Best Endometriosis Treatment In India
Related By Gynaecology
Endometriosis (en-doe-me-tree-O-sis) is a painful disorder in which tissue similar to the endometrium, which normally lines the interior of your uterus, grows outside of your uterus. Endometriosis is most commonly associated with the ovaries, fallopian tubes, and pelvic tissue. Endometrial-like tissue can be seen outside of the pelvic organs on occasion. Endometriosis is a very common disease that affects around 190 million individuals worldwide. It is frequently identified a few years after puberty, with symptoms briefly disappearing during pregnancy and reappearing after menopause. This therapy costs between Rs. 60,000 and Rs. 100,000.
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Endometriosis: What is it?
In endometriosis, the uterine blood lining, which ordinarily develops inside the uterus, begins to grow outside of it.
The endometrial blood lining develops within the uterus in a healthy female body and loses during menstruation through the vaginal opening. But in endometriosis, this menstrual blood begins to accumulate around the small intestine, rectum, fallopian tubes, ovaries, fundas, and other bodily organs in the abdomen rather than flowing out normally. These blood deposits begin to enlarge when there is no other route out, resulting in excruciating pain, heaviness, effort, fever, and occasionally blood in the vomit. Additionally, it substantially impairs a woman's ability to conceive by harming both the fallopian tubes' health and patency.
Why does this occur?
The most widely accepted medical theory, reverse menses, or retrograde menstrual flow, is that endometriosis is caused by irregular menstrual flow.
According to this theory, the endometrium responds to hormones as it should in a typical cycle, expanding and proliferating during ovulation, and changing course during menstruation. As a result, layers of minute blood deposits are formed throughout several organs surrounding the uterus instead of just streaming out of the vaginal orifice.
Causes
- Uncertain
Symptoms
- A feeling of heaviness and discomfort in the abdomen
- stomach cramps and severe pain during menstruation
- Pain before, during, or after sex Pain when urinating or going to the bathroom
- Obstacles to conception (female infertility issues)
Diagnosis
Laparoscopy is the only effective diagnostic procedure for endometriosis (unless the patient develops an endometrioma cyst which can be diagnosed through an ultrasound).
The procedure is carried out using a laparoscope, which is a small, catheter-like device with a camera and lens on one end.
When you are sedated, the doctor creates a tiny incision in the abdomen and inserts carbon dioxide gas to elevate the stomach over the small intestines and make room for the surgery. The laparoscope is then placed to give a digital display with a high-definition image of the inside organs. This imaging aids in determining the precise degree, severity, and condition of endometriosis.
Severity
- The first stage of endometriosis, grade 1, has minimal to mild symptoms, such as discomfort during menstruation.
- Typically, medicines and hormone treatment can reduce the discomfort.
- Endometriosis grade 2 is the second stage of the condition and is characterised by very severe menstrual pain.
- Typically, laparoscopic excision, hormone treatment, or medication can all be used to reduce discomfort.
- The fourth stage of endometriosis, grade 4, is characterised by acute, knife-like pain both during and between periods.
- Usually, the only way to get rid of the discomfort is through surgery.
Complications & Risks
The type of treatment approach utilised will directly affect the risks and consequences of the surgical therapy for endometriosis.
Laparoscopic excision:
- Little risk of complications from general anaesthesia and severe bleeding
- There is a minimal risk of post-general anesthesia problems, excessive bleeding, infection, and abrasions around the places where the ablation is being used to burn the blood clots.
- The course of therapy is lengthy, notwithstanding the possibility of recurrence.
- Mild risk of bleeding or complications from general anaesthesia with laparoscopic chromopertubation and recanalization.
Ovarian Cystectomy: There is a low chance of serious consequences from the general anesthesia, excessive bleeding, infection, and ovarian damage.
Hysterectomy:There is a low to moderate risk of ureter, bladder, or ovarian injury, heavy bleeding, blood clots, and general anaesthetic problems.
Restoration Rate
The recuperation time for laparoscopic procedures is between three and five days. whereas open operations need a minimum 2-week recovery period.
How much does a surgery cost in India?
The cost of surgery varies across the country. can range from around Rs. 60,000, to Rs. 100,000 .