Intestinal Endometriosis: Don’t Ignore Chronic Menstrual Pain and Constipation
Colon endometriosis is the most common form of pelvic endometriosis that affects Indian women. Delaying treatment can lead to sepsis and possibly death.
Endometriosis is a condition in which the endometrium (the tissue that lines the inside of the uterus or uterus) grows outside the uterus. It is a common gynecological disease that affects an estimated 25 million patients in India. In most cases, endometriosis affects your ovaries, fallopian tubes, and the tissue that lines your pelvis. Intestinal endometriosis is the most common form of extra pelvic endometriosis. It happens when tissue similar to the lining of the uterus grows in the intestines or intestines. About 12% of cases of intestinal endometriosis affect the rectum and sigmoid colon. Projected that 12% would mean that 3 million Indian people who were assigned a woman at birth have intestinal endometriosis.
Doctors at ACI Cumballa Hill Hospital in Mumbai say reproductive health problems are on the rise during the Covid-19 pandemic. They said the hospital treated 80 patients with advanced endometriosis in the last year and nearly 60% had bowel involvement. They warned that delaying treatment could lead to an intestinal obstruction, which could become a life-threatening complication as the patient would not be able to pass a bowel movement and the bowel would eventually perforate, leading to serious complications such as sepsis and possibly would lead to death.
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Symptoms and Treatment
Colon endometriosis can cause symptoms such as constipation, painful periods, and gas. It can have an impact too fertility in women.
Surgery is useful not only to improve quality of life and relieve pain, but it also improves fertility. In a publication by Roman et al. 80% of patients treated for intestinal endometriosis showed a successful outcome of pregnancy in the first one to two years after surgery. Of this 80%, 2/3 are naturally conceived! So do not ignore this condition, seek timely treatment.
American woman successfully treated for intestinal endometriosis in India
A team of doctors led by Dr. Abhishek Mangeshikar, a consulting laparoscopy and robotic gynecologist at ACI Cumballa Hill Hospital, successfully diagnosed and treated a dangerous form of intestinal endometriosis in a 35-year-old American woman. She had a large endometriosis lump in the middle and upper rectum that nearly occluded and an inability to conceive due to significant endometriosis and adenomyosis.
The patient, who complained of chronic menstrual pain, constipation, and gas, has resumed her daily routine and is due to undergo IVF treatment in the United States shortly. The Boston MA patient had endured symptoms that interfered with her daily activities for most of her adult life. She took medication and even tried home remedies, but her pain kept getting worse.
Finally, on July 20, 2021, she underwent surgery at ACI Cumballa Hill Hospital that helped her get rid of the pain and suffering.
Dr. Mangeshikar said, “The patient had a history of extremely painful periods, as well as severe constipation and gas. Her ultrasound scan revealed a large endometriosis node in the middle and upper rectum that almost resulted in an occlusion. These results were further confirmed by MRI. “
“An exploratory laparoscopy to excise endometriosis with segmental resection anastomoses of the rectum was performed to treat a frozen pelvis with excision of endometriosis and resection of the rectum that showed involvement approximately 10 cm in length. The procedure lasted 7 hours, and the patient was operated on with minimal blood loss and discharged on day 7 post-operation without a week after her operation. She is already back in the US and will have her IVF procedure as planned. “
“It is important that these diagnoses are not overlooked. There is a need to dramatically improve the diagnostics and standard of care for these patients, ”he added.
Doctors are looking for a new drug that could end the monthly agony faced by women with endometriosis
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