Endometriosis
                        MOHAK  INFERTILITY CENTRE
     Our 
Location
SAIIMS  
Campus,IIndore-
Ujjjjaiin  state  
hiDr. Shilpa ighway, 
 Near  
MR-10  
BhaMnD dGyanareicology crossiing,IIndore  
DM Reproductive Medicine and Surgery (M.P.)-453111
  
Endometriosis
What is Endometriosis?
Endometriosis happens when the endometrium, the tissue that usually 
lines the inside of a woman’s uterus, grows outside it.
This tissue acts like regular 
uterine tissue does during your 
period: It will break apart and 
bleed at the end of the cycle. 
But this blood has nowhere to 
go. Surrounding areas may 
become inflamed or swollen. 
You might have scar tissue and 
lesions.
Endometriosis is most 
common on your ovaries.
Types of  Endometriosis
There are three main types of endometriosis, based on where it is:
• Superficial peritoneal lesion. This is the most common kind. You 
have lesions on your peritoneum, a thin film that lines your pelvic 
cavity.
• Endometrioma (ovarian lesion). These dark, fluid-filled cysts, also 
called chocolate cysts, form deep in your ovaries. They don’t respond 
well to treatment and can damage healthy tissue.
• Deeply infiltrating endometriosis. This type grows under your 
peritoneum and can involve organs near your uterus, such as your 
bowels or bladder. About 1% to 5% of women with endometriosis 
have it.
Endometriosis Symptoms
You might not notice any symptoms. When you have them, they can 
include:
• Back pain during your period
• Severe menstrual cramps
• Pain when pooping or peeing, 
especially during your period
• Unusual or heavy bleeding 
during periods
• Blood in your stool or urine
• Diarrhea or constipation
• Painful sex
• Fatigue that won’t go away
• Trouble getting pregnant
Endometriosis Causes
Doctors don’t know exactly what causes endometriosis. Some experts 
think menstrual blood that contains endometrial cells may pass back 
through your fallopian tubes and into your pelvic cavity, where the 
cells stick to your organs. This is called retrograde menstruation.
Your genes could also play a role. If your mom or sister 
has endometriosis, you’re more likely to get it. Research shows that it 
tends to get worse from one generation to the next.
Some women with endometriosis also have immune system 
disorders. But doctors aren’t sure whether there’s a link.
Endometriosis Complications
Severe endometriosis pain can affect your quality of life. Some 
women struggle with anxiety or depression. Medical treatments and 
mental health care can help.
About 40% of women who have trouble getting pregnant have 
endometriosis. Researchers suspect that inflammation damages the 
sperm or egg or makes it harder for them to move. Or scar tissue 
might block your fallopian tubes. Surgery may boost your fertility.
Endometriosis may raise your risk of ovarian cancer or another 
cancer called endometriosis-associated adenocarcinoma.
Endometriosis Diagnosis
Your doctor might suspect endometriosis based on your symptoms. To 
confirm it, they can do tests including:
• Pelvic exam . Your doctor might be able to feel cysts or scars 
behind your uterus.
• Imaging tests. An ultrasound, a CT scan, or an MRI can make 
detailed pictures of your organs.
• Laparoscopy. Your doctor makes a small cut in your belly and 
inserts a thin tube with a camera on the end (called a laparoscope). 
They can see where and how big lesions are. This is usually the only 
way to be totally certain that you have endometriosis.
• Biopsy. Your doctor takes a sample of tissue, often during a 
laparoscopy, and a specialist looks at it under a microscope to 
confirm the diagnosis.
Endometriosis Stages
Doctors use the American Society of Reproductive Medicine’s four 
stages of endometriosis:
• Stage I (minimal). You have a few small lesions but no scar 
tissue.
• Stage II (mild). There are more lesions but no scar tissue. Less 
than 2 inches of your abdomen are involved.
• Stage II (moderate). The lesions may be deep. You may have 
endometriomas and scar tissue around your ovaries or fallopian 
tubes.
• Stage IV (severe). There are many lesions and maybe large 
cysts in your ovaries. You may have scar tissue around your 
ovaries and fallopian tubes or between your uterus and the lower 
part of your intestines.
The stages don’t take pain or symptoms into account. For example, 
stage I endometriosis can cause severe pain, but a woman who has 
stage IV could have no symptoms at all.
In today's time, infertility disease is spreading very fast and to deal 
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8085277666  for more information.
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Phone: -78980-47572 / 80852-77666 / 97550-44424 / 0731-4231756
Address:- SAIMS Campus,Indore-Ujjain state highway,Near MR-10 
crossing,Indore (M.P.)
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