An article on Endometriosis

Endometriosis : Endometriosis is the beginning proliferation of endometrial tissue.

Clinical features: secondary progressive cyclical severe Dysmenorrhoea and pelvic pain may be seen.

Dyspareunia
Infertility
Backache
Rectal pain and bleeding during menstruation dysuria .

Diagnosis:

History and clinical findings
Double puncture laparoscopy
Pelvic sonography

Prevention:

Abdominal hysterectomy and tubectomy are to be carefully done to avoid mechanical transplantation of endometrial tissue.Late marriage and late pregnancy are avoided.

Analgesia and expectant treatment:

This is an indication for young women with minimal symptoms who report for infertility.
Tab .Disprin given for menstrual pain in endometriosis.
In elderly woman expectant treatment can be given.

Harmone therapy:

Harmone therapy is of temporary benefit.This is indicated in mild to moderate endometriosis, patient with recurrence following conservative surgery.
Harmone therapy drugs are progesterone is drug of choice.

Tab prinolut N 5 mg orally twice a day after food.
Steranil 5 mg
Dubogen 5 mg alternatively given .

Low dose oral contraceptive also not used until the problem treated properly.

Surgery:

Conservative surgery

Extirpation surgery

Conservative surgery: D and C is done to prevent retrograde menstruation.In conservative surgery ovarian cyst and peritoneal implants are removed.It is done by laparoscopy.

Extirpation surgery:

Total hysterectomy and bilateral sapping oophorectomy and resection of peritoneal implants is done.
In this way endometriosis can be resolved by following the surgery.