Dr. Ankita Malewar ( Paunikar )

Treatment Of Endometriosis In Infertile Female In Nagpur

Home Treatment Of Endometriosis In Infertile Female In Nagpur

Treatment of Endometriosis in Infertile Female

Endometriosis is associate usually painful disorder within which tissue like the tissue that ordinarily lines the within of your female internal reproductive organ — the mucous membrane — grows outside your female internal reproductive organ. adenomyosis most ordinarily involves your ovaries, fallopian tubes and also the tissue lining your pelvis.  wherever girdle organs are placed.

With adenomyosis, the mucous membrane-like tissue acts as endometrial tissue would — it thickens, breaks down and bleeds with every cycle. however as a result of this tissue has no thanks to exit your body, it becomes at bay. once adenomyosis involves the ovaries, cysts known as endometriomas could kind. encompassing tissue will become irritated, eventually developing connective tissue and adhesions — bands of plant tissue that may cause girdle tissues and organs to stay to every different.


The primary symptom of adenomyosis is girdle pain, usually related to emission periods. though several expertise cramping throughout their emission periods, those with adenomyosis generally describe emission pain that is so much worse than usual. Pain additionally could increase over time.

Common signs and symptoms of adenomyosis include:

  • Painful periods (dysmenorrhea). girdle pain and cramping could begin before and extend many days into a emission amount. you will even have lower back and abdominal pain.
  • Pain with intercourse. Pain throughout or once sex is common with adenomyosis.
  • Pain with internal organ movements or excretion. you are presumably to expertise these symptoms throughout a emission amount.
  • Excessive haemorrhage. you will expertise occasional serious emission periods or haemorrhage between periods (intermenstrual bleeding).
  • Infertility. Sometimes, adenomyosis is initial diagnosed in those seeking treatment for physiological condition.
  • Other signs and symptoms. you will expertise fatigue, diarrhea, constipation, bloating or nausea, particularly throughout emission periods.

Treatment of Endometriosis in Infertile Female in Nagpur

Treatment for adenomyosis typically involves medication or surgery. The approach you and your doctor opt for can rely on however severe your signs and symptoms area unit and whether or not you hope to become pregnant.

Doctors generally advocate attempting conservative treatment approaches initial, choosing surgery if initial treatment fails.

Pain medication

Your doctor could advocate that you simply take associate over-the-counter pain reliever, like the anti-inflammatory medication (NSAIDs) isobutylphenyl propionic acid (Advil, Motrin IB, others) or Aleve (Aleve) to assist ease painful emission cramps.

Your doctor could advocate internal secretion medical aid together with pain relievers if you are not attempting to urge pregnant.

Hormone medical aid

Supplemental hormones area unit typically effective in reducing or eliminating the pain of adenomyosis. the increase and fall of hormones throughout the cycle causes mucous membrane implants to thicken, break down and bleed. internal secretion medication could slow mucous membrane tissue growth and forestall new implants of mucous membrane tissue.


A careful history of menstrual symptoms and chronic pelvic pain provides the basis for suspecting endometriosis. Although several screening tools and tests have been proposed and tested, none are currently validated to accurately identify or predict individuals or populations that are most likely to have the disease. Early suspicion of endometriosis is a key factor for early diagnosis, as endometriosis can often present symptoms that mimic other conditions and contribute to a diagnostic delay. In addition to medical history, referral from the primary health care level to secondary centers where additional investigations are available may be needed. For instance, ovarian endometrioma, adhesions and deep nodular forms of disease often require ultrasonography or magnetic resonance imaging (MRI) to detect.


At present, there is no known way to prevent endometriosis. Enhanced awareness, followed by early diagnosis and management may slow or halt the natural progression of the disease and reduce the long-term burden of its symptoms, including possibly the risk of central nervous system pain sensitisation, but currently there is no cure.

Why does endometriosis occur?

The cause is not known but many theories are present. The most commonly accepted theory is- “retrograde Menstruation”- during a period, light ‘backward’ bleeding carries tissue from the uterus through the fallopian tubes to the different places in the pelvic cavity.