Endometriosis

Endometriosis & Infertility

Sattva Fertility Centre

Discover expert solutions for endometriosis-related infertility at Sattva Fertility Centre. Our specialized treatments offer hope and personalized care for those struggling to conceive due to endometriosis. Contact us for compassionate support on your fertility journey.

What is Endometriosis?

Endometriosis, a chronic and frequently painful medical condition, impacts countless women globally. It involves the growth of tissue resembling the uterine lining outside the uterus, known as endometrial implants. These implants can develop on pelvic organs like the ovaries, fallopian tubes, and pelvic lining, and in rare instances, may extend beyond the pelvic area. Despite its widespread occurrence, awareness about its nature, development, and management remains limited among many individuals.

Overview

Overview – Endometriosis Treatment in Bengaluru

Traditionally characterized as a non-cancerous gynecological disorder, endometriosis involves the growth of endometrial tissue beyond the uterus, leading to pelvic pain, bleeding, and significant female infertility. Now recognized as a systemic disease, it impacts liver and fat tissue metabolism, causing systemic inflammation and altering gene expression in the brain, which can trigger pain and mood disorders. 

In addition to affecting pelvic organs like the fallopian tubes and ovaries, endometrial tissue implants may also influence other tissues such as the bladder or bowels

Who can get?

Who can get Endometriosis?

Endometriosis can affect women of reproductive age, typically from their early teens to menopause. It is estimated that about 1 in 10 women worldwide grapple with endometriosis, making it a prevalent gynecological disorder.

Types

What are the types of Endometriosis?

Endometriosis comes in several types based on the location and severity of endometrial implants:

  • Surface-Level Peritoneal Endometriosis: This common type is characterized by small, shallow implants on the peritoneum, the pelvic cavity lining.
  • Ovarian Endometriosis (Endometrioma): Endometrial tissue forms cysts on the ovaries, known as endometriomas or chocolate cysts.
  • Deep Infiltrating Endometriosis (DIE): This severe form involves endometrial tissue deeply penetrating pelvic organs like the rectum or bladder.
  • Adenomyosis: While not strictly endometriosis, adenomyosis entails the invasion of endometrial tissue into the muscular wall of the uterus, leading to pain and heavy menstrual bleeding.
Causes

What Causes Endometriosis?

The precise cause of endometriosis remains elusive, yet several theories have been posited:

  • Retrograde Menstruation: This prevailing theory suggests that menstrual blood containing endometrial cells flows backward into the pelvis, where these cells implant and proliferate outside the uterus.
  • Immune System Dysfunction: Some researchers propose that abnormalities in the immune system may enable the survival and growth of endometrial tissue beyond the uterus.
  • Hormonal Influence: Hormonal factors, particularly estrogen, may contribute to the onset and progression of endometriosis. Elevated estrogen levels can stimulate the proliferation of endometrial implants.
  • Genetics: Evidence suggests that genetics may predispose certain women to endometriosis, as it often clusters within families.
  • Environmental Factors: Exposure to specific environmental toxins might elevate the risk of developing endometriosis, though ongoing research is exploring this area further.
Symptoms

What are the Symptoms of Endometriosis?

Endometriosis can present with various symptoms, ranging from mild to severe. Common manifestations include:

  • Pelvic Pain: Predominantly experienced during menstruation, escalating in intensity.
  • Dysmenorrhea: Severe menstrual cramps that can disrupt daily activities.
  • Chronic Pelvic Pain: Persistent discomfort in the pelvic region, not confined to menstrual periods.
  • Dyspareunia: Pain or discomfort during sexual intercourse.
  • Menorrhagia: Excessive or prolonged menstrual bleeding.
  • Painful Bowel Movements or Urination: Particularly evident during menstruation.
  • Infertility: Endometriosis stands as a leading cause of female infertility.
Diagnosed

How is Endometriosis diagnosed?

Identifying endometriosis poses challenges due to symptom overlap with other gynecological conditions. Diagnosis typically follows these steps:

  • Medical History: Your healthcare provider delves into your medical background and symptomatology.
  • Physical Examination: A pelvic exam may reveal anomalies or tenderness.
  • Imaging Studies: Ultrasound, MRI, or other imaging modalities aid in pinpointing endometrial implants, particularly if sizable or involving the ovaries.
  • Laparoscopy: Laparoscopy stands as the gold standard for diagnosing endometriosis. This minimally invasive surgical procedure involves inserting a slender tube with a camera into the abdomen to visualize and potentially biopsy endometrial tissue.

 

Help

How Does Sattva Fertility Help?

Sattva Fertility boasts esteemed IVF specialists who offer comprehensive solutions for female infertility, encompassing consultation, diagnosis, treatment, and conception support. Prioritizing patient comfort, our centers ensure a nurturing environment throughout the journey.

Our doctor excel in managing cases necessitating laparotomy and laparoscopy. Moreover, we stand as the nation’s premier provider of assisted reproductive technology services.

The IVF process commences with ovarian stimulation using hormonal injections to induce the production of multiple eggs. Typically, around 15 eggs are retrieved during ovum pick-up. Simultaneously, a sperm sample is obtained from the partner and utilized for fertilization after preparation. Following fertilization, embryos are implanted into the uterus, with laser-assisted hatching techniques available for assistance. In cases of diminished ovarian reserve, donor eggs may be considered.

  • In Vitro Fertilization: Collected eggs and prepared sperm are cultured together in a petri dish and monitored for fertilization. Once embryos reach the blastocyst stage, they are transferred into the uterus.
  • Intracytoplasmic Sperm Injection: A single, viable sperm is meticulously selected and injected into the egg to facilitate fertilization.
Managed

How is Endometriosis Managed?

  • Seeking medical advice if you exhibit signs and symptoms of endometriosis is crucial. In modern practice, a multidisciplinary approach to endometriosis treatment is pivotal for effective management.
  • Treatment modalities encompass medical intervention, non-pharmacological approaches, and surgical options, all aimed at alleviating the distressing symptoms associated with endometriosis.
  • Additionally, women with endometriosis often encounter challenges conceiving. Guidelines from organizations like ESHRE underscore the importance of counseling infertile women with endometrioma, outlining risks like diminished ovarian function post-surgery and the potential for ovarian loss. Consequently, experts advocate for egg freezing before endometriosis surgery to safeguard future fertility.

At Sattva Fertility Clinic, we are dedicated to addressing all facets of infertility. Our fertility specialists offer comprehensive support, elucidating the impact of endometriosis on fertility and devising tailored management strategies.

Why Choose Sattva Fertility
FAQ

Frequently Asked Questions About Endometriosis Treatment in Bengaluru at Sattva Fertility

For those with endometriosis, even minor cases without physiological obstructions or adhesions hindering regular ovulation can lead to infertility. Surgical removal of significant endometriomas may enhance fertility for young patients, potentially performed before IVF to optimize chances of pregnancy.

Initiating IVF treatment may elevate estrogen levels, potentially exacerbating endometriosis. Inducing ovarian stimulation with Letrozole in endometriosis patients at Sattva Fertility Centres can mitigate estrogen levels, addressing this concern.

IVF often presents a viable solution for infertile individuals with endometriosis, boasting favorable success rates. Seeking assistance, even if not ready for pregnancy, is advisable to safeguard fertility, as untreated endometriosis may progress and compromise reproductive health.

IVF outcomes hinge on factors like fertilization, embryo quality, and implantation. Optimal pregnancy rates are observed when IVF is pursued 6-25 months post-endometriosis surgery.

Endometriosis may create an inflammatory pelvic environment detrimental to egg, sperm, and embryo viability. Severe cases can compromise endometrial receptivity, impeding embryo implantation. Thus, addressing endometriosis prior to IVF is pivotal for optimizing treatment outcomes.

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