No, Endometriosis is not a type of cancer. Some research suggests that women with endometriosis may be at a slightly higher risk of developing certain cancers.

Doctor Profile 

r. Amita Shah - Leading Gynaecologist in Gurgaon

Dr Amita Shah is a leading gynaecologist in Gurgaon with vast experience in treating all major and minor female problems. She is the founder of Global Women’s Clinic, Palam Vihar, Gurgaon. For more information or an appointment with Dr Amita Shah please call +91- 9773975611

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Ankush Gaur
Ankush Gaur
2024-01-08
Excellent
Geeta Upadhyay
Geeta Upadhyay
2024-01-04
I would highly recommend Dr Amita Shah to anyone in need of a gynaecologist. She is incredibly professional and always takes care of her patients. I have never had an issue with her and she has always been very responsive to my needs. I would definitely recommend her to anyone in need of a gynaecologist!
Sandeep Ranga
Sandeep Ranga
2024-01-04
I had been suffering from severe pain and heavy bleeding for so many years.My ultrasound showed a large cyst in the uterus .All doctors had advised open surgery but Dr Amita Shah advised Laparoscopic surgery.Surgery was very smooth,I had no pain and my recovery was very fast.I am very thankful to Dr Amita Shah.She is a very skilled surgeon and very polite and gentle with her patients.Highly recommended for Laparoscopic surgery.
Parul
Parul
2023-12-28
I have made all the pregnancy visits to Dr. Amita Shah, and my end-to-end experience with her has been wonderful. I was someone who was absolutely terrified of needles, but with Dr. Amita Shah's constant guidance and good consultation, I could overcome a lot of my stress and worries related to delivery as well as during the pregnancy phase. Both the doctor and her clinic staff are helpful and amiable. She was all ears when it came to even the tiniest of details and issues, listened calmly and resolved all my issues. She was also constantly available via phone and WhatsApp to clear any doubts that popped up in my head in addition to the in-clinic visits where she eased my mind and resolved plenty of my concerns. At the time of my delivery, she offered complete mental support and her presence itself offered calmness to me. I highly recommend Dr. Amita Shah for her professionalism, empathy and supportive attitude. By God's grace, we are blessed with a baby girl in December, and I have been on the path to a smooth and fast recovery since then.
monika agarwal
monika agarwal
2023-12-13
My end to end experience with Dr. Amita Shah has been very amazing. I found her trustworthy in the very first visit. The medications very limited and She handled the emergency of water break very diligently and ensured safe delivery of my baby. She is calm, positive and considerate and will make your pregnancy journey beautifuI with no stress. I highly recommend Dr Amita Shah.
M Grewal
M Grewal
2023-12-11
I have been visiting Dr Amita for 11 years now. She has helped deliver my kids and then for few other concerns. She is very kind, empathetic, and very gentle. She understands and a great listener. Trust her completely.
Zoya Khan
Zoya Khan
2023-12-10
I consulted Dr Amita for my Scar Endometriosis, she not only understood my problem but at the same time explained the entire ailment in detail. She assisted me at every step, her calm demeanour and patience made it very comfortable for me. The best part was she was so approachable although the process. I became a fan of her the way she did my dressings, removed my drain pipe with no pain extremely softly, she has magic in her hands .The best gynaecologist I have ever met. God Bless her always. Thank you so much.
Suchismita Adhikari
Suchismita Adhikari
2023-12-05
Our experience with Dr Amita mam and her clinical expertise has been fabulous. Her staff, Ms Komal and Ms. Ashu are very kind and cooperative. Dr. Amita operated on my mother with such finnese. Explained each and every step in detail. She is a very good gynaecologist. Happy we found her to treat my mom.