Endometriosis Treatment in New York
Diagnosing and Treating Endometriosis
Characterized by the cells lining the inside cavity of the uterus being displaced to outside of the uterus. Endometriosis causes these cells to implant on the ovaries, intestines, fallopian tubes and lining of the pelvis. So when a woman gets her period, these aforementioned cells shed, bleed and result in both pain and adhesions.
Endometriosis Signs and Symptoms
While some women with endometriosis never experience symptoms, there are a number of warning signs that should trigger action when the condition is present. These include:
- Blood in a woman’s urine or stool
- Vaginal bleeding prior to menstruating
- Vaginal bleeding after sexual intercourse
- Pelvic pain
- Pain in the lower back, at least 1-2 days before menstruating
- Heightened menstrual cramping
- Pain in the rectum
- Pain during sexual intercourse
- Pain during bowel movements
Causes of Endometriosis
There are a handful of factors that may contribute to the cause of endometriosis:
- It could be hereditary
- Retrograde menstruation, in the event that bleeding does fully come out of the vagina, but instead moves in the opposite direction, through the fallopian tubes toward the pelvis
- Embryonic cell growth
- Lymph fluid or blood carrying endometrial cells to other areas of the body
- A compromised immune system that is unable to rid the body of endometrial cells outside of the uterus
- Transformed endometrial cells in the belly or pelvis
- Endometrial cells formed out of the uterus during a baby’s development in her mother’s womb
Diagnostic Testing for Endometriosis
Endometriosis is diagnosed only by surgery, allowing the doctor to realize that the condition is present in a woman. However, a collection of a woman’s medical and family history, paired with a physical exam and pelvic ultrasound, are other ways to indicate a need to test for endometriosis.
Endometriosis Treatment Options
Once a patient has confirmed endometriosis, the next steps will be discussed to determine the best possible form of treatment. Some treatment plans are better than others, based on pain and whether a woman wishes to get pregnant.
- Hormone therapy, which lowers estrogen levels, diminishes the implants and reduces pain overall.
- Birth control hormones, in the form of a patch or ring, for those not looking to become pregnant.
- Non-steroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen or acetaminophen.
- Laparoscopy, a surgery in which a thin camera is used to view and work on the uterus, fallopian tubes and ovaries, removing endometrial growths and scar tissue.
- Infertility treatment to solve the fertility issues that stem from endometriosis.
Endometriosis is just one contributing factor that could lead to possible infertility – one of the many reasons we take it so seriously at Reproductive Specialists of New York. We firmly believe that women with endometriosis, however, should not have to settle for infertility. To optimize the chance of having a baby, we recommend women with endometriosis undergo a consultation with one of our board-certified physicians. Both new and prospective patients who are interested should request an appointment online to be seen in our Brooklyn, Mineola, Stony Brook or West Islip office.