Endometriosis
Post Surgery Relief and Complications
Endometriosis
is a condition where the cells from the uterus lining appear and thrive
outside the uterus normally on the ovaries. These endometrial like cells
outside the uterus respond the same way as the cells inside the uterine
cavity and are influenced by the hormonal changes.
This problem is seen usually in the reproductive years of the women and
mostly in infertile women. The main symptom of this problem is heavy menstrual
cycle and severe pelvic pain.
As hormonal treatments have no much positive results on this endometriosis,
surgery is the only answer for the problem. Although the surgery is a
complex one when the woman has fibroids and other extensive diseases,
a skilled, expert and experienced gynecologist can put an end to the problem.
Using a laparoscopic
surgical procedure a doctor can perform:
Removal
of the adhesions
Removal
and ablation of the endometrial implants
Removal
of one or both ovaries
Removal
or ablation of the ovarian endometriosis
Removal
of the uterus
Removal
or repair of the bowel or bladder
Laparoscopic
nerve ablation and presacral neurectomy
The two techniques
by which the implants are removed are excision and coagulation.
Merits and Demerits
The merits and demerits that can be taken into account after this endometriosis
surgery are:
Some women get relieved of the pain they had been experiencing while sense
more pain after the surgery. Women in the older years take time to recover
more than the ones that are young. The first menstrual cycle after the
surgery that appears during the healing time can cause pain and can be
heavy, lengthy and clotty. However, most of the time the consequent period
tends to be normal.
Constipation is a normal problem for those who have had the operation
in or around the bowel. A stool softener can be taken on the advice of
the doctor. Plenty of fiber rich foods and water can ease the bowel. The
fertility rate is improved after this endometriosis surgery and the woman
has more chances of getting pregnant. The surgery when combined with biopsy,
can give a clear picture and reason for the pain.
The disadvantages of this endometriosis surgery are that it does not reduce
the pain completely in some woman. Some women do not conceive even after
this surgery and they blame the surgery for it. The effectiveness of the
surgery depends on the area where the endometrial cells thrive. Some complain
of painful intercourse even after the surgery.
A few need a repeated surgery due to the reoccurrence of the problem.
Some believe that when the surgical procedures expose the menstrual endometrial
cells to non-epithelialized areas there is more risk of the endometriosis
problem.
With menopause, the endometriosis problem becomes less in some women as
the growth becomes smaller, but some women are not that lucky.
Nevertheless, medically surgery is the best option for women with this
endometriosis problem that can eradicate and give a permanent solution
to the problem.
