If you are searching for the best endometriosis treatment in Hyderabad – then why is it important for you to consider laparoscopy – Let us try to understand.
First of all – Laparoscopy and laparoscopic surgery are considered as the gold standard diagnostic and therapeutic procedures for ENDOMETRIOSIS. Not only for this condition but also for any other condition in gynaecology, laparoscopy is the best alternative to open surgery. For the treatment of endometriosis, laparoscopy is the best for the following reasons:
“Laparoscopic surgery provides a better solution for women who wish to maintain their fertility potential.
“Laparoscopic surgery offers a far better and satisfying long-term therapeutic solution.
“Laparoscopy for endometriosis is both a diagnostic and therapeutic procedure.
When diagnostic tests such as ultrasound and MRI cannot confirm the cause of the certain gynaecological issue – for instance, endometriosis, pelvic laparoscopy is recommended. A gynaecologist who specializes in laparoscopic surgery can perform this procedure.
The lining of the uterus is known as the endometrium. It consists of connective tissue and blood cells. It normally grows in the uterus to prepare the lining of the uterus (womb) for ovulation. But when this tissue grows outside the uterus – it is known as endometriosis. Endometrial tissue growth (endometrial implants) can develop anywhere in the body – but it is usually confined to the pelvic area. In general, endometriosis affects fallopian tubes, ovaries, peritoneum and lymph nodes.
What are the symptoms of endometriosis?
Endometriosis symptoms include the following: severe pelvic pain, menstrual cramps, periods lasting longer than usual, bleeding between periods, heavy menstrual bleeding, pain during intercourse, persistent lower back pain, abdominal pain, bloating, constipation, changes in bowel movements, urinary problems, nausea and vomiting and fatigue. Surprisingly the symptoms associated with endometriosis often mimic the symptoms of other common conditions such as IBS, pelvic inflammatory disease (PID) and ovarian cysts. Furthermore, an advanced stage ovarian cancer is also associated with similar sort of symptoms.
How is Endometriosis Diagnosed?
Your gynaecologist examines you to know the cause of your pelvic pain when you describe your symptoms to her. She will ask you to exactly pinpoint the location of the pain. Next, she performs a pelvic examination – during the examination she feels the areas in the pelvic region to find abnormalities – such as scars, cysts, adhesions, and other abnormal structures on the uterus and other reproductive organs – ovaries. It’s not always possible to feel small abnormalities that are due to endometriosis unless there is something prominent enough to cause the problem. Anyway, when she suspects something wrong, she may order further tests that include the following:
Abdominal ultrasound or transvaginal ultrasound – this may be done to have the best view of internal reproductive organs. Sometimes, both these tests together may be performed to detect endometriosis. The tests also help in identifying cysts associated with endometriosis (endometriomas).
Your gynaecologist may also recommend an MRI if she wants detailed images of the internal organs and tissues in the body. With this scanning test, the doctor will be able to get detailed information, size, shape and location of the problem.
Diagnostic laparoscopy – If your gynaecologist has expertise in laparoscopy and laparoscopic surgery – and if she deems necessary to get detailed inside view of your abdomen – then she will perform laparoscopy under general anaesthesia by making a tiny incision near your navel. She will insert a small tube with a light and camera (laparoscope) to clearly view signs of endometriosis (endometrial tissue outside the uterus).
The advantage with diagnostic laparoscopy is that your laparoscopic surgeon can exactly pinpoint the problematic area and then determine its size and extent. She will take a tissue sample (biopsy) for further testing or test for signs of endometriosis-associated adenocarcinoma. Your gynaecologist can promptly treat endometriosis in the first go itself during the laparoscopy – which means one surgery may be enough to cure the problem.
Your gynaecologist determines specific treatment for your condition based on your age, medical history, overall health, existing symptoms, the extent of the disease, your tolerance for therapies or procedures, and your plans for pregnancy. For mild disease, your doctor may decide to wait and watch – watchful waiting. For mild symptoms – she may prescribe pain medications. The next line of treatment is hormonal therapy. For extensive diseased cases, more extensive surgery may be required. In general, the gold standard endometriosis treatment in Hyderabad is laparoscopic surgery.
For endometriosis treatment in Hyderabad – book an appointment with
Dr Rajeshwari Reddy
Senior Consultant Gynaecologist, Obstetrician and Laparoscopic Surgeon