“Endometriosis” is a long term or chronic and relatively common disease in women of reproductive age. It is considered as one of the main causes of infertility, which influences about one-tenth of women aged 15 and 49. This can cause painful menstruation and infertility. If a women’s menstrual pain (cramp) is not treated by usual analgesics, they should refer to a gynecologist to check endometriosis. The definitive & ultimate diagnosis is made by laparoscopy, although ultrasound may be advantageous for diagnosis of the endometriosis. There are medical & surgical therapies to solve related problems.
How does endometriosis occur?
During a typical menstrual cycle, endometrium (prior to menstruation) naturally starts to grow and thicken to prepare the uterus for a possible pregnancy.
In the event of non-pregnancy, the endometrium is shed at the end of the mensural period and menstrual bleeding occurs. For unknown reasons, a tissue similar to the endometrium can form mainly in the pelvises and ovaries. This tissue formation outside the uterus results in endometriosis. Due to the adhesion of tissue or cyst called “endometrioma “, it can prevent eggs (oocyte) from leaving out the ovaries and/or hinder sperm & egg fertilization. Therefore, infertility can be found in 30-50 percent of affected women.
How to treat the endometriosis?
In the case of a definite diagnosis of endometriosis, the physician will recommend the following treatment options regarding the disease status.
Drug therapy (also called pharmacotherapy): painkillers such as Acetaminophen, Ibuprofen, Diclofenac, or combination of painkillers are prescribed to control the most common symptom of this disease (i.e., pain). Sometimes, prescribing the Oral contraceptive pills, incorporating miRNA’s iodine, progesterone pills & injections can help reduce the symptoms.
Surgery: it is used to remove & burn misplaced tissues or to destroy adhesions. Numerous specialists believe that Laparoscopy is the single method to definitively diagnose and partially cure the endometriosis.
Infertility treatment: it is treated by prescribing the ovulation-stimulating drugs, intrauterine insemination (IUI), surgery for endometrial tissue removal or in vitro fertilization (IVF)
Endometriosis treatment in Iran
All therapies to treat the endometriosis including drug therapy & laparoscopy are carried out in Iran. According to the high prevalence of endometriosis worldwide, especially in Iran, Iranian physicians and specialists have gained unmatched experience on it. Given the high experience accompanied by low health care costs, Iran can be regarded as one of the most suitable destinations to conduct endometriosis-related therapeutic treatments. It is worth noting that there are lots of care centers to treat the endometriosis in Iran in which you can find the intended case through Medova’s free consultancy (Health Tourism Center).
What kind of physicians treat endometriosis in Iran?
By taking the laparoscopic courses, Gynecological Surgeons in Iran can proceed to treat the endometriosis. Drug therapies for Endometriosis are carried out by Gynecological Surgeons, especially fellowship-trained infertility specialists.