At Motherhood much of our attention is dedicated to the growing medical needs of today’s women to provide the best care possible. We provide various Gynaecological services through latest techniques and minimally invasive procedures
At Motherhood we take care of all women, from the cradle to menopause, and we are one of the strongest advocates for women’s health. Our highly qualified Gynaecologists have an energy that is incomparable. Every Staff at Motherhood has a compassionate and deep respect for different morals and beliefs, yet we work together in a seamless manner. We understand that all women have different desires, and we customize the care accordingly.
Gynaecologists & Obstetricians at Motherhood specialize in preventive care and treatments.We look beyond the patient’s immediate medical needs by providing holistic and seamless integrated care. We have set up one-stop centres to provide comprehensive services under one roof. Specialist Doctors cover various areas, including check-ups, Uro-Gynaecology, Laparoscopy, Dysfunctional Uterine Bleeding and Fibroids.
The services range from diagnosis to treatment, and even emotional and psychological support.
Gynaecology and obstetrics are the studies of the female reproductive system
What’s the difference between gynaecology and obstetrics?
Gynaecology normally means treating women who aren’t pregnant, while obstetrics deals with pregnant women and their unborn children, but there is lots of crossover between the two. For example, women may be referred to gynaecologists in the earlier stages of pregnancy, and obstetricians later in their term.
What do gynaecologists and obstetricians do?
Gynaecologists and obstetricians use a range of surgical and medical procedures. Gynaecological procedures include:
- Laparoscopy: the diagnosis and removal of cysts and infections from the ovaries and fallopian tubes
- Cone biopsies: the removal unhealthy cells from the cervix to prevent cervical cancer
- Hysterectomies: the removal of a woman’s uterus
Gynaecologists are also involved in smear testing programmes, which are designed to detect cervical cancer .
Obstetric procedures include:
- Caesarean (or C) section: surgically cutting a baby out from its mother’s womb to avoid problems during labour
- Cervical sutures: using tape to strengthen a woman’s cervix to prevent miscarriages
- External cephalic version (ECV): turning the baby around in the womb so it is in the correct position for birth
Obstetricians also test foetuses for symptoms of conditions like Down’s Syndrome using ultrasound and techniques like chorionic villus sampling.
Gynaecologists and obstetricians often work closely with nurses and other medical specialists such as urologists, who treat bladder problems, and endocrinologists, who deal with hormone production.
Women Care – General Gynecology
The Women care or general gynecology serves as a resource for women with a variety of benign medical and surgical conditions requiring short-term gynecologic care.
Menstrual disorders are problems that affect a woman’s normal menstrual cycle. They include painful cramps during bleeding, abnormally heavy bleeding, or not having any bleeding.
Menstruation occurs during the years between puberty and menopause. Menstruation, also called a “period,” is the monthly flow of blood from the uterus through the cervix and out through the vagina.
Menstrual disorders include:
- Painful cramps (Dysmenorrhea) during menstruation. Primary dysmenorrhea is caused by menstruation itself. Secondary dysmenorrhea is triggered by another condition, such as endometriosis or uterine fibroids.
- Heavy bleeding (Menorrhagia) includes prolonged menstrual periods or excessive bleeding.
- Absence of menstruation (Amenorrhea). Primary amenorrhea is considered when a girl does not begin to menstruate by the age of 16. Secondary amenorrhea occurs when periods that were previously regular stop for at least 3 months.
- Light or infrequent menstruation (Oligomenorrhea) refers to menstrual periods that occur more than 35 days apart. It usually is not a cause for concern, except if periods occur more than 3 months apart.
Age plays a key role in menstrual disorders. Girls who start menstruating at age 11 or younger are at higher risk for severe pain, longer periods, and longer menstrual cycles. Adolescents may develop amenorrhea before their ovulation cycles become regular.
Women who are approaching menopause (perimenopause) may also skip periods. Occasional episodes of heavy bleeding are also common as women approach menopause.
Other risk factors include:
- Weight – Being either excessively overweight or underweight can increase the risk for dysmenorrhea and amenorrhea.
- Menstrual Cycles and Flow – Longer and heavier menstrual cycles are definitely associated with painful cramps.
- Pregnancy History – Women who have had a higher number of pregnancies are at increased risk for menorrhagia. Women who have never given birth have a higher risk of dysmenorrhea, while women who first gave birth at a young age are at lower risk.
- Smoking – Smoking can increase the risk for heavier periods.
- Stress – Physical and emotional stress may block the release of luteinizing hormone, causing temporary amenorrhea.
Diagnosis – Your medical history can help us determine whether a menstrual problem is caused by another medical condition.
For example, non-menstrual conditions that may cause abdominal pain include appendicitis, urinary tract infections, ectopic pregnancy, and irritable bowel syndrome.
Your doctor may ask questions concerning:
- Menstrual cycle patterns — length of time between periods, number of days that periods last, number of days of heavy or light bleeding
- The presence or history of any medical conditions that might be causing menstrual problems
- Any family history of menstrual problems
- History of pelvic pain
- Regular use of any medications (including vitamins and over-the-counter drugs)
- Diet history, including caffeine and alcohol intake
- Past or present contraceptive use
- Any recent stressful events
- Sexual history
Menstrual Diary – A menstrual diary is a helpful way to keep track of changes in menstrual cycles. You should record when your period starts, how long it lasts, and the amount of bleeding and pain that occurs during the course of menstruation.
Pelvic Examination – A pelvic exam is a standard part of diagnosis. A Pap test may be done during this exam.
Blood and Hormonal Tests – Blood tests can help rule out other conditions that cause menstrual disorders. For example, your doctor may test thyroid function to make sure that low thyroid (hypothyroidism) is not present.
Ultrasound – Imaging techniques are often used to detect certain conditions that may be causing menstrual disorders. Imaging can help diagnose fibroids, endometriosis, or structural abnormalities of the reproductive organs.
Ultrasound and Sonohysterography – Ultrasound is the standard imaging technique for evaluating the uterus and ovaries, detecting fibroids, ovarian cysts and tumors, and finding obstructions in the urinary tract. It uses sound waves to produce an image of the organs. Ultrasound carries no risk and causes very little discomfort.
Transvaginal sonohysterography – uses ultrasound along with saline (salt water) injected into the uterus to enhance the visualization of the uterus.
Other Diagnostic Procedures
Hysteroscopy – Hysteroscopy is a procedure that can detect the presence of fibroids, polyps, or other causes of bleeding. It may miss cases of uterine cancer, however, and is not a substitute for more invasive procedures, such as dilation and curettage (D&C) or endometrial biopsy, if cancer is suspected.
Laparoscopy – Diagnostic laparoscopy, an invasive surgical procedure, is currently the only definitive method for diagnosing endometriosis, a common cause of dysmenorrhea. It may also be used to treat endometriosis. Laparoscopy normally requires a general anesthetic, although the patient can go home the same day.
The procedure involves
- Inflating the abdomen with gas through a small abdominal incision.
- A fiber optic tube equipped with small camera lenses (the laparoscope) is then inserted.
- The doctor uses the laparoscope to view the uterus, ovaries, tubes, and peritoneum (lining of the pelvis).
Dietary Factors – Making dietary adjustments starting about 14 days before a period may help some women with certain mild menstrual disorders, such as cramping.
The general guidelines for a healthy diet apply to everyone; they include
- Eating plenty of whole grains
- Fresh fruits and vegetables
- Avoiding saturated fats
- Avoiding Commercial junk foods.
- Limiting salt (sodium) may help reduce bloating.
- Limiting caffeine, sugar, and alcohol intake may also be beneficial
Other Lifestyle Measures
- Exercise – Exercise may help reduce menstrual pain.
- Sexual Activity – There have been reports that orgasm reduces the severity of menstrual cramps.
- Applying Heat – Applying a heating pad to the abdominal area, or soaking in a hot bath, can help relieve the pain of menstrual cramps.
Menstrual Hygiene – Change tampons/ sanitary napkins every 4 – 6 hours. Avoid scented pads and tampons; feminine deodorants can irritate the genital area.Bathing regularly is sufficient.
- Most women will experience a cyst on the ovaries at least once, and most are painless, cause no symptoms, and are discovered during a routine pelvic exam.
- Symptoms of an ovarian cyst include nausea, vomiting, bloating, painful bowel movements, and pain during sex.
- In rare cases, an ovarian cyst can cause serious problems, so it’s best to have it checked by your doctor.
Ovaries are part of the female reproductive system. They’re located in the lower abdomen on both sides of the uterus. Women have two ovaries that produce eggs, as well as the hormones estrogen and progesterone.Sometimes, a fluid-filled sac called a cyst will develop on one of the ovaries. Many women will develop at least one cyst during their lifetime. In most cases, cysts are painless and cause no symptoms.
Types of ovarian cysts – There are various types of ovarian cysts, such as dermoid cysts and endometrioma cysts. However, functional cysts are the most common type. The two types of functional cysts include follicle and corpus luteum cysts.
Follicle cyst – During a woman’s menstrual cycle, an egg grows in a sac called a follicle. This sac is located inside the ovaries. In most cases, this follicle or sac breaks open and releases an egg. But if the follicle doesn’t break open, the fluid inside the follicle can form a cyst on the ovary.
Corpus luteum cysts – Follicle sacs typically dissolve after releasing an egg. But if the sac doesn’t dissolve and the opening of the follicle seals, additional fluid can develop inside the sac and this accumulation of fluid causes a corpus luteum cyst.
Other types of ovarian cysts include :
- Dermoid cysts:Sac-like growths on the ovaries that can contain hair, fat, and other tissue
- Cystadenomas: Non-cancerous growths that can develop on the outer surface of the ovaries
- Endometriomas: Tissues that normally grow inside the uterus can develop outside the uterus and attach to the ovaries, resulting in a cyst
Polycystic Ovary Syndrome – This condition means the ovaries contain a large number of small cysts. It can cause the ovaries to enlarge, and if left untreated, polycystic ovaries can cause infertility.
Symptoms of an ovarian cyst – Often, ovarian cysts do not cause any symptoms. However, symptoms can appear as the cyst grows. Symptoms may include:
- Abdominal bloating or swelling
- Painful bowel movements
- Pelvic pain before or during the menstrual cycle
- Painful intercourse
- Pain in the lower back or thighs
- Breast tenderness
- Nausea and vomiting
Severe symptoms of an ovarian cyst that require immediate medical attention include:
- Severe or sharp pelvic pain
- Faintness or dizziness
- Rapid breathing
These symptoms can indicate a ruptured cyst or an ovarian torsion. Both complications can have serious consequences if not treated early.
Ovarian cyst complications – Most ovarian cysts are benign and naturally go away on their own without treatment. These cysts cause little, if any, symptoms.
But in a rare case, your doctor may detect a cancerous cystic ovarian mass during a routine examination.
- Ovarian torsion is another rare complication of ovarian cysts. This is when a large cyst causes an ovary to twist or move from its original position. Blood supply to the ovary is cut off, and if not treated, it can cause damage or death to the ovarian tissue. Although uncommon, ovarian torsion accounts for nearly 3 percent of emergency gynecologic surgeries.
- Ruptured cysts which are also rare, can cause intense pain and internal bleeding. This complication increases your risk of an infection and can be life-threatening if left untreated.
Diagnosing an ovarian cyst
Diagnosis – Your doctor can detect an ovarian cyst during a routine pelvic examination. They may notice swelling on one of your ovaries and order an ultrasound test to confirm the presence of a cyst.
Ultrasonography – is an imaging test that uses high-frequency sound waves to produce an image of your internal organs. Ultrasound tests help determine the size, location, shape, and composition (solid or fluid filled) of a cyst.
Imaging tools used to diagnose ovarian cysts include:
- CT scan: A body imaging device used to create cross-sectional images of internal organs
- MRI: A test that uses magnetic fields to produce in-depth images of internal organs
- Ultrasound device: An imaging device used to visualize the ovary
Because the majority of cysts disappear after a few weeks or months, your doctor may not immediately recommend a treatment plan. They may repeat the ultrasound test in a few weeks or months to check your condition.
If there aren’t any changes in your condition or if the cyst increases in size, your doctor will request additional tests to determine other causes of your symptoms.These include:
- Pregnancy test: To make sure you’re not pregnant
- Hormone level test: To check for hormone-related issues, such as too much estrogen or progesterone
- CA-125 blood test: to screen for ovarian cancer
Treatment for an ovarian cyst – Your doctor may recommend treatment to shrink or remove the cyst if it doesn’t go away on its own or if it grows larger.
Birth control pills – If you have recurrent ovarian cysts, your doctor can prescribe oral contraceptives to stop ovulation and prevent the development of new cysts. Oral contraceptives can also reduce your risk of ovarian cancer. The risk of ovarian cancer is higher in postmenopausal women.
Laparoscopy – If your cyst is small and results from an imaging test rule out cancer, your doctor can perform a laparoscopy to surgically remove the cyst. The procedure involves your doctor making a tiny incision near your navel and then inserting a small instrument into your abdomen to remove the cyst.
Laparotomy – If you have a large cyst, your doctor can surgically remove the cyst through a large incision in your abdomen. They’ll conduct an immediate biopsy, and if they determine that the cyst is cancerous, they may perform a hysterectomy to remove your ovaries and uterus.
Ovarian cyst prevention – Ovarian cysts can’t be prevented
- Routine gynecologic examinations can detect ovarian cysts early.
- Benign ovarian cysts don’t become cancerous.
- Symptoms of ovarian cancer can mimic symptoms of an ovarian cyst.
Thus, it’s important to visit your doctor and receive a correct diagnosis.
Always inform your doctor to symptoms that may indicate a problem, such as:
- Changes in your menstrual cycle
- Ongoing pelvic pain
- Loss of appetite
- Unexplained weight loss
- Abdominal fullness
Quick Fact Check
- The process of menopause does not occur overnight, but rather is a gradual process. This so-called perimenopausal transition period is a different experience for each woman.
- The average age of menopause is 51 years old, but menopause may occur as early as the 30s or as late as the 60s. There is no reliable lab test to predict when a woman will experience menopause.
- The age at which a woman starts having menstrual periods is not related to the age of menopause onset.
- Hot flashes
- Mood changes
- Vaginal dryness and itching
Conditions That Cause Early Menopause
Surgical removal of the ovaries -The surgical removal of the ovaries (oophorectomy) in an ovulating woman will result in an immediate menopause, sometimes termed a surgical menopause or induced menopause.
Cancer chemotherapy and radiation therapy – Depending upon the type and location of the cancer and its treatment, these types of cancer therapy (chemotherapy and/or radiation therapy) can result in menopause if given to an ovulating woman. In this case, the symptoms of menopause may begin during the cancer treatment or may develop in the months following the treatment.
Premature ovarian failure – Premature ovarian failure is defined as the occurrence of menopause before the age of 40. This condition occurs in about 1% of all women. The cause of premature ovarian failure is not fully understood, but it may be related to autoimmune diseases or inherited (genetic) factors.
Diagnosis Of Menopause
There is no single blood test that reliably predicts when a woman is going through the menopausal transition. The only way to diagnose menopause is to observe the lack of menstrual periods for 12 months in a woman in the expected age range.
Treatment & Therapy For Menopause –
Always remember that Menopause itself is a normal part of life and not a disease that requires treatment.
Hormone Therapy – Estrogen therapy remains, by far, the most effective treatment option for relieving menopausal hot flashes.
Depending on your personal and family medical history, your doctor may recommend estrogen in the lowest dose needed to provide symptom relief for you. If you still have your uterus, you’ll need progestin in addition to estrogen. Estrogen also helps prevent bone loss. And hormone therapy may benefit your heart if started within five years after your last menstrual period.
Vaginal Estrogen – To relieve vaginal dryness, estrogen can be administered directly to the vagina using a vaginal cream, tablet or ring. This treatment releases just a small amount of estrogen, which is absorbed by the vaginal tissues. It can help relieve vaginal dryness, discomfort with intercourse and some urinary symptoms.
Before deciding on any form of treatment, talk with your doctor about your options and the risks and benefits involved with each. Review your options yearly, as your needs and treatment options may change.
Menopause complications – After menopause it is common for the following chronic conditions to appear.
Cardiovascular disease – A drop in estrogen levels often goes hand-in-hand with an increased risk of cardiovascular disease.
In order to reduce the risk of developing cardiovascular disease a woman :
- Should quit smoking,
- Try to keep her blood pressure within normal levels, do plenty of regular exercise,
- Sleep at least 7 hours each night
- Eat a well-balanced healthy diet.
Osteoporosis – A woman may lose bone density rapidly during the first few years after menopause. The lower a person’s bone density gets the higher their risk is of developing osteoporosis.
Urinary incontinence -The menopause causes the tissues of the vagina and urethra to lose their elasticity, which can result in frequent, sudden, strong urges to urinate, followed by urge incontinence (involuntary loss of urine). Stress incontinence may also become a problem – urinating involuntarily after coughing, sneezing, laughing, lifting something, or suddenly jerking the body as may happen when we temporarily lose our balance.
Low libido – This is probably linked to disturbed sleep, depression symptoms, and night sweats, a study found.
Overweight/obesity – During the menopausal transition women are much more susceptible to weight gain. Women may need to consume about 200 to 400 fewer calories each day just to prevent weight gain – or burn of that number of calories each day with extra exercise. The chances of becoming obese rises significantly after the menopause.
Breast cancer – Women are at a higher risk of breast cancer after the menopause. Regular exercise after menopause significantly reduces breast cancer risk.
Recent Developments On Menopausal Symptom Treatment
- Acupuncture may reduce severity and frequency of menopausal hot flashes
- Growth hormone ‘treats osteoporosis in postmenopausal women’
- Soy diet may prevent osteoporosis in menopausal women
- Exercise eases hot flashes during menopause moments on menopausal symptom treatment
Menopause Self Help
Unless your symptoms are severe, you may find that some changes in your lifestyle and diet are all you need to deal with the symptoms.
Hot Flashes and Night Sweats
- Do plenty of exercise.
- Avoid wearing tight clothing.
- Make sure the bedroom is not hot.
- Try to reduce your levels of stress.
- Remember the following commonly trigger symptoms for susceptible people: spicy food, caffeine, smoking, and alcohol.
- Exercise regularly. However, do not exercise too late during the day. Exercising too late may keep you awake longer.
- Go to bed and get up at the same time each day – even during weekends.
- Cut out all drinks and foods that contain caffeine.
- Learn how to do deep breathing, guided imagery, and progressive muscle relaxation.
- Make sure you do not get tired – get plenty of rest.
- Do regular exercise. If you can, do strenuous exercise – check with your doctor whether this is OK for you.
- Practice yoga. Make sure you have a well qualified trainer.
Vaginal Discomfort and Dryness
- Get some OTC (over the counter) water-based vaginal lubricants or moisturizers.
- Stay sexually active.
Practice pelvic floor muscle exercises – Kegel exercises. If you practice three or four times a day you will most probably notice a difference after a few weeks.
Overweight / Obesity and Osteoporosis Prevention
- Eat a well balanced diet that includes plenty of vegetables, fruits, whole grains, good quality fats, fiber, and unrefined carbohydrates.
- Try to consume 1,200 to 1,500 milligrams of calcium and 800 IUs of vitamin D per day.
- Do plenty of exercise.
- Make sure you sleep at least 7 hours each night.
Quick Fibroid Facts
- Fibroids are abnormal growths that develop in or on a woman’s uterus.
- It is unclear why fibroids develop, but several factors may influence their formation, such as hormones and family history.
- About 70 to 80 percent of women experience fibroids by the age of 50.
Types of Fibroids – Different fibroids develop in different locations in and on the uterus.
- Intramural Fibroids – Intramural fibroids are the most common type of fibroid. These types appear within the lining of the uterus (endometrium). Intramural fibroids may grow larger and actually stretch your womb.
- Subserosal Fibroids – Subserosal fibroids form on the outside of your uterus, which is called the serosa. They may grow large enough to make your womb appear bigger on one side.
- Pedunculated Fibroids – When subserosal tumors develop a stem (a slender base that supports the tumor), they become pedunculated fibroids.
- Submucosal Fibroids – These types of tumors develop in the inner lining (myometrium) of your uterus. Submucosal tumors are not as common as other types, but when they do develop, they may cause heavy menstrual bleeding and trouble conceiving.
What Causes Fibroids?
- It is unclear why fibroids develop, but several factors may influence their formation.
- Hormones – Estrogen and progesterone are the hormones produced by the ovaries. They cause the uterine lining to regenerate during each menstrual cycle and may stimulate the growth of fibroids.
- Family History – Fibroids may run in the family. If your mother, sister, or grandmother has a history of this condition, you may develop it as well.
- Pregnancy – Pregnancy increases the production of estrogen and progesterone in your body. Fibroids may develop and grow rapidly while you are pregnant.
Risk Factors – Women are at greater risk for developing fibroids if they have one or more of the following risk factors:
- A family history of fibroids
- Being over the age of 30
- High body weight
Symptoms of Fibroids
Your symptoms will depend on the location and size of the tumor(s) and how many tumors you have. If your tumor is very small, or if you are going through menopause, you may not have any symptoms. Fibroids may shrink during and after menopause.
Symptoms of fibroids may include:
- Heavy bleeding between or during your periods that includes blood clots
- Pain in the pelvis and/or lower back
- Increased menstrual cramping
- Increased urination
- Pain during intercourse
- Menstruation that lasts longer than usual
- Pressure or fullness in your lower abdomen
- Swelling or enlargement of the abdomen
You will need a pelvic exam. This exam is used to check the condition, size, and shape of your uterus. You may also need other tests, which include:
- Ultrasound – An ultrasound uses high frequency sound waves to produce images of your uterus on a screen. This will allow your doctor to see its internal structures and any fibroids present. A transvaginal ultrasound, in which the ultrasound wand (transducer) is inserted into the vagina, may provide clearer pictures since it is closer to the uterus during this procedure.
- Pelvic MRI – This in-depth imaging testing produces pictures of your uterus, ovaries, and other pelvic organs.
Treatment – The doctor will develop a treatment plan based on your age, the size of your fibroid(s), and your overall health. You may receive a combination of treatments.
Medications – Medications to regulate your hormone levels may be prescribed to shrink fibroids. Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide (Lupron), will cause your estrogen and progesterone levels to drop. This will eventually stop menstruation and shrink fibroids.
Other options that can help control bleeding and pain, but will not shrink or eliminate fibroids, include:
- An intrauterine device (IUD) that releases the hormone progestin
- Over-the-counter anti-inflammatory pain relievers, such as ibuprofen
- Birth control pills
Minimally Invasive Procedures – A newer and completely noninvasive surgical procedure is forced ultrasound surgery (FUS).
- You will lie down inside a special MRI machine that allows doctors to visualize the inside of your uterus.
- High-energy, high-frequency sound waves will be directed at the fibroids to destroy (ablate) them.
Myolysis – Shrinks fibroids using an electric current or laser, while cryomyolysis freezes the fibroids. Endometrial ablation involves inserting a special instrument into your uterus to destroy the uterine lining using heat, electric current, hot water, or microwaves.
What Can Be Expected in the Long Term?
- Your prognosis will depend on the size and location of your fibroids.
- Fibroids may not need treatment if they are small or do not produce symptoms.
- If you are pregnant and have fibroids, or become pregnant and have fibroids, your physician will carefully monitor your condition.
- In most cases, fibroids do not cause problems during pregnancy.
- Speak with your doctor if you expect to become pregnant and have fibroids.
Quick Endometriosis Fact
- The exact cause of endometriosis has not been identified.
- Endometriosis is more common in women who are experiencing infertility than in fertile women, but the condition does not necessarily cause infertility.
- Most women with endometriosis have no symptoms. However, when women do experience signs and symptoms of endometriosis they may include:
- Pelvic pain that may worsen during menstruation
- Painful intercourse
- Painful bowel movements or urination
- Pelvic pain during menstruation or ovulation can be a symptom of endometriosis, but may also occur in normal women.
Endometriosis and Infertility – Endometriosis can be associated with severe pain and fertility problems. About 30% to 40% of women with endometriosis have some trouble conceiving. The reason for this is not well understood, and scarring of the reproductive tract, or hormonal factors may be involved. Over time endometrial implants may grow, or cysts may result because of endometriosis, which also may cause fertility problems.
Endometriosis symptoms – Some women experience mild symptoms, but others can have moderate to severe symptoms. The severity of your pain doesn’t indicate the degree or stage of the condition. You may have a mild form of the disease, yet suffer from agonizing pain. It’s also possible to have a severe form and have very little discomfort.
Pelvic pain is the most common symptom of endometriosis.
You may also have the following symptoms:
- Painful periods
- Pain in the lower abdomen before and during menstruation
- Cramps one or two weeks around menstruation
- Heavy menstrual bleeding or bleeding between periods
- Pain following sexual intercourse
- Discomfort with bowel movements
- Lower back pain that may occur at any time during your menstrual cycle
You may also have no symptoms. It’s important that you get yearly gynecological exams. This will allow your gynecologist to monitor any changes.
Endometriosis Treatment – Endometriosis has no cure.
- Medical and surgical options are available to help reduce your symptoms and manage any potential complications.
- Your doctor may first try conservative treatments.
- They may then recommend surgery if your condition doesn’t improve.
Everyone reacts differently to these treatment options. At Motherhood our doctors will help you find the one that works best for you. Treatment options include:
- Pain medications – Over-the-counter pain medications such as ibuprofen can be used, but these aren’t effective in all cases.
- Hormonal therapy – Taking supplemental hormones can sometimes relieve pain. This therapy helps your body to regulate the monthly changes in hormones that promote the tissue growth that occurs when you have endometriosis.
- Hormonal contraceptives – Hormonal contraceptives decrease fertility by preventing the monthly growth and buildup of endometrial tissue. Birth control pills, patches, and vaginal rings can reduce or even eliminate the pain in less severe endometriosis.
- Conservative surgery – It is for women who want to get pregnant or suffer from severe pain. The goal of conservative surgery is to remove or destroy endometrial growths without damaging your reproductive organs.This can be done through traditional open surgery, in which endometrial growths are removed through a wide incision.
- Laparoscopy – A less invasive surgery, is another option. Your surgeon will make some small incisions in your abdomen to remove the growths in this type of surgery.
- Radical surgery (hysterectomy) – The doctor may recommend a total hysterectomy as a last resort if your condition doesn’t improve with other treatments.
During a total hysterectomy,:
- Your surgeon will remove your uterus and cervix.
- Your Surgeon will also remove your ovaries because they make estrogen and estrogen causes the growth of endometrial tissue.
You’ll be unable to get pregnant after a hysterectomy. Get a second opinion before agreeing to surgery if you’re thinking about starting a family.
Endometriosis stages – Endometriosis has four stages or types.
Different factors determine the stage of the disorder.
- Depth of the endometrial implants
Stage I: Minimal – In minimal endometriosis, there are small lesions, or wounds, and shallow endometrial implants on your ovary. There may also be inflammation in or around your pelvic cavity.
Stage 2: Mild – Mild endometriosis involves light lesions and shallow implants on an ovary and the pelvic lining.
Stage 3: Moderate – Moderate endometriosis involves deep implants on your ovary and pelvic lining. There can also be more lesions.
Stage 4: Severe – The most severe stage of endometriosis involves deep implants on your pelvic lining and ovaries. There may also be lesions on your fallopian tubes and bowels.
The symptoms of endometriosis can be similar to the symptoms of other conditions, such as ovarian cysts and pelvic inflammatory disease. Treating your pain requires an accurate diagnosis.
Your doctor will perform one or more of the following tests:
- Detailed history – Your doctor will note your symptoms and personal or family history of endometriosis. A general health assessment may also be performed to determine if there are any other signs of a long-term disorder.
- Physical exam – During a pelvic exam, your doctor will manually feel your abdomen for cysts or scars behind the uterus.
- Ultrasound – Your doctor may use a transvaginal ultrasound or an abdominal ultrasound. In a transvaginal ultrasound, a transducer is inserted into your vagina. Both types of ultrasound provide images of your reproductive organs. They can help your doctor identify cysts associated with endometriosis, but they aren’t effective in ruling out the disease.
- Laparoscopy – The only certain method for identifying endometriosis is by viewing it directly. This is done by a minor surgical procedure known as a laparoscopy.
- Women with milder forms of endometriosis may be able to conceive and carry a baby to term. About one-third to one-half of women with endometriosis have trouble getting pregnant.
- Medications don’t improve fertility. Some women have been able to conceive after having endometrial tissue surgically removed.
- You may want to consider having children sooner rather than later if you’ve been diagnosed with endometriosis and you want children.
- Your symptoms may worsen over time. This can make it difficult to conceive on your own.
- Talk to your doctor to help understand your options.
Endometriosis Risk factors – About 2 to 10 percent of childbearing women suffer from endometriosis. It usually develops years after the start of your menstrual cycle.
This condition can be painful, but understanding the risk factors can help you determine whether you’re susceptible to this condition and when you should talk to your doctor.
- Age – Women of all ages are at risk for endometriosis. It usually affects women age 25 to 40.
- Family history – Talk to your doctor if you have a family member who has endometriosis. You may have a higher risk of developing the disease.
- Pregnancy history – Pregnancy seems to protect women against endometriosis. Women who haven’t had children run a greater risk of developing the disorder. However, endometriosis can still occur in women who’ve had children.
- Menstrual history – Talk to your doctor if you have problems regarding your menses. These issues can include shorter cycles, heavier and longer periods, or you began menstruating at a young age. These factors may place you at higher risk.
Endometriosis is a chronic condition with no cure. But this doesn’t mean the condition has to impact your daily life. There are effective treatments to manage pain and fertility issues, such as medications, hormone therapy, or surgery. The symptoms of endometriosis usually improve after menopause.