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ডা. নার্গিস সুলতানা (সুমি)
এমবিবিএস, এমসিপিএস, এফসিপিএস (অবস এন্ড গাইনী)
বন্ধ্যাত্ব, স্ত্রীরোগ বিশেষজ্ঞ ও ল্যাপারোস্কোপিক সার্জন
সিনিয়র কনসালটেন্ট প্রসূতি ও স্ত্রী-রোগ বিভাগ
মুগদা মেডিকেল কলেজ ও হাসপাতাল, ঢাকা
এক্স-চিফ কনসালট্যান্ট ও বিভাগীয় প্রধান (সিপিএইচ)
চেম্বার: পপুলার ডায়াগনস্টিক সেন্টার শান্তিনগর, ইউনিট-১, ঢাকা
এপয়েন্টমেন্ট 09613787803, 09666787803

Endometriosis is a condition where tissue similar to the lining of the womb starts to grow in other places, such as the ovaries and fallopian tubes.

Endometriosis can affect women of any age.

It's a long-term condition that can have a significant impact on your life, but there are treatments that can help.

Symptoms of endometriosis
The symptoms of endometriosis can vary. Some women are badly affected, while others might not have any noticeable symptoms.

The main symptoms of endometriosis are:

pain in your lower tummy or back (pelvic pain) – usually worse during your period
period pain that stops you doing your normal activities
pain during or after sex
pain when peeing or pooing during your period
feeling sick, constipation, diarrhoea, or blood in your pee during your period
difficulty getting pregnant
You may also have heavy periods. You might use lots of pads or tampons, or you may bleed through your clothes.

For some women, endometriosis can have a big impact on their life and may sometimes lead to feelings of depression.

When to see a GP
See a GP if you have symptoms of endometriosis, especially if they're having a big impact on your life.

It may help to write down your symptoms before seeing a doctor.

Endometriosis UK has a pain and symptoms diary (PDF, 238kb) you can use.

It can be difficult to diagnose endometriosis because the symptoms can vary considerably, and many other conditions can cause similar symptoms.

A GP will ask about your symptoms, and may ask to examine your tummy and vagina.

They may recommend treatments if they think you have endometriosis.

If these do not help, they might refer you to a specialist called a gynaecologist for some further tests, such as an ultrasound scan or laparoscopy.

A laparoscopy is where a surgeon passes a thin tube through a small cut in your tummy so they can see any patches of endometriosis tissue.

This is the only way to be certain you have endometriosis.

Treatments for endometriosis
There's currently no cure for endometriosis, but there are treatments that can help ease the symptoms.

Treatments include:

painkillers – such as ibuprofen and paracetamol
hormone medicines and contraceptives – including the combined pill, the contraceptive patch, an intrauterine system (IUS), and medicines called gonadotrophin-releasing hormone (GnRH) analogues
surgery to cut away patches of endometriosis tissue
an operation to remove part or all of the organs affected by endometriosis – such as surgery to remove the womb (hysterectomy)
Your doctor will discuss the options with you. Sometimes they may suggest not starting treatment immediately to see if your symptoms improve on their own.

Further problems caused by endometriosis
One of the main complications of endometriosis is difficulty getting pregnant or not being able to get pregnant at all (infertility).

Surgery to remove endometriosis tissue can help improve your chances of getting pregnant, although there's no guarantee that you'll be able to get pregnant after treatment.

Surgery for endometriosis can also sometimes cause further problems, such as infections, bleeding or damage to affected organs.

If surgery is recommended for you, talk to your surgeon about the possible risks.

Find out more about the complications of endometriosis

Living with endometriosis
Endometriosis can be a difficult condition to deal with, both physically and emotionally.

As well as support from your doctor, you may find it helpful to contact a support group, such as Endometriosis UK, for information and advice.

In addition to detailed information about endometriosis, Endometriosis UK has a directory of local support groups, a helpline on 0808 808 2227, and an online community for women affected by the condition.