Things you need to know about Endometriosis


What is endometriosis ?

Endometriosis is a chronic inflammatory disease occurring in women of reproductive age. Endometriosis is a disease where the same tissue lining the uterus is present outside of the uterine cavity. The uterus is made up of three thick walls/ linings. The innermost endometrium, the middle layer called the myometrium, and the outermost perimetrium.  

In this disease, the endometrium can grow in ovaries, fallopian tubes, or even in the pelvis. In rare cases, it can grow beyond the pelvis also. Endometriosis is known to contribute to subfertility via pelvic adhesions, distorted pelvic anatomy, and bilateral tubal blockage.

The changes occurring in menstrual cycles affecting the inner layer of the uterus also affect the misplaced endometrial tissue; ultimately leading to inflammatory changes. It means misplaced tissues will grow, thickens, and breaks down in response to hormonal changes.


The exact cause of endometriosis is not identified yet. Endometriosis runs in families.

Signs and symptoms

Common signs and symptoms of endometriosis are as follows.

  1.  Pelvic pain /dysmenorrhoea 
  2. Excessive bleeding/ intermenstrual bleeding
  3. Pain during intercourse
  4. Painful micturition or bowel movements.
  5. Infertility 
  6. Low backache 

It is often misjudged with Pelvic Inflammatory Disease or Ovarian cyst because of similar representation of cases. 

Treatment of Endometriosis There is no definite treatment available but we can manage the symptoms with pain killers, hormonal therapy in severe cases surgery -Hysterectomy. 

Endometriosis and Infertility Around 30-40% of women with endometriosis are likely to have difficulty in conceiving. It is also associated with lower live birth. Infertile women are 6 times more likely to have Endometriosis than fertile women. There can be Mechanical effects or Endocrine abnormalities, oocytes defects, and increased rates of miscarriages.

Laparoscopy is always diagnostic in a female with pain and Infertility. In which visible endometriosis is removed at the time of surgery. Laparoscopic cyst removal is done in ovarian endometriosis 

In women with mild to moderate endometriosis, the clinician can perform IUI with controlled ovarian stimulation. IVF is the only successful treatment in case of severe endometriosis.

Is endometriosis and Chocolate cyst the same? 

There are two types of Ovarian cysts:- I) Functional Cysts II) Pathological cysts 

In healthy Women, Functional ovarian cysts are commonly seen during the menstrual cycle. These also come into two types, and are known as follicular cysts and corpus luteum cysts.

Each ovum is encircled by a follicle. Usually, when the ovaries release an egg during ovulation, the follicle ruptures and the egg travels down the fallopian tubes to the uterus. Many a time the follicle does not rupture and continues to grow, becoming a cyst. This is called a follicular cyst.

The remaining part of the follicle after ovulation is called the corpus luteum. The corpus luteum releases a hormone called progesterone to prepare the uterus for pregnancy. Sometimes, fluid builds up in the corpus luteum forming a corpus luteum cyst. Both kinds of functional cysts are usually harmless and disappear within a few months.

Pathological cysts occur when endometriosis affects the ovaries Severe ovarian endometriosis is known as endometriosis or ovarian cysts. It causes the formation of cavities within the ovary that fill with blood. Over time, the blood becomes dark and looks a bit like chocolate. For this reason, ovarian cysts are also sometimes called chocolate cysts. These can destroy ovarian tissue and cause difficulties in ovulation. They are associated with higher chances of ovarian cancer.

We, WINGS IVF Super Specialty Hospital, Rajkot center, are always ready to serve anyone with any of the fertility issues or people facing infertility problems due to natural of unnatural causes. We strive 100% success in all our infertility treatments.

Book an appointment with us at +91 78788 77222 and visit our website for more information at


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