ENDORSEMENT

Very often the reason for a visit to the gynecologist is chronic abdominal pain and severe period pain. The examination reveals the existence of endometriosis, which is a very common benign disease that affects young women of reproductive age. Endometriosis initially occurs with pain only during the period, but soon the woman may experience pain on more and more days of the month, depending on the spread of the endometriosis into the abdomen.

What is endometriosis?
In endometriosis, cells of the endometrium (the inner cavity of the uterus) grow in areas outside the uterus, namely in the organs of the abdomen and pelvis and spread continuously.

Where does it appear?
1) In the ovaries
2) Behind the womb
3) On the ligaments of the uterus
4) In the bowel, bladder, vagina
5) Peritoneum, diaphragm, lung, caesarean section

How is endometriosis diagnosed?
With a simple gynecological examination and ultrasound
uterine and ovarian ultrasound. Spa-particularly you may need MRI, colposcopy, cystoscopy.

What is the treatment for endometriosis?
The treatment is drug, or surgery, or a combination of both.

Medication
Contraceptive or progesterone pills are used. There are also injectable preparations that cause artificial menopause (stopping the period) and are usually given for six months, mainly after surgery or before trying to have children.

Surgical treatment
The most modern and effective treatment of endometriosis is simple or robotic laparoscopy. With this method, 3-4 very small incisions are made in the abdomen. In this way we have minimal intervention in the patient’s body, all areas of the abdomen that have endometriosis (ovaries, fallopian tubes, intestine, ureters, bladder, uterine ligaments) are cleaned. The aesthetic result is excellent since they are stitched with the technique of plastic surgery.
There is a significant reduction in post-operative adhesions between organs within the abdomen. Postoperative pain is remarkably minimal and the woman is discharged from the hospital after 24 hours, even in 6-7 hour surgeries. The return to everyday life is possible in 2-3 days. In contrast, in an open surgery with a large incision in the abdomen, there is a high likelihood of postoperative complications related to the incision while the patient remains in hospital for longer days and her return to daily life is delayed.