Is it a hereditary
problem? Does it run in the family?
Endometriosis is sometimes believed to be
hereditary, being present in some members of the same family. It is quite
common in Asian women including Indian women. However most women whom we treat do not have
any family members suffering from the same disease. There are some
environmental factors also that may contribute to its development.
How do women deal with
this problem? Is medication lifelong or it can be treated within a short
time?
Dealing with endometriosis is a life long
process. What kind of treatment advised depends on what they present with and
what is their age of presentation. If it is a young women and pain is the main
problem then medical therapy is the first line of treatment to give pain relief
as well as to reduce the progress of the disease. If infertility is the
presentation then surgical treatment by Laparoscopy or Robotic assisted surgery
can improve pregnancy results in first and second stage disease. After
laparoscopic treatment there can be almost 30% increase in pregnancy rates. However
if the disease is advanced then procedures like IVF is advised to women with endometriosis. If women has already completed her family then removal of
uterus and often both ovaries remains the treatment of choice.
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