Endometriosis

About

Endometriosis is a painful condition in which cells of the inner lining of the uterine cavity (endometrium) grow outside the uterus. Endometriosis most commonly involves the ovaries, bowel, tissue lining of pelvis, peritoneum, pouch of Douglas (an area posterior to uterus), etc. Similar to the endometrium these cells respond to the female hormones. It thickens, breaks down and even bleeds during each menstrual cycle because of which the symptoms worsen with the onset of menstruation. This displaced tissue has no way to exit the body, it gets trapped and the surrounding tissue becomes irritated and eventually develops into scar tissue and adhesions (abnormal tissue that binds organs together)

Symptoms

  • Commonest symptom is pelvic pain.
  • Pain during intercourse.
  • Yearly data will also illustrate the quality and stability of the clinic's program. Consistent data will reveal the true quality of the clinic you are considering.
  • Painful periods, heavy periods.
  • Pain of endometriosis can be very severe and debilitating.

Complications

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women who have endometriosis have difficulty in getting pregnant. At Ssmile IVF we have one of the highest pregnancy rates in the country. This is because we pay attention to details including, medical treatments optimizing stimulation of oocytes and implantation of embryos. Because IVF success is dependent on any and every step from handling of eggs to temperature and gas mix control, to handling of embryos. The embryology laboratory is crucial in achieving success. Results should be interpreted in view of the baseline pregnancy chance per cycle.

Treatment of Infertility

IVF is the mainstay of treatment of infertility since once diagnosed it is better not to delay pregnancy further.

Treatment

  • Surgical treatment: Surgical intervention has a significant role especially in treatment of infertility.
  • Medical treatment:Pain killers for pelvic pain.

PCOS

About

Polycystic ovary syndrome or PCOS is the most common hormonal disorder in reproductive age group. The name of this condition comes because of the multiple small cysts seen in the ovaries of these women.

Symptoms

  • Irregular menstrual cycles.
  • Acne.
  • Excess hair growth or Hirsutism.
  • Obesity.

Complications

Difficulty in conceiving because of lack or infrequent ovulation. The hormone levels are out of balance in women with PCOS: They have higher than normal levels of androgens and may have lower than normal levels of estrogen. The high levels of androgens can cause: Problems with ovarian follicle growth and development, which may prevent the release of eggs.


  • Make immature follicles on the ovaries which bunch together, forming large lumps or cysts.
  • Create the other symptoms of PCOS, including excess hair growth and acne.

Treatment

  • Management of Infertility by induction of ovulation.
  • Early diagnosis and treatment can help patients avoid long term complications such as Diabetes mellitus, cardiac disease, stroke, etc.
  • Life-style changes: Low calorie diet and regular exercise help women to loose weight. Even 5% weight loss can have positive effects on insulin resistance, glucose tolerance and metabolic syndrome.

Obesity and Infertility

Obesity is defined as a condition where there is accumulation of excess body fat leading to adverse health effects. A BMI of more than 30 is considered as obesity.

Effects of obesity on fertility:

  • Obesity causes excess production of estrogen which in turn affects ovulation.
  • Can cause amenorrhoea
  • Patients need excess dose of fertility drugs.

Research has long shown a connection between obesity and infertility in women. And it's not just women that need to watch the scale. Recent research has shown that obesity can negatively impact male fertility as well, leading to lower sperm counts. Watching your carbohydrate and junk food intake is also advisable. Research on women dealing with PCOS (polycystic ovarian syndrome) has shown that may improve their symptoms, even without weight loss. The lower-carb diet led to more regular menses and increased fertility potential.