Endometriosis

Dear editor,

I found the article and the responses very interesting. While I was going
through the article I realized that a vast majority of females have
actually never heard of endometriosis! So i decided to give a brief and
very compact piece of information.

There are numerous theories how this condition develops, the one which is
mostly accpeted is the "Spill of endometrium". In this theory it is
described as menstural blood flows from the uterine cavity, pushed through
the fallopian tubes and into the peritoneal cavity, and fragments of
endometrium fall into the pouch of douglas and on the ovary, and may implant
there.

Peak age is between 25-40 years of age.

Endometriosis is very closely linked with primary infertility.
The patient may or may not be symptomatic, depending on the site of
implantation. Dysmenorrhoea is one of the major presenting features, and some
may suffer from dyspaeunia. Pain in abdomen could be a presenting feature
too. Sometimes there could be cysts as large as can be felt per abdomen.

As in most cases diagnosis is made upon history, but in some cases
laparoscopy and examination under anaesthesia has to be done.

As to management i would say any pain killer will do but also if one can
should try to get pregnant.
I would say hormonal treatment is very effective, but if no positive
results are received then treatment should be done surgically.

Competing interests:
None declared