The Endometriosis is a chronic disease of unknown cause that affects the female reproductive system and is the growth of some cells and tissues of endometrium in places and organs outside the uterus where it is abnormal to grow like fallopian tubes and ovaries, as may also grow in the bladder, rectum or the Intestines...For this reason, it's called Endometriosis.

It is known that during the menstrual cycle, the endometrium emerges from the vagina together with the blood of the menstruation... However, in the case of the Endometriosis, the uterine cells and tissue cannot get out of the vagina and bleed in its place thus cause ulcers and scars on these organs. Repeating this with each menstrual cycle may cause these organs to swell and increase their thickness.

Too often, a Haematoma occurs and so are the cysts.

1-Delayed pregnancy and infertility.

2-Pain in the pelvis and the ovaries before or during the menstrual cycle.

3-Menstrual disorders, with severe bleeding during it.

4-Pain during intercourse and unwillingness.

5-Feeling depressed, tired and exhausted.

6-Frequent urination and pain during it.

7-Intestinal disorders.

The incidence of this disease is 10-15% of the society and we see this disease in 30-50% of the cases of delayed pregnancy.

Endometriosis has no specific or known reason until now, but there are two theories to interpret it:

1-The first theory says that the menstrual cycle occurs with reflux in the so-called retrograde menstruation and emerge from the tubes and this leads to migration of the endometrium to the pelvis and sticking in parts of the body as (bladder, ovaries and intestines).

2-The second theory says that the tissues themselves are transformed into the tissue of the endometrium.

Another theory is that it's due to a woman's immune deficiency. The specific reason remains unknown.

Endometriosis is two types:

Type 1: Specks on the ovary or uterus.

Type 2: Bloody cysts.

The levels of Endometriosis are not related to levels of the endometrium itself, but the degrees of adhesions and the extent of the damage caused by it.

The first type: (dots) is diagnosed with a laparoscope and cannot be diagnosed with medical examination or sonar.

As for its treatment, it is laparoscopic through cauterization of these dots.

The second type: (Blood cysts) is diagnosed with medical examination and sonar.

It is also treated laparoscopically.

Note 1: The Endometriosis cannot be diagnosed by MRI.

Note 2: Pain alone is not a guarantee for the diagnosis of Endometriosis as there are many causes of pain and Endometriosis is only one of them.

This happens because the Endometriosis causes:

-Fallopian tubes injury (causing blockage, swelling or adhesions).

-or may cause ovarian injury and thus reduce the ovarian stock, resulting in delayed pregnancy.

1-Menstrual Pain.

2-Pelvic pain.

3-Internal pain during intercourse.

4-Lower back pain.

5-Pain during urination or defecation.

In fact, the shortest way to treat it is pregnancy, so we recommend that you take the quickest way to get pregnant to eliminate this problem.

We also recommend certain medications that are prescribed by the physician which is taken for 3-6 months after removal of a cyst from the ovary to reduce the chances of its return after the laparoscope.

We recommend that you use these medications before IVF procedure to improve the chances of pregnancy.

There are some medications that are prescribed by the Gynaecologist, which will relieve the pain of Endometriosis. Also removing the chocolate cyst helps to relieve pain.

But if your age is over 40 years and you do not want to have a baby and suffer from the Endometriosis pain, the best solution is Hysterectomy or ovariectomy and sometimes the nerve conducting pain is cut off.

After treatment, Endometriosis can be relapsed by 20-50% and treated.

If it is in the form of blood cysts, it is removed by laparoscopy or by the use of the treatment medications for 3-6 months depending on the diagnosis of the Gynaecologist. If it is dots on the ovary or uterus, a laparoscope is made for its cauterization.

* Dr Ahmed Hussein advises you to be cautious about removing the cyst more than once because it may weaken the ovarian stock.

God willing, there is hope of pregnancy after the treatment of Endometriosis... Whether normal pregnancy or using ovarian inducers provided that the tubes are intact without adhesion or swelling and the ovarian stock is good.

* Sometimes pregnancy can occur even in the presence of blood cysts.

The cyst itself does not cause the failure of microscopic injections, but we remove it or treat it before injection to improve ovulation. The Endometrium also itself does not cause microscopic injection failure.

In this matter, Dr Ahmed Hussein would like to deny information that "The cyst prevents the implantation of embryos" as it is inaccurate information at all.

Unfortunately, there are no ways to prevent the disease from happening. Even contraceptive tablets do not prevent their appearance. It can only reduce the chances of its return again if it already exists.