ENDOMTERIOSIS

In endometriosis, there is a risk of female infertility of up to 30% to 50%

The mechanisms by which endometriosis may cause infertility is not clearly understood, particularly when the extent of endometriosis is low. Still possible mechanisms include:

Anatomical distortions and adhesions (the fibrous bands that form between tissues and organs following recovery from an injury)

The release of factors from endometriotic cysts which are detrimental to gametes or embryos. An endometriotic cyst contains free iron, reactive oxygen species, proteolytic enzymes and inflammatory molecules.

Severe endometriosis causes pelvic scarring and distortion of pelvic anatomy. The tubes can become damaged or blocked and the ovaries often contain cysts of endometriosis (endometriomas) and may become adherent to the uterus, bowel or pelvic side wall. Any of these anatomic distortions can result in infertility.In some cases the eggs in the ovaries can be damaged, resulting in decreased ovarian reserve and reduced egg quantity and quality.

Unknown

Theories of the cause of endometriosis

Retrograde Menstruation.

Exposure to Estrogen..

Impaired Immune System.

Inflammatory Response.

Ovaries                       

Fallopian tubes

Uterine surface

Bowel

Bladder

Rectum

peritoneum.

Rarely-spinal column, nose, lungs, pelvic lymph nodes, the forearm, and the thigh.

Each month, endometrial implants fill with blood, thicken, break down, and bleed.

Products of the endometrial process cannot be shed through the vagina. Instead, the implants develop in to collections of blood that form cysts

Lesions may grow as the cycle continues

Chocolate cyst or Endometrioma

.

The ovary is a common site for endometriosis. When endometriosis

 involves the ovary, the area of endometrial tissue may grow and bleed, forming a brown-coloredcystic area referred to as a chocolate cyst or endometrioma.

Dysmenorrhea Pelvic pain and cramping may begin and extend several days before menses ( may include lower back and abdominal pain.)

Pain with intercourse. Pain during or after sex.

Pain with bowel movements or urination. during menses

Excessive bleeding. heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

Other symptoms. also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

Infertility is main complication of endometriosis

Distort the  anatomy of the pelvis

 If implants occur in the fallopian tubes, they may block the egg’s passage.

Adhesions that form among the uterus, ovaries, and fallopian tubes can prevent the transfer of the egg to the tube.

Implants that occur in the ovaries prevent the release of the egg.

Hormonal and Ovulatory Abnormalities.

Impaired Implantation.

You can’t prevent endometriosis. But you can reduce your chances of

developing it by lowering the levels ofthe hormone estrogen in your body

How we can lower  the levels ofthe estrogen

Exercise regularly  Regular exercise and a lower amount of body fat help decrease the amount of estrogen circulating through the body (more than 4 hours a week)

Avoid large amounts of alcohol. Alcohol raises estrogen levels..

Avoid large amount of drinks with caffeine. Studies show that drinking more than one caffeinated drink a day, can raise estrogen levels

Wheat—contains phytic acid & gluten

Red meats promotes negative prostaglandins  cause inflammation

Refined and concentrated carbohydrates

Refined sugar and honey, chocolate  cause inflammation

Dairy products – milk cheese , butter cream cause inflammation

Eggs- dioxin

Fried foods – stimulate

 negative prostaglandins

Mustard greens, dark green vegetables .broccoli, cabbage will modulate estrogen levels

Eat a high fiber diet that includes plenty of fruits, vegetables, beans, whole grains, (excluding wheat)  and nuts

There are medicines in homoeopathy  to

1.To  inactivate the extra endometrial tissue 

2. To  absorb the endometrial products 

3.To  dissolve  the  scar tissue  and addition

4.To  modulate estrogen levels