Endometriosis Treatment

Endometriosis is a complex and often misunderstood condition that affects millions of individuals worldwide. It occurs when tissue similar to the lining of the uterus (endometrium) grows outside the uterus, commonly on other organs in the pelvis. 

During the menstrual cycle, this tissue behaves similarly to the tissue inside the uterus—it thickens, breaks down, and bleeds. However, because it has no way to exit the body like menstrual blood, it becomes trapped.  This can lead to inflammation, scar tissue formation, and adhesions, which may cause pain, infertility, and other complications.

Pelvic pain

Painful menstrual
periods

Pain during
intercourse

Heavy menstrual
bleeding

Infertility

Ovarian cysts

Gastrointestinal
issues

Diagnosis

Diagnosing endometriosis typically involves a combination of the following steps:

1

Medical History Review

Dr Chang will ask about your symptoms, menstrual cycle patterns, and any relevant medical history, including a family history of endometriosis or other reproductive conditions.

2

Physical Examination

A pelvic exam may be performed to check for abnormalities such as cysts or scar tissue.

3

Imaging Tests

Ultrasound imaging may be used to look for cysts associated with endometriosis, though it’s not always conclusive for diagnosing the condition. MRI (magnetic resonance imaging) may also be used in some cases to visualise the pelvic region in more detail.

4

Laparoscopy

This is considered the gold standard for diagnosing endometriosis. It’s a surgical procedure where a small camera (laparoscope) is inserted through a small incision in the abdomen, allowing the surgeon to directly view the pelvic organs and detect any endometrial tissue growths. Biopsy samples may be taken for further examination.

5

Symptom Assessment

Since endometriosis symptoms can vary widely and overlap with other conditions, the severity and impact of symptoms on your daily life are also considered in the diagnostic process.

Treatment Options

Treatment for adenomyosis depends on the severity of symptoms and your reproductive goals.

  • Pain Management

    Pain relievers can help manage menstrual cramps and pelvic pain.

  • Hormonal Therapy

    Birth control pills, hormonal IUDs, or other hormonal treatments may help regulate menstrual cycles and reduce symptoms.

  • Surgical Intervention

    In severe cases or for those who have completed childbearing, surgical options such as a hysterectomy (removal of the uterus) may be considered.

  • Lifestyle Changes

    Some individuals find relief from symptoms through practices like yoga, acupuncture, or dietary modifications.

Schedule a consultation with Dr Chang if you suspect you may have endometriosis or are experiencing symptoms such as pelvic pain, painful periods, or difficulty getting pregnant. Early diagnosis and appropriate management can help alleviate symptoms and improve quality of life.

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