Endometriosis: Diagnosis, Treatment, and Causes

Endometriosis is a condition in which tissue that resembles the uterine lining grows on other regions of the body. You may encounter uncomfortable symptoms as a result of this tissue’s unnatural growth, which may have an effect on your regular activities. Some endometriosis sufferers experience difficulties getting pregnant.

The lining of the uterus inside is called the endometrium. During your menstrual cycle, you lose this tissue. Think of endometrium as layers of tissue that accumulate along the uterine lining. These layers separate from your uterus’s walls and leave your body when you get your period. When you become pregnant, the endometrium supports the infant’s early stages of growth.

Endometrial-looking tissue develops on other organs or structures when you have endometriosis. This tissue may develop in your chest, pelvis, or abdomen. Due to its hormonal sensitivity, this tissue can swell up throughout your menstrual cycle. Ovarian cysts, superficial lesions, deeper nodules, adhesions (tissue that links and binds your organs together), and scar tissue can all be brought on by these patches of endometrial-like tissue.

You can get endometriosis in a number places, including the following:

-behind and outside of your uterus.

-follicle tubes



-Peritoneum (the lining of your abdomen and pelvis) (the lining of your abdomen and pelvis).

ureters and the bladder.



-Diaphragm (a muscle towards the bottom of your chest that plays a crucial function in breathing) (a muscle near the bottom of your chest that plays an important role in breathing).

What is the extent of endometriosis?

A common condition called endometriosis can make daily life difficult. It may result in chronic pain, irregular menstrual cycles, and problems with conception. Endometriosis symptoms can frequently be controlled with treatment.

Endometriosis can affect anyone.

Endometriosis is a condition that primarily affects women between the ages of 25 and 40. It can also happen to young people during their adolescence. Although many women experience relief from endometriosis symptoms after menopause, it can still be uncomfortable and painful.

What are some of the endometriosis risk factors?

There are some factors that can increase your chances of developing endometriosis. These elements may include:

Endometriosis runs in the family.

The age at which you first begin to have periods. People who start menstruating before the age of 11 are at a higher risk.

The duration of flow and the length of your menstrual cycle (shorter time between periods) (how many days of bleeding).

Is endometriosis inherited?

Although no one knows what causes endometriosis, experts believe there is a link between a family history of the condition and an increased risk of developing it at some point. If another member of your family has endometriosis, such as your mother, grandmother, or sister, discuss your risk with your doctor.





Common causes of cold during pregnancy


Your unborn child could suffer if you acquire the flu or a cold while pregnant. The flu shot is strongly advised if you are pregnant or want to become pregnant in order to protect both you and your unborn child.

Dealing with a cold while pregnant

A moderate virus frequently infects the nose, throat, sinuses, and upper airways called a cold. A clogged nose may be followed by a runny nose, sneezing, sore throat, and coughing. As the body battles the infection, a cold typically lasts for approximately a week.

There is no known way to prevent or cure a cold, but you can typically treat the symptoms at home with over-the-counter medications like paracetamol and plenty of fluids.

Dealing with the flu while pregnant

Flu is a contagious viral illness that is passed on through coughs and sneezes. It differs from a cold. Different types of viruses are responsible for the flu. The symptoms typically last longer and are more intense.

Flu, often known as influenza, is contagious all year round but is most prevalent in the winter

Antiviral medications are advised for pregnant women who have the flu as they have a considerably higher risk of problems. Antiviral medications function best when used within 48 hours after the onset of symptoms.

Antivirals won’t treat the flu, but they will:

  • shorten the duration of your illness by around one day.
  • some of the symptoms relief
  • lessen the likelihood of severe consequences

In this instance, you ought to also:

  • take rest
  • Stay warm.
  • Take in a lot of water to prevent dehydration.
  • You can use paracetamol to ease pain and bring down a high temperature.

Medication during pregnancy

Ideally, you should refrain from taking medications while you are expecting, especially in the first three months. It is frequently unnecessary to use medications to treat ailments like colds or minor aches and pains. However, paracetamol is okay to use if you’re pregnant and feel the need to take medication.

Consult with your doctor before taking any medications while pregnant.



Vomitting diarrhea during Pregnancy

Vomiting and diarrhoea are common symptoms for pregnant women, and both conditions occasionally coexist. This may not always point to a hidden medical issue.

It’s important to bear in mind that the two symptoms could have various root reasons, with pregnancy being a possibility for either, both, or none.

What then triggers gastrointestinal problems like vomiting and diarrhoea during pregnancy? Depending on the stage of the pregnancy, the answers can change:

First trimester

Morning sickness is one of the most prevalent pregnancy symptoms during the first trimester. This usually happens prior to week 17, and it entails nausea and vomiting.

Morning sickness often lasts for a few weeks to months for women, although it can last the entire pregnancy. While some women have nausea all day, others only vomit once or twice daily.

According to a medical review Trusted Source, anxiety, depression, and unfavourable family dynamics can all worsen or increase the frequency of nausea and vomiting. Meanwhile, gastrointestinal problems like diarrhoea might be brought on by stress.

Viral and bacterial infections, as well as several drugs, are additional major causes of diarrhoea during pregnancy. It is crucial to remember that diarrhoea can be harmful and result in potentially catastrophic problems including dehydration.

Second trimester

Hyperemesis gravidarum may be present if vomiting starts during the second trimester or persists afterward.


This unusual condition can produce severe vomiting and nausea that necessitates hospitalisation. Dehydration, vitamin and mineral deficits, and a 5% decrease in initial body weight are additional consequences.

Approximately 22% of pregnant women who have hyperemesis gravidarum endure nausea and vomiting the entire time.

However, nausea and vomiting that start to occur after week 16 may not be connected to pregnancy. In this situation, the cause could be anything from a stomach bug to something more serious, such an ulcer or hepatitis.

Third trimester

Pregnancy heartburn is frequent, especially later on when the foetus is expanding and exerting pressure on the stomach. Additionally, during pregnancy, the sphincter that closes off the stomach from the oesophagus relaxes. Heartburn can be brought on by stomach acid entering the oesophagus as a result of one, both, or both causes.

It is crucial to remember that preeclampsia, a dangerous issue that can result in preterm delivery, can cause nausea and vomiting to suddenly start during the second half of pregnancy.

Preeclampsia also manifests as elevated blood pressure, heartburn, and swelling of the hands and face.


Usually, mild vomiting and diarrhoea during pregnancy don’t need any particular care. The signs might go away by themselves.

Several home care techniques include:

  • Taking a prenatal vitamin and consuming bland foods like bread, bananas, crackers
  • taking frequent, small nibbles of meals like almonds or crackers in bed first thing in the morning eating more regularly toast or crackers


The following treatments are safe to use while expecting if symptoms are more severe or are otherwise significantly affecting everyday life:

B6 is a dietary supplement that is sold over the counter, and doxylamine, a sleep aid component, is also found in prescription antiemetic medications.

When to see a doctor

If a pregnant woman experiences severe vomiting or diarrhoea that lasts more than a few days, she should consult a doctor.

Additionally, if you experience any dehydration-related symptoms, including:

dizziness or fainting while standing, dark urine, an inability to urinate, a racing heart, or difficulty swallowing liquids

It would be important to speak with a doctor if you have any health issues or notice any strange bodily changes while pregnant.


I Support Breastfeeding !


The greatest reason for emphasis on early initiation of breastfeeding is to ensure that babies do not miss out benefits of colostrum. Initial few drops of colostrum paints the sterile, permeable new born gut mucosa and prevents entry of infections in to the gut of infant. Baby passes meconium because of the laxative action of colostrum. Colostrum is higher in Protein, Sodium, Chloride & Potassium, Vitamins such as A & E and three times higher than mature milk.
Carotenoids & secretory Iga are 10 times higher. Colostrum is low in sugar, fat & lactose. It is rich in antioxidant, antibodies, immunoglobulins rich in Interforone having strong antiviral activity.
Colostrum contains PSTI (Pancreatic secretory trypsin inhibitor) 7 times higher than mature milk, which protects & repair delecate intestine of new born.
Leucocytes are maximum on day 1 and 2 (10,000 per cumm) and drops down to minimum 1000 per cumm later on.


Understanding Endometriosis as a whole

Endometriosis involves the development of uterine tissue on organs that are outside uterus. Ovaries, fallopian tubes, and the pelvis are just a few of the pelvic organs that might be impacted. Endometriosis occasionally spreads outside of the pelvic area. Endometriosis exhibits a menstrual flow month after month, with tissue outside the uterus layering, collapsing, and flowing in accordance with a regular menstrual cycle.


Causes of Endometriosis:

Endometriosis and its underlying causes are not clearly correlated, according to medical professionals. However, the following elements are believed to be important:

-Reverse menstruation: occurs when menstrual blood enters the fallopian tubes and pelvis rather than leaving the body.

-Embryonic cell development: Endometrial tissue forms in the pelvic and abdominal areas from embryonic cells.

-Endometrial cell dispersion: Endometrial cells may be transmitted throughout the body by lymph nodes.

– Genetic predisposition: Genetics play a role in passing the condition on to kin

– Immune system disfunction: A malfunctioning immune system could prevent the body from eliminating or removing extrauterine tissue.

Symptoms of Endometriosis:

  • Severe pelvic pain: Extreme or agonising lower back, abdominal, and pelvic discomfort before, during, and after periods
  • Pain during intercourse: Intercourse-related or post-intercourse pain
  • Pain during urinating: During the menstrual window, pain that is connected to bowel movements or urine is frequently felt.
  • Heavy menstruation: Excessive menstrual bleeding or spells of mid-cycle bleeding
  • Infertility: Attempts at conception that have failed despite regular, unprotected sexual activity

      Measures to Minimise the Effects of Endometriosis

       Women who have endometriosis may experience emotional and psychological problems in addition to physical ones. Surgery is occasionally chosen as a last resort, but there are many other treatment alternatives as well.

        Some common treatment options are mentioned below.

  • Anti-inflammatory drugs and prescription medications can help to lessen some of the pain associated with endometriosis.
  • In order to treat symptoms, hormone therapies may also be investigated.
  • If the afflicted areas are known, preliminary surgery is advised; chronic instances may call for a hysterectomy.
  • Endometrial adhesions, the endometrium, and the pelvic architecture are all treated using conservative methods.
  • Laparoscopy is a tool for both surgery and diagnosis.
  • To achieve conception, fertility treatment, such as in vitro fertilisation, may be suggested.

Laparoscopy in Endometriosis

A surgical treatment called a laparoscopy can be used to identify and manage a number of medical disorders, including endometriosis. A laparoscope, a long, thin viewing device, is inserted into the belly during a laparoscopy through a tiny surgical incision. This enables your doctor to perform a biopsy, or the viewing or removal of tissue. They could also get rid of endometriosis-related scar tissue, implants, and cysts.

A laparoscopy is a low-risk, minimally intrusive treatment to treat endometriosis.  Gynaecologist usually performs it while under general anaesthesia. The majority of patients are discharged from the hospital the same day. However, there are situations when overnight observation is necessary.

Who needs to have a laparoscopy?

Your doctor may recommend a laparoscopy if:

  • You regularly experience severe abdominal pain believed to be caused by endometriosis.
  • Endometriosis or symptoms associated with it have persisted or returned, after hormone therapy.
  • Endometriosis is thought to affect some organs, including the bladder and bowel.
  • Endometriosis is believed to contribute to infertility.
  • An abnormal lump on your ovary called as an endometrioma has been found.

Laparoscopic surgery isn’t suitable for everybody. First, a less intrusive kind of treatment called hormone therapy can be suggested. If endometriosis affects the colon or bladder, a more involved operation may be necessary.

Endometriosis is fairly common, affecting more than 11 percent of American women of reproductive age. However, it can be difficult to diagnose. If left untreated, severe endometriosis may result in infertility. Endometriosis can also increase your risk for certain cancers.


It’s easily treatable with laparoscopy when done in the best hands with the right preop diagnosis.


What Happens if Endometriosis Isn’t Treated?

A painful gynecological ailment called endometriosis affects one in ten women who are childbearing age. Endometriosis does not have a documented cause,

however some things increase a woman’s chance of getting it.

A family history of the condition, the onset of your period before the age of 11, never having given birth, and heavy, protracted menstrual cycles are all risk factors.

 Women in their 30s and 40s are the main demographics affected by the ailment, and it typically goes away after menopause is reached.

There are numerous treatment options available even though there is no known cure for endometriosis.

The signs and symptoms of endometriosis.

The most typical endometriosis symptom is discomfort, particularly during menstruation. People experience different amounts of pain.

  • Pain during sex
  • Heavy bleeding during your period
  • Bleeding between periods
  • Fatigue
  • Diarrhea and other gastrointestinal issues
  • Infertility

What happens if endometriosis is not treated?

Endometriosis doesn’t go away by itself. If you are in pain or have other symptoms, they will persist if you don’t get treatment.

Your symptoms may worsen occasionally. Infertility is a typical side effect of endometriosis, in addition to pelvic pain.

The majority of endometriosis sufferers have trouble getting pregnant. Infertility and other symptoms can be treated well in a variety of ways, which is fortunate.

In addition, women who have endometriosis are more likely to get ovarian cancer than those who do not.

The severity of the problem, the symptoms you are experiencing, and whether you want to become pregnant all influence your endometriosis treatment options.

Hormone replacement treatment, painkillers, and surgery are available. A fertility doctor may also offer additional reproductive therapies to address your particular problems.


Know More and say no more to Endometriosis

Endometriosis, is a condition in which endometrium, the tissue that normally lines the interior of your uterus, grows outside of your uterus. The tissue lining your pelvic, fallopian tubes, and ovaries are all frequently affected by endometriosis. Rarely, tissue resembling endometrium may be seen outside the region around the pelvic organs.

For women, the average wait time for a diagnosis is 6 to 7 years. Their suffering is prolonged as a result, which commonly results in mental health issues. Many endometriosis sufferers experience pelvic or abdominal pain, which is made worse by menstrual blood or sexual activity.

Some ladies experience none at all. If you have endometriosis, getting pregnant could be challenging. Between 30 and 50 percent of infertile women have endometriosis. Cysts caused by endometriosis can occasionally form inside your ovary (endometrioma).

This results in an inflammatory reaction, which may induce the development of scar tissue and the adhesion of the pelvic organs. Only a few of the symptoms include exhaustion, debilitating pain during menstruation, difficult bowel movements, painful urination, and pain during sexual activity. Additionally, it raises the chance of infertility.

Unfortunately, endometriosis cannot be completely cured. Hormone therapy is known to have side effects, even if it can help with symptoms. Endometriosis lesions must be surgically removed, although return is always a possibility.

According to recent data, between 10 and 15 percent of women who menstruate experience endometriosis. This number may be substantially higher due to the number of cases that go undiagnosed. Their suffering is prolonged as a result, which commonly results in mental health issues.

One of several elements that contribute to the delay in diagnosis is the difficulty of the diagnosis.  Blood tests cannot be utilized to determine the diagnosis of this illness. Symptoms alone can be used by doctors to make an endometriosis diagnosis, but surgery is necessary for a certain diagnosis. Endometriosis is frequently misdiagnosed as irritable bowel syndrome or appendicitis because of its comparable symptoms.

This type of endometriotic tissue may typically be seen on ultrasound, unlike other types. The only way to know for sure if you have endometriosis is through a laparoscopic surgery.

One of the main causes of incorrect diagnoses of women’s health issues is the absence of research employing female animal models. As a result of their lack of monthly hormonal cycles, male animals were often used more frequently than female animals. As a result, research tended to favor male participants.

Research groups continue to disagree on the best mammalian model to utilize when researching issues unique to the female body. It is common for women’s pain to be underestimated in comparison to men’s discomfort, aside from bias in a medical study. This may have its roots in the past when women who complained of pain that wasn’t immediately obvious were branded as “hysterical.”

Ancient Greek manuscripts were the first to mention the idea that a dislocated uterus was the source of suffering from a strange, seemingly invisible illness. Because of this, “hysteria” was first recognized as a mental disease, opening the door for modern women to be told that their indescribable suffering was “all in their heads.”

Therefore, it is common for women’s suffering to be disregarded or minimized. In fact, the term “gender pain gap” refers to discrimination in healthcare that occurs when women’s pain is minimized due to unconscious bias.

Is Freezing Eggs is best Option

Is Freezing Eggs the Best Option?

Let’s talk about egg freezing and whether it’s a good idea to do so:


What is the procedure for freezing eggs?


The brain usually signals every month to release one egg during a typical menstrual cycle (whereas fertility doctors trigger to release multiple eggs). To activate numerous eggs within the ovaries, fertility medicines must be administered. The procedure for extracting eggs is the same as for In Vitro Fertilization (IVF). The eggs are then extracted from the ovaries and stored in the freezer for later use.


The following are the steps involved in egg freezing:


  1. Hormone injections stimulate ovaries to generate a large number of eggs.
  2. The doctor will check the eggs and hormone levels.
  3. Obtaining eggs and freezing them for future use.



Is it possible to conceive after freezing your eggs?

There are no guarantees. However, it is undoubtedly a viable choice, as there are numerous aspects to consider while planning a successful pregnancy. When it comes to egg freezing, the chances of getting pregnant with the technique improve immensely if the eggs are younger and larger in number.



Is Freezing Eggs the Best Option?


If you want to have children but are not quite ready to be a parent, you may want to try egg freezing. Cancer patients who are undergoing chemotherapy have difficulty conceiving. As a result, for such patients with life-threatening conditions, egg freezing offers a ray of hope for becoming a parent by saving eggs before treatments like chemotherapy for future use. Egg freezing should ideally be planned before turning 35, as the egg supply begins to decline after that age.


If you believe you are mentally ready to have a child at the age of 40, you can simply concentrate on having a child with frozen eggs, which have no expiration date. Simply ensure that you are physically fit and healthy, as this will have a significant impact on your fertility.


The decision to freeze your eggs is ultimately yours to make, and it should be made thoughtfully. Contact the fertility experts for egg freezing in Pune at Ashakiran Hospital if you want to learn more about egg freezing or intend to freeze your eggs in the future!


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