COVID-19 | Doral Health & Wellness Gynecology Department is committed to caring for our patients and our community’s health and well-being. Please read about the decisions being made by the company and the actions taken to ensure a safe visit.

1797 Pitkin Avenue

Brooklyn, NY 11212

347-955-3465

24/7 Customer Support

1797 Pitkin Avenue

Brooklyn, NY 11212

347-955-3465

24/7 Customer Support

Endometriosis

endometriosis

• Endometriosis is the abnormal growth of cells (endometrial cells) outside of the uterus. Endometriosis is most commonly found on other organs of the pelvis.
• The exact cause of endometriosis has not been identified.
• Endometriosis is more common in women experiencing infertility than infertile women, but the condition does not necessarily cause infertility.
• Most women with endometriosis have no symptoms. However, when women do experience signs and symptoms of endometriosis, they may include:
     ○ Pelvic pain that may worsen during menstruation
     ○ Painful intercourse
     ○ Painful bowel movements or urination
     ○ Infertility
• Pelvic pain during menstruation or ovulation can be a symptom of endometriosis, but may also occur in normal women.
• Endometriosis can be suspected based on the woman’s pattern of symptoms, and sometimes during a physical examination. But the definite diagnosis is usually confirmed by surgery, most commonly by laparoscopy.
Treatment of endometriosis includes medication and surgery for both pain relief and treatment of infertility if pregnancy is desired.

What is endometriosis?

Endometriosis is the abnormal growth of endometrial tissue outside of the uterus. Endometrial tissue is shed each month during menstruation. Areas of endometrial tissue found in ectopic locations are called endometrial implants. These lesions are most commonly found on the ovaries, the Fallopian tubes, the surface of the uterus, the bowel, and on the membrane lining of the pelvic cavity (i.e., the peritoneum). They are less commonly found to involve the vagina, cervix, and bladder. Rarely, endometriosis can occur outside the pelvis. Endometriosis has been reported in the liver, brain, lung, and old surgical scars. Endometrial implants, while they may become problematic, are usually benign (i.e., non-cancerous).

What are the stages of endometriosis?

Endometriosis is classified into one of four stages: I-minimal, II-mild, III-moderate, and IV-severe. Most endometriosis cases are classified as minimal or mild, which means there are superficial implants and mild scarring. Moderate and severe endometriosis typically results in cysts and more severe scarring. The stage of endometriosis is not related to the degree of symptoms a woman experiences. However, infertility is common with stage IV endometriosis.

What are the signs and symptoms of endometriosis?

Most women who have endometriosis do not have symptoms. Of those who do, the most common symptoms include:
• Pain (usually pelvic) that generally occurs just before menstruation and lessens after menstruation
• Painful sexual intercourse
• Cramping during intercourse
• Cramping or pain during bowel movements or urination
• Infertility
• Pain with pelvic examinations

The intensity of the pain can vary from month to month and can vary significantly among affected individuals. Some women experience progressive worsening of symptoms, while others can have a resolution of pain without treatment.

Pelvic pain in women with endometriosis depends partly on where endometrial implants location.
• Deeper implants and implants in areas of high nerve density are more apt to produce pain.
• The implants may also release substances into the bloodstream, which are capable of eliciting pain.
• Pain can result when endometriotic implants incite scarring of surrounding tissues. There appears to be no relationship between the severity of pain and the amount of anatomical disease present.
• Endometriosis can be one of the reasons for infertility for otherwise healthy couples. When laparoscopic examinations are performed during evaluations for infertility, implants are often found in totally asymptomatic individuals. Endometriosis may incite scar tissue formation within the pelvis. If the ovaries and Fallopian tubes are involved, the mechanical processes involved in the transfer of fertilized eggs into the tubes may be altered. Alternatively, the endometriotic lesions may produce inflammatory substances, which adversely affect ovulation, fertilization, and implantation. 

MEDICAL DISCLAIMER:

By reading this website, you acknowledge that you are responsible for your own health decisions. The information throughout this medical website is not intended to be taken as medical advice. The information provided is intended for general information regarding our multi-specialty clinic in Brooklyn and the best OBGYN Brooklyn Services. If you are interested in finding out more, please contact our Gynecologist Brooklyn specialist for a personal consultation. Avoid worrisome self-diagnosis, the best urogynecology doctors will properly diagnose your problem and refer you to a GYN Brownsville specialist if necessary. No information on this site should be used to diagnose, treat, prevent, or cure any disease or condition.