Symptoms, Risk Factors, and Diagnosis of Endometriosis:

Endometriosis is a disorder wherein tissue that usually develops inside the uterus (endometrium) grows outside of it. Frequently it is on the ovaries, fallopian tubes, as well as the tissue around the uterus nevertheless, in exceptional situations, this can also happen in other regions of the human body. The primary signs and symptoms are pelvic discomfort in addition to infertility.

Endometriosis can have both social as well as psychological effects on has proved to be one of the main causes of infertility among women with nearly half of them suffering from, half of those afflicted get persistent pelvic pain, while in 70% discomfort transpires at the time of menstruation. Pain in the course of sex is usually prevalent. Considerably less popular symptoms consist of urinary or even bowel signs. Around 25% of females never show any signs or symptoms.

Even though the cause is not completely clear. Risk elements consist of having a family background of the disease. The parts of it bleed every month, leading to swelling as well as scarring. The growths because of it are not cancer. Medical diagnosis is normally based upon symptoms along with medical imaging. A biopsy is the surest technique of diagnosis. Additional reasons behind identical signs or Endometriosis symptoms consist of pelvic inflammatory disorder, upset bowel syndrome, interstitial cystitis, as well as fibromyalgia.

Tentative proof signifies that the usage of linked oral contraceptives lowers the chance of endometriosis. Physical exercise in addition to avoiding alcoholic beverages can also be preventive. You cannot find any treatment for endometriosis; however, quite a few remedies might improve symptoms. This could involve pain medications, hormonal remedies, or even surgical treatment.The suggested pain drugs are normally an NSAID like naproxen. Having a well-known part of the birth control supplement constantly or even utilizing an intrauterine device with progestogen is often helpful. Gonadotropin-releasing hormone agonist may well enhance the potential of people who definitely are infertile to get expectant. Surgical excision of endometriosis treatment can be used to cure those whose symptoms are not controllable with many other treatments.

Symptoms of endometriosis?

Some of the common endometriosis symptoms observed are as given below:

An important symptom of endometriosis is persistent pelvic pain. The pain ranges from minor to intense cramps or even stabbing pain that happens on each side of the pelvis, in the low back and the rectal region, as well as down the legs.  Some other symptoms consist of diarrhoea or constipation, persistent tiredness, feeling sick, nausea, severe headaches, low-grade fevers, severe and/or abnormal periods, and hypoglycaemia. Along with pain through menstruation, the pain of endometriosis can happen at other times of the calendar month.

There might be a pain with ovulation, pain connected with adhesions, pain due to swelling in the pelvic cavity, pain at the time of intestinal motions as well as urination when having a common physical activity such as workouts, pain from standing up or simply walking, as well as pain with intercourse. The intense pain is often connected with menstruation. Pain may also begin each week before a menstrual period, throughout or even 7 days after a menstrual period, or perhaps it may be continuous. The pain could be agonizing along with the emotional strain will take a toll.

Does Endometriosis affects infertility?

Many women with infertility are suffering from endometriosis problem. Among women with this problem, up to half may experience infertility.

Risk factors related to endometriosis?

Some of the common risk factors are listed below:

  1. Genetics and heredity

The hereditary tendency has a part in endometriosis. Daughters or simply sisters of females face a greater chance of growing endometriosis on their own; lower progesterone ranges might be hereditary, and even may possibly lead to a hormone disturbance. There is certainly an around six-fold improved occurrence in females with an afflicted first-degree family member.

  1. The environmental toxic compounds

Numerous researchers have looked into the possible link between exposure to dioxins, yet the proof is equivocal as well as prospective mechanisms are not well known. A 2004 assessment of scientific studies of dioxin together with endometriosis claimed that “the human statistics assisting the dioxin relationship are uncommon as well as conflicting” including a 2009 follow-up evaluation too discovered that there was clearly ‘insufficient evidence’ in favor of a connection between dioxin direct exposure as well as females.

Diagnoses of endometriosis?

The medical diagnosis of endometriosis includes a health background as well as a physical exam which could guide the medical care specialist to determine endometriosis. Even though physicians might sense the endometrial growths in the course of a pelvic examination, and also these types of signs and symptoms might be symptoms of endometriosis, a diagnosis simply cannot be established by physical examination only. Using pelvic ultrasound could detect its significant cysts (generally known as endometriomas). Nevertheless, smaller sized implants simply cannot be visualized with ultrasound procedure.

Laparoscopy, a surgical treatment in which a digital camera is employed to peek inside the stomach cavity, is the sole method to formally detect it, Since it enables lesion visualization unless of course, the lesion is noticeable from the outside, e.g. an endometriotic nodule in the vagina. When the growths are not detectable, a biopsy might be taken to find out the diagnosis. Surgical treatment for diagnoses, in addition, provides for surgical treatment of endometriosis simultaneously. An individual with Phase I endometriosis could have a little disorder as well as extreme pain, whereas an individual with Phase IV, that might have a severe disorder with no pain or maybe the other way round.

Surgical treatment

Traditional treatment method includes the excision of the endometrium adhesions, resection of endometriomas, as well as the rejuvenation of regular pelvic anatomy just as much as is achievable. Endometrioma on the ovary of the considerable size sometimes misdiagnosed since ovarian cysts- needs to be taken away surgically since hormonal therapy by itself is not going to get rid of the complete Endometrioma cyst, which could develop to serious pain from the rupturing of the cyst as well as inner bleeding. El-rapha being one of the best IVF centres in Nigeria, we utilize Laparoscopy, for medical diagnosis, and to carry out surgical treatment. It is regarded as a ‘minimally invasive’ surgical procedure since the physician tends to make minute openings (incisions) at (or around) the belly button or bottom part of the abdomen.

 Hormone therapies used to treat Endometriosis?

Some of the hormone therapies used to treat Endometriosis are given below:

  1. Progesterone or progestins: Progesterone counteracts oestrogen and even prevents the development of the endometrium. This kind of treatment helps to reduce or perhaps eradicate menstruation in a regulated as well as reversible manner. Progestins are inorganic variants of organic progesterone. A good example of a progestin is dienogest (Visanne).
  2. Hormone contraception therapy: Oral contraceptives help reduce the menstrual pain connected with endometriosis. They might work by lowering or perhaps removing menstrual flow and then giving oestrogen support. Usually, it really is an extended approach.

Danazol (Danocrine), as well as gestrinone, are suppressive steroids with a few androgenic activities. The two agents slow down the development of endometriosis yet their use stays restricted since they could cause hirsutism as well as voice changes.

  1. Gonadotropin-releasing hormone: These kinds of medicines are said to function by lowering hormone quantities. A 2010 Cochrane evaluation discovered that GnRH agonists were far better for relief from the pain in endometriosis when compared with no therapy or perhaps placebo, yet were no longer useful as compared to danazol or even intrauterine progestagen, and thus had far more unwanted side effects as compared to danazol.

Aromatase inhibitors are medicines that prevent the development of oestrogen that has grown to be of great interest for specialists who are curing endometriosis.

A few other medicines includes

  1. NSAIDs: Anti-inflammatory. These are widely used along with many other therapies. For more serious cases narcotic prescription medicines can be utilized. NSAID injections could possibly help for extreme pain or if the abdominal pain stops oral NSAID use.
  2. Opioids: Morphine sulphate capsules, as well as other opioid analgesics, work by mimicking the actions of naturally occurring pain-reducing chemicals called “endorphins”. There is actually distinct prolonged acting and even short functioning medicines which you can use alone or perhaps in collaboration to give suitable pain control.

Complications associated with endometriosis?

Problems consist of interior scarring, adhesions, pelvic cysts, chocolate cyst of ovaries, ruptured cysts, intestinal as well as a ureteral blockage as a result of pelvic adhesions. It’s associated infertility could be linked to scar growth as well as anatomical distortions as a result. Ovarian endometriosis could magnify maternity by decidualization, abscess and/or break. Thoracic endometriosis is related to repeated pneumothoraces occasionally of a menstrual period; referred to as catamenial pneumothorax

Are you suffering from infertility due to endometriosis?

Call our IVF specialist today on:  0909 888 9013, 09098889015  for a free second opinion. For more such infertility treatments follow our blog.

When is the best time of the month to try for a baby?

Almost every woman at some point of time in her life wants to become a mother. Motherhood is a symbol of undiluted love. It is often seen that women have to make huge sacrifices in their respective careers to be able to start a family. However, we should also remember that every lady has a right to excel in her career no matter how long it takes.

She should not be held captive by her advancing age- to choose pregnancy over career. She deserves full freedom to achieve her career goals before making the life- changing decision of having a child. So let us understand today what is the best time to conceive.

We often come across couples at our clinic who ask if it is the right time to conceive? is it too late? Can I wait a little more?

Firstly when is the

We all have to accept that men and women are biologically different. A male can have normal spermatogenesis that is production and maturation of normal sperms even till 65 to 70 years of age, but a female has a fixed reserve of eggs at the time of birth. As her age increases the quantity of her eggs goes on decreasing. So, the quantity and quality of eggs of a female are the best when she is 21 to 30 years old. After 30 years, the quantity of eggs starts decreasing at a slightly faster rate. And after 35 years it’s not only the quantity but also the quality of eggs that gets affected.

So the ideal time /the best time for a woman to conceive is between 21 to 30 years as it is during these years that the quantity and quality of eggs is at the best level.

But does it mean that after 30 years you cannot conceive ? Absolutely not

Today we have an option of infertility prevention or in other words fertility preservation wherein you can freeze your eggs and store them at a younger age when they are of good quality and you can use them at a later age when you plan to have a baby. By freezing your eggs you are actually buying time so that you can have children when you actually want them.

Best time to conceive a baby

Now , many of us are not aware of the body processes involved in conceiving.

Let me explain them to you –

As you all know that a normal female has a uterus and two fallopian tubes and two ovaries. Every month follicles get selected in one of the ovaries out of which one follicle dominates and ruptures after it grows to a particular size.

When the follicle ruptures at the time of ovulation, an egg is released which travels to the fallopian tube and waits for the sperm. If at the same time the sperms swim up till the egg in the fallopian tube, one of the sperm fertilises the egg and an embryo is formed. This embryo travels in 5 to 6 days to the uterus where it gets implanted and the woman becomes pregnant.

Now let’s discuss the best time to conceive during a menstrual cycle.
If you are trying to conceive naturally it is important that you know your menstrual cycle.

At Elrapha Hospital, our fertility experts are keen to help and resolve all your queries related to infertility or IVF. You can book your appointment for a consultation now.

Talk to the best team of fertility experts in the country today for all your pregnancy and fertility-related queries.

Call now (+234)90998889015

Surrogacy in Abuja

IN VITRO FERTILIZATION A SOLUTION TO INFERTILITY?

In 1984, Dr. Oladapo Ashiru and his team successfully delivered the first baby via In Vitro Fertilization (IVF) in Nigeria. This was six years after the birth of Louise Brown in 1978, the first baby in the world conceived via IVF. Over six million babies has been conceived using IVF. It is often looked upon as a last resort, when other forms of ART (Assisted Reproductive Techniques), has failed.

WHAT IS IN VITRO FERTILIZATION?

In Vitro Fertilization or IVF as it is more commonly referred to is a form of assisted reproductive technique. IVF helps with fertilization, embryo development and implantation. In IVF, fertilization takes place outside the body. The ovum (egg) is extracted from the female. A sperm sample is retrieved from the male also. The egg and the sperm sample is then manually combined in a laboratory. Once fertilization takes place and the embryo has developed to a certain stage, the embryo is the transferred to the uterus and in most cases normal development takes place and the female gives birth to a perfectly healthy baby.

IVF may be considered if either partners have been diagnosed with;

  • This is when tissue similar to the lining of the uterus grows in other places in the body outside the womb
  • Low sperm count
  • Antibody problems that harm sperm or eggs
  • Inability of sperm to penetrate or survive in the cervical mucus
  • Poor egg quality
  • An unexplained fertility problem etc.

In Nigeria tubal factors and low sperm count are the leading causes of infertility. One in four Nigerian couples experience infertility.

In earlier times children conceived through the IVF procedure were often referred to as “test tube babies”. One of the myths was that babies born via this procedure were often not “normal”. This is completely false.

 

IVF Success Rate

While the success rate with IVF is a little below 50%, this reduces as the female ages, the babies delivered are healthy and normal. To increase the chances of pregnancy, Doctors transfer 3-10 eggs back into the uterus depending on the age of the female, quality of the eggs etc.  Advances in technology has greatly improved the chances of IVF procedures making it safer and an option for couples finding it difficult to conceive.

Consult us at EL RAPHA HOSPITALS AND DIAGNOSTICS  which is on of the best fertility hospital in Nigeria today as we have a medical team of professionals that will offer guidance, support and professionalism should you opt for an IVF procedure.

 

To contact a patient or for patient room information, call: (+234) 909 888 9013, 90998889015

General: 8 a.m. to 8:30 p.m. Family members with an ID badge have 24-hour access to the hospital.

Address

  • El-Rapha Hospitals and Diagnostics Plot #930 Salihu Iliyasu Street, Life Camp, Abuja, Nigeria.

FACTS ABOUT HPV AND CERVICAL CANCER

HPV IS COMMON

Most sexually active individuals will have HPV at some point.

TYPES

Some types of HPV can cause genital warts while some other different types are linked to cervical cell changes that, if not detected early, can increase a woman’s risk for cervical cancer. HPV also causes some cancers of the penis, anus, vagina, vulva, and throat. HPV infections are usually harmless, though, and most are cleared naturally by the body in a year or two.

HPV vaccines can help prevent infection from both high risk HPV types that can lead to cervical cancer and low risk types that cause genital warts. The CDC recommends all boys and girls

get the HPV vaccine at age 11 or 12, but vaccination is avail- able through age 26. The vaccine produces a stronger immune response when taken during the preteen years. For this reason, up until age 14, only two doses of the vaccine are required.

TRANSMISSION

HPV is usually passed by genital-to-genital and genital-to-anal contact (even without penetration). The virus can also be transmitted by oral to genital contact, although this probably occurs less often. Studies show that male condoms can reduce HPV transmission to females, although condoms only protect the skin they cover.

TESTING

A Pap test can find cell changes to the cervix caused by HPV. HPV tests find the virus and help healthcare providers know which women are at highest risk for cervical cancer. A Pap/ HPV co-test is recommended for women 30 and over. One HPV test has been approved for use as primary cervical cancer screening for women age 25 and older, followed by a Pap test for women with certain results.

TREATMENT

There’s no treatment for the virus itself, but healthcare providers have plenty of options to treat diseases caused by HPV.

RELATIONSHIPS

It can take weeks, months, or even years after exposure to HPV before symptoms develop or the virus is detected. This is why it is usually impossible to determine when or from whom HPV may have been contracted. A recent diagnosis of HPV does not necessarily mean anyone has been unfaithful, even in a long-term relationship spanning years.

PREGNANCY

Pregnant women with HPV almost always have natural deliveries and healthy babies—it is very rare for a newborn to get HPV from the mother.

We advise that you get vaccinated to reduce your chances of getting cervical cancer.

party culled from national cervical cancer coalition