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  • Dr. Darshana Choudhari

Dr. Darshana Choudhari

MBBS, MS, DNB (OBGY)

Endometriosis

Endometriosis is a chronic condition where tissue similar to the lining inside the uterus (endometrium) grows outside the uterus. This tissue can be found on the ovaries, fallopian tubes, outer surface of the uterus, and other organs within the pelvic cavity. Gynecologists provide specialized services to diagnose, manage, and treat endometriosis, aiming to alleviate symptoms and improve quality of life for affected individuals.

Components of Gynecological Services for Endometriosis:

1. Diagnosis:

  • Medical History: Detailed discussion of symptoms such as pelvic pain (particularly during menstruation), heavy periods, pain during intercourse, and infertility issues.
  • Physical Examination: Pelvic exam to check for abnormalities such as cysts or scars behind the uterus, which may indicate endometrial growths.
  • Imaging Tests: Ultrasound or MRI scans to visualize endometrial implants and assess the extent of the condition.
  • Diagnostic Laparoscopy: Minimally invasive surgical procedure to directly view and biopsy tissue samples for confirmation of endometriosis.

2. Fertility Preservation:

  • Fertility Counseling: Discussing the impact of endometriosis on fertility and family planning options.
  • Fertility Treatments: Providing assisted reproductive technologies (ART) such as in vitro fertilization (IVF) for women with endometriosis-related infertility.

3. Management of Symptoms:

  • Menstrual Pain: Addressing dysmenorrhea (painful periods) through pain management strategies and hormonal therapies.
  • Chronic Pelvic Pain: Managing persistent pelvic pain with a combination of medications, physical therapy, and lifestyle modifications.
  • Other Symptoms: Treating symptoms such as pain during intercourse (dyspareunia), bowel or urinary problems, and fatigue associated with endometriosis.

4. Patient Education and Support:

  • Educational Resources: Providing information about endometriosis, its symptoms, treatments, and lifestyle modifications.
  • Support counseling: Offering access to support counseling services for emotional and psychological support.