Endometriosis Management
Obstetrics Gynaecology

Normally tissues that can produce menstrual blood is found only in the cavity of the womb. In endometriosis, these tissues are present elsewhere too in the body, in addition to the womb. These areas would “menstruate”, producing blood every time when the periods come, which then cause inflammation and scarring.

How do I know I have endometriosis?

Endometriosis commonly leads to pain during menses, difficulty to conceive, or chronic pelvic pain etc. Sometimes it can remain silent, and is detected only during medical examination or ultrasound examination.

How can endometriosis affect me?

The regular "menstrual" blood secreted in the body causes inflammation and pain. The scarring of the neighbouring organs can distort the normal anatomy, causing obstruction eg fallopian tubes. Those present on the ovaries may lead to cyst formation, commonly called "chocolate" cysts. These changes damage the ovaries, cause pain and lower the fertility rate.
How common is the disease?

The actual prevalence of the disease is unclear, but among 20-30% of infertile women and 30-40% of women with severe pelvic pain may harbor this condition.

Can it be treated?

The treatment usually involves two approach, depends on the severity of the disease and the symptoms. Medical therapy ,usually involving hormonal suppression, is used for milder cases or to supplement surgery. Operation may be need in the presence of big cyst, severe pain etc.

View our Obstetricians & Gynaecologists in Singapore here.

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