Sunday, April 27, 2008

Laparoscopy: Endometriosis Infertility Treatment

Laparoscopy is the most common treatment for endometriosis. Laparoscopy can be minimally invasive and can improve your chances of conception.

Endometriosis occurs when tissues similar to the lining of the uterus grow outside of the uterus. Endometriosis can affect many organs surrounding the uterus, fallopian tubes and ovaries. This sometimes includes the bladder and bowels. Endometriosis can interfere with conception and be a factor in infertility.

Many women are unaware of their endometriosis until they seek infertility treatment. A laparoscopic procedure is necessary to accurately diagnose endometriosis. Endometriosis symptoms can usually be controlled with medications, but if endometriosis is causing you to have fertility problems, then a laparoscopic surgery may be necessary to improve your chances of regaining your fertility.

When diagnosing endometriosis with a laparoscope, the surgeon will need to make a small incision in your abdomen. The laparoscope is a tiny lighted tube that allows the surgeon to get a good look at the outside of your uterus, fallopian tubes and ovaries. Biopsies of suspicious tissues are often taken at this time to properly diagnose endometriosis.

When laparoscopy is used for diagnosis, it is minimally invasive. When it is used for treatment, it can be minimally invasive as well, depending on how advanced your condition is. Endometrial implants can be removed with the use of a laser, electrical current or excised during a laparoscopic treatment.

Laparoscopic surgery used to treat endometriosis is generally fairly easy to get over with many patients recovering in just a few days. During the surgery, your surgeon will remove as much endometrial tissue as possible. Any cysts that are seen will most likely be drained and treated as well. Furthermore, adhesions and scar tissue may be cut loose.

Surgery is often performed over the use of drug therapies for women trying to conceive. This is because the treatments that relieve the pain and suppress the growth of the endometrial implants also cause ovulation to cease. Some women elect to try surgery over other treatments because of the recurring nature of endometriosis. It is a progressive disease and can grow back over time. Removing as much of it as possible can give you a window of opportunity to conceive. This is not to say that having this treatment will definitely improve your chances of conception, but it has had a positive outcome for many women.

The outcome of your surgery could be directly related to the experience and expertise of your surgeon. If you are considering having your endometriosis treated by laparoscopic surgery, be sure to find a skilled surgeon with extensive experience in laparoscopy endometriosis treatment.


About the Author: Eric Daiter is the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Dr. Eric Daiter please visit www.drericdaitermd.com.

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Sunday, March 2, 2008

Endometriosis and Infertility

Millions of women in the United States suffer from endometriosis. Many go untreated or undiagnosed. The outcome of untreated endometriosis can be very serious, including infertility, progressive pain and organ damage.
Women who suffer the effects of endometriosis often experience debilitating pain and discomfort. Some end up losing their jobs or even dropping out of school to try and cope with the pain. The problem is, many women think that they are just experiencing normal period pain, such as cramping, abdominal pain and back pain. Endometriosis is a progressive disease and gets worse over time. Delaying treatment can cause infertility and severe organ damage.
If you are experiencing any of the symptoms of endometriosis, you need to see your doctor right away. This is not something that should be put off, due to the escalating nature of the disorder. Symptoms may be very mild and sometimes go completely unnoticed by some women. This does not mean that the endometriosis is not severe. Endometriosis tends to be illusive due to the fact that symptoms can be anywhere from not noticeable to extreme. Also, the diagnosis is difficult because endometriosis symptoms mimic many other diseases and disorders.
If symptoms are noticeable, they can include pelvic pain, menstrual cramps that can be severe, and/or cramping during intercourse, urination or bowel movements. Symptoms generally get progressively worse over time, but they can vary a lot from woman to woman. Some women have varying degrees of pain and some experience more relief over time. It is very hard to pinpoint endometriosis symptoms and it is often dismissed as part of the menstrual cycle. The one thing that generally triggers women to seek diagnosis and treatment is infertility.
Endometriosis is only properly diagnosed through laparoscopy. Laparoscopy gives the doctor a clear view inside of the pelvis and abdomen. Biopsies of tissues can be taken during the laparoscopic treatment to help produce an accurate diagnosis. Laparoscopy is usually performed under general anesthesia and is considered a minor surgery. The abdomen is inflated with carbon dioxide to give the surgeon room to look around. A laparoscope is inserted through a small incision and patients usually go home the same day after the procedure.
Women who have endometriosis are not always infertile, but many are. About a quarter of women seeking infertility treatment discover, through exploratory laparoscopy, that endometriosis is the cause of their infertility. Many women are able to regain their fertility after a laparoscopic surgery. Be sure that you select a skilled and experienced infertility specialist, or reproductive endocrinologist to perform your laparoscopy endometriosis treatment.

About the Author: Eric Daiter is the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Dr. Eric Daiter please visit www.drericdaitermd.com.

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Monday, January 28, 2008

Laparoscopy Endometriosis Treatment

Your infertility specialist may recommend laparoscopy to diagnose and treat endometriosis. Laparoscopy is a relatively non-invasive procedure, especially in the diagnostic phase of your infertility treatment. It can be a lot more invasive, and can be considered a major surgery when it is used to treat endometriosis.
To perform a laparoscopic procedure, your doctor will make a small incision near your navel. Your abdomen will be filled with carbon dioxide to inflate it. This allows the doctor to then insert the laparoscope and inspect your reproductive organs and abdominal cavity. The inflation gives the doctor plenty of room to look around. Your body may be tilted back during the procedure so that your intestines and other organs will shift higher up into your body. This gives the surgeon a more clear view of your reproductive organs.
The laparoscope itself is like a tiny, long telescope. It projects a light into your body so that the surgeon can look around. Your doctor may need to make a second incision near your pubic bone to insert other surgical tools. Endometriosis may be quite visible, but sometimes it is not visible to the naked eye. Your surgeon may take biopsies of tissue from your body during the laparoscopic procedure. The tissues will be examined under a microscope to confirm or deny the presence of endometriosis.
Endometriosis is a condition that causes the endometrium, normally lining your uterus, to grow outside of the uterus and attach itself to surrounding structures and organs. Adhesions and scar tissue can form inside of your abdominal and pelvic regions, causing a lot of pain, discomfort and fertility problems. Endometriosis can be mild and may not be discovered until a laparoscopic procedure is performed. If endometriosis affects your ovaries or fallopian tubes, then it can keep eggs from passing through to your uterus for implantation. Endometriosis is a progressive condition and can get worse over time.
Symptoms of endometriosis include abnormally heavy bleeding during menstruation, extremely painful menstrual cramps that last for days, back pain, painful intercourse, urination or defecation. These symptoms can be very similar to other infections or disorders. Therefore, endometriosis may be overlooked until infertility is a concern.
If endometriosis is discovered, your infertility specialist can use laparoscopy as part of the surgical treatment. A pelvis afflicted by endometriosis can also include adhesions, cysts, scar tissue and endometrial implants. Your surgeon will attempt to remove endometrial implants, drain cysts, separate and loosen adhesions and scar tissue. Laser treatment may be used to cut away adhesions, scar tissue and cysts.
Laparoscopy used to treat endometriosis is considered a major surgical procedure, but because of the small incisions made and the state of the art techniques used, there is generally a fast recovery with minimal discomfort after the procedure. Talk to your doctor and discover if laparoscopy endometriosis treatment can help you be on your way to fertility.

About the Author: Eric Daiter is the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Dr. Eric Daiter please visit www.drericdaitermd.com.

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Sunday, January 20, 2008

What is Frozen Pelvis?

Endometriosis is a growing concern among women today. Endometriosis is a condition where tissue similar to the endometrial glands and stroma that line the uterus grows outside of the uterus. Endometriosis tissue can grow anywhere inside of the abdominal cavity. The symptoms of endometriosis include severe pelvic pain, heavy or erratic bleeding and fatigue. If the endometriosis spreads through the abdominal cavity and fuses organs together, it is referred to as frozen pelvis.
If you have been diagnosed with frozen pelvis, you may have a lot of questions. Frozen pelvis is caused by pelvic inflammation, most commonly endometriosis. Frozen pelvis can cause a lot of different problems. Each individual inflicted with frozen pelvis will have a unique diagnosis. Your intestine may be fused with the uterus, your bladder can be fused with your abdominal wall, or your ovaries and fallopian tubes can be fused with your uterus, which is fused with a cesarean section scar. Every situation is unique and the problems can be widespread.
You may be wondering why this happened to you. Many women have the same question. Endometriosis occurs when uterine lining, normally shed during menstruation, moves upward in the uterus, through the fallopian tubes, and out into the abdominal cavity. This tissue is very irritating to the abdominal tissues and can cause the abdominal tissue to become sticky and scarred. Long strands of scar tissue, called adhesions, can bind organs together. They pull on the organs that they inflict and can affect their function. This can cause bowels to be obstructed. It can cause your bladder not to empty, causing infections. In many cases, surgery and/or medication will be recommended if problems like this are occurring.
Infertility is another possible side effect of endometriosis. To determine that endometriosis is the cause of infertility, a surgical procedure called laparoscopy may be performed. This allows your doctor to see inside of your abdominal cavity with a small scope. Your doctor may determine that endometriosis is one possible cause of infertility if it is adhering to your ovaries and fallopian tubes, or distorting your reproductive organs in any way. Endometriosis can cause tubes to be blocked or ovaries to adhere to abdominal walls or your uterus. In rare cases the endometriosis can grow into your ovaries and damage your eggs, resulting in a reduced egg quality or quantity.
Your next question is probably about treatment options. Frozen pelvis is an advance stage of endometriosis and may require ongoing treatment for fertility to return or to have relief from its debilitating symptoms. Surgery, hormone therapy and physical therapy can all help you get on your way to healing.
The endometrial cells that are causing your frozen pelvis react to hormones in a manner similar to your uterine lining. This means that the cells thicken and shed just like having a menstrual period inside of your body. Blood and endometrial cells can pool up, since they have nowhere to go, causing a lot of pain. Birth control pills can help the problem tissues shrink and cause fewer problems. The growth of the tissues can be controlled long-term in this manner. Anti-inflammatory medications help with pain. Exercise, stretching and palpation of the affected area can help some of the adhesions break loose from your organs. Talk to your doctor about what infertility treatment. options are best for your personal situation and good luck with your journey to fertility and relief.

About the Author: Eric Daiter is the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC, a leading NEW JERSEY INFERTILITY CENTER that offers a complete range of MALE INFERTILITY AND FEMALE INFERTILITY TREATMENT. For more information on The NJ Center for Fertility and Reproductive Medicine and Dr. Eric Daiter please visit http://www.drericdaitermd.com/.

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