Gynecology Endometriosis and Adenomyosis

Endometriosis is a benign disease, whose treatment is generally medical and surgical. We are specialists in assisted reproductive treatments for this type of patients.

Endometriosis is a benign disease affecting women during their fertile period of their life. It occurs when the endometrium (the tissue covering the uterus cavity) is outside the uterus. The plaques which are formed are called implants if they are small, nodules if they are bigger and endometrium (chocolate cysts) as soon as cysts are formed in the ovaries. The development of the disease is unexpected and goes from the formation of small implants that will never develop to an all pelvic invasion. The symptoms too are very varied and in certain cases, they are asymptomatic; the diagnosis is established randomly.

The most important symptoms are:

  • Pain during menstruation (dysmenorrhea).
  • Abdominal pain.
  • Pain during sexual intercourse (dyspareunia).
  • Fertility problems.

Even if we can suspect the presence of an endometriosis through its symptoms or the discovery of an endometrium during a transvaginal ultrasound check-up, the final diagnosis is established by a laparoscopy (direct viewing of lesions in the endometrium) and a biopsy. During this process, we can perform a resection (an extraction) of endometrium, a release of pelvic adhesion, and the coagulation of small implants or the study of permeability of tubes in case of fertility problems.

Adenomyosis is a particular form of endometriosis which infiltrates the uterus wall, by provoking an increase in the size of the uterus.

Last Update: 17/09/2014
References:
Guía de atención a las mujeres con endometriosis en el Sistema Nacional de Salud (SNS) http://publicacionesoficiales.boe.es