Risk factors for EP include previous pelvic infection, pregnancies conceived with IVF or after a reversal of sterilization.  Symptoms include irregular vaginal bleeding, ‘stabbing’ lower abdominal pain, fainting and occasionally shoulder discomfort. Although an EP may be diagnosed by a pelvic ultrasound scan alone, it is common to also take a blood sample to check the level of a pregnancy hormone  called beta-human chorionic gonadotrophin (HCG). Watching and waiting may be suitable if the EP is small and the levels of HCG are low and falling quickly. Surgery is frequently the best option and if so, is almost always performed using a laparoscopic or ‘key hole’ approach. Where appropriate,  it is possible to try and avoid surgery by giving  an intramuscular injection  of a drug called methotrexate (MXT).  This is a safe option for some women and is successful in approximately 90% of cases where it is used.
Although the chance of woman having an EP at all is low, if she does then the chance of another EP in a subsequent pregnancy is around 10% (1 in 10).
Dr Eric Daiter is a nationally recognized expert in Reproductive Endocrinology and Infertility who has proudly served patients at his office in New Jersey for 20 years. Endometriosis is an abnormal condition of the female reproductive system in which tissue (endometrium) that normally only covers the inside cavity of the uterus grows outside the body of the uterus. Types and stages of endometriosis can be distinguished by location (such as bowel, bladder and ovarian endometriosis), the extent or depth of invasion (forming the basis for clinical staging), or visual appearance (such as red flame lesions, powder burn marks and clear vesicles).
Endometriosis is most often located on, or invading through, the peritoneal lining that covers the uterus, the fallopian tubes, the ovaries, the bowel, or the bladder. The number, size and depth of endometriosis implants can be described and this information forms the basis for clinical staging. The visual appearance of endometriosis can vary from clear vesicles (blister like lesions following chronic irritation) to red flame implants (inflamed, raised, and brightly colored red lesions) to classic powder burn marks (small areas of blackened necrotic tissue) to white stellate tissue (blanched scar like lesions). The cause of endometriosis is generally not determined for any specific woman undergoing medical treatment, but medical researchers believe that most cases of endometriosis are caused by one of three mechanisms. Although the number of women with endometriosis is uncertain, endometriosis doctors believe that up to 10% of all reproductive age women and up to 40% of women with a fertility problem have endometriosis.
Additionally, up to 55% of teenagers undergoing laparoscopy for pelvic pain are found to have endometriosis. Endometriosis can present as pain, initially endometriosis often causes pelvic and lower back pain during the menstrual flow. When pelvic pain is thought to be due to endometriosis, medications have been shown to reduce the pain significantly in up to 85% of women, but it often takes several months of treatment to achieve this level of pain relief. Surgery can be used to effectively reduce pelvic pain related to all stages of endometriosis, as well as pain related to most other pelvic pathology, by removing endometriosis and repairing the pelvis. When endometriosis is thought to cause female infertility, medications have not been shown to increase fertility. Many women with persistent pelvic pain, or infertility, due to endometriosis have a difficult time finding effective treatment since this condition is under-diagnosed. At our office, we have the expertise and experience to effectively diagnose and treat endometriosis. Additionally, several patients volunteered to participate in a video describing their experience at our office. Fax a copy of the front and back of your medical insurance card to 908 226 0830, along with your date of birth (required to check your medical insurance benefits) and your contact information. It is often observed that women aged between 25 and 35 are diagnosed to be having endometriosis. It is often observed that the kind of treatment is based upon factors like age of the patient, severe conditions to the disease and the willingness to want children in future. Laparoscopy is a surgical procedure where laparoscope, a telescope-like instrument is inserted into the abdomen through small incision and to diagnose or treat various diseases, especially endometriosis. Endometriosis occurs when the cells from the endometrial begin growing outside the uterus and respond to the hormones that control the menstrual cycle. After the procedure of the surgery is completed, the patient usually spends several hours in the recovery room to make sure she recovers from anesthesia without complication. After the surgery, woman who takes laparoscopic surgery endometriosis will experience laparoscopy endometriosis recovery. However, do not too much sleep, because the patient will recover more quickly if she moves.
Though most of couple wants to have baby but there are many people who want to abort the pregnancy. Symptoms of pregnancy at 1 week could be different from one pregnancy of each woman to the other. White discharge during early pregnancy is become a very common complaint from pregnant women. Many women are asking about how to terminate a pregnancy at home because many women are afraid of having clinical abortion or simply because they want to have privacy to terminate a pregnancy at home. Probably, there are some women who have not been pregnant yet in their entire life will question about mucus discharge in early pregnancy once they comes to this situation. In the past, many women underwent hysterectomy, a major operation, even though they didn’t have any significant or serious disease within the uterus. There are several ways in which this can be performed and they all avoid the need for a surgical incision. Most endometrial ablations are carried out under a general anaesthetic although, in some hospitals, it is available under a local anaesthetic.
Endometrial resection and TCRE (transcervical resection of the endometrium) are terms used to describe the removal of the endometrium (uterine lining) in strips using a fine wire loop through which an electric current is passed (electrodiathermy). The wire loop is inserted down the side channel of a hysteroscope so that the surgeon can watch the procedure on a screen. This is similar to endometrial resection in that it uses heat generated by electricity (electrodiathermy) but the difference is that the uterine lining is destroyed by contact with the ball which is rolled slowly over the surface.
First generation methods of endometrial ablation are very effective but do carry some risks.
Other complications that arise only after endometrial ablation or resection are uterine perforation (see below) and absorbtion of the irrigation fluid into the circulation which, if excessive, can put a strain on the heart and circulation – a condition known as fluid overload.
Endometrial resection and the other first generaton methods described above, although much simpler than hysterectomy, are time consuming to perform, difficult to learn and not available in all hospitals.
Results of clinical trials show that they are equally effective and, most importantly, safer than the first generation methods and endometrial ablation is now available in most hospitals. A probe of suitable size is inserted into the cavity of the uterus, the heat source is triggered and the probe is gradually moved around the cavity for the length of time needed to destroy the endometrium.
A small balloon is inserted into the cavity of the uterus and filled with fluid so that it fits the shape of the cavity exactly. These methods are safer than the first generaton methods because they do not require fluid irrigation and the risk of haemorrhage is much lower. A rare but potentially serious complication is perforation of the uterine wall by the instrument used to heat the uterine lining. It is usual to experience cramping period-like pain for a few hours after the procedure and pain killers are routinely prescribed both before and after.
During the menstrual cycle, the uterine lining gradually grows and thickens in preparation for possible pregnancy as described on page x. Although most endometrial ablation operations are carried out under general, rather than local, anaesthetic, they are performed as a day case procedure with no overnight hospital stay and recovery is considerably faster than after a hysterectomy.
In the short term, endometrial ablation has many advantages over hysterectomy but, unlike hysterectomy, it does not guarantee to stop all menstrual bleeding in the future. If you have completed your family and are seeking relief of heavy bleeding, do not suffer much menstrual discomfort and wish to avoid major surgery, endometrial ablation is an option well worth considering. This form of treatment is not suitable for women who may want to have children in the future. This type of treatment is not usually recommended for women with a uterus containing large fibroids (see below).
You should be aware that insertion of an IUS may be as effective as endometrial ablation, is more likely to relieve period pain, preserves fertility and avoids the potential risks of surgery.
If medical treatment or endometrial ablation has failed or is not suitable, there are two other procedures which you may be offered which do not involve removing the uterus itself. If you have not had children or want to have more in the future, it may be possible to remove the fibroids and preserve the uterus – an operation known as myomectomy. An operation to remove large fibroids may be complicated by heavy bleeding, so that a blood transfusion is necessary. For the reasons outlined above, it does not make sense to opt for a myomectomy rather than a hysterectomy unless you are anxious to retain your uterus so that you can have children at some time in the future. An operation to remove fibroids should be done only if the fibroids are causing symptoms such as pressure or heavy bleeding, not just because they’re there.
Some women have fibroids that are situated within the uterine cavity, so-called submucous fibroids.
Once the arteries (blood vessels) supplying the fibroids have been located, a special material is injected that blocks off (embolises) the blood supply. Embolisation results in gradual shrinkage of the fibroids by up to 60% over the first year after treatment but they do not disappear altogether. Following the procedure some women feel feverish and develop flu-like symptoms which settle within a few days. The main problem, experienced by up to one third of women, is a vaginal discharge which in some cases can persist for several weeks. The most effective cure for fibroids is hysterectomy but this involves major surgery and loss of fertility. Not all fibroids are suitable for embolisation and it is usual to assess suitability by performing a more detailed scan, known as an MRI scan, before any arrangements are made.
The diagnosis of endometriosis is usually made by laparoscopy and some gynaecologists will offer to treat small areas of endometriosis while they’re doing the diagnostic laparoscopy operation.
If the endometriosis is more extensive, a second operation may be required to remove areas of endometriosis, possibly after a course of treatment with one of the drugs described on page xx.
The disadvantage of surgical as opposed to medical treatment to relieve the symptoms of endometriosis is that not all areas of endometriosis are visible and thus the surgery may not relieve the discomfort altogether.
La mayoria de mujeres hemos pasado, al menos una vez a lo largo de nuestra vida por una infeccion vaginal o vaginitis; cuales son las causas de una infeccion? La infeccion vaginal o vaginitis, se produce por hongos o bacterias que han invadido el interior de la vagina. A medida que vamos creciendo, los organos reproductores van cambiando, por ejemplo cuando llegamos a la adolescencia las mujeres solemos secretar un flujo vaginal para mantener saludable la vagina humectandola y limpiandola, lo que es completamente normal. El flujo vaginal suele ser de color claro, normalmente no tiene olor y en tus fechas de ovulacion se vuelve mas espesa como si fuese clara de huevo; por tal motivo muchas veces nos damos cuenta que en nuestra ropa interior existen rastros de este flujo, pudiendose ser blanco o medio amarillento. Sin embargo cuando se sufre de infeccion vaginal, el flujo vaginal cambia teniendo un olor bastante fuerte y desagradable, picazon, ardor, irritacion, dolor y hasta hinchazon en los labios de la vagina.
Por eso es bueno conocer nuestros organos genitales y cada parte del cuerpo, para saber cuando algo no esta marchando bien. Las causas pueden ser diversas, entre las mas comunes tenemos las infecciones causadas por hongos (candidiasis), infecciones causadas por bacterias (vaginosis bacteriana) o Vaginitis por Tricomonas Vaginalis (Tricomoniasis).
La vagina es una zona con la cual debemos tener sumo cuidado, por eso es recomendable lavarse la zona de los labios y el pubis, con agua y jabon. La vagina tiene su automecanismo de limpieza, por lo que es recomendable no aplicar nada dentro de la vagina. No usar toallas higienicas con olores, ni tampones aromatizados, y evitar los desodorantes en aerosol para la vagina. El uso de condon tambien es recomendable, en caso seas alergica al latex, existen condones hechos a base de poliuretano.
Apenas se presente alguno de los sintomas de una posible infeccion vaginal, recurrir de inmediato al ginecologo.
Para cada caso es diferente, hay quienes necesitaran de medicamentos mas fuertes que otros; por lo que se recomienda en primera, ser sinceros con el medico que nos esta tratando para que determine las verdaderas causas y pueda ayudar a solucionar el problema. Hola a todos, les cuento que consulte este medio porq tenia muchas dudas al respecto de los embarazos y el porque de las rasquinas constantes y el ardor vaginal. Hola , estaba leyendo el articulo porque padezco de infecciones vaginales constantemente, ya he acudido al ginecologo y me ha recetado varios medicamentos , la mayoria antibioticos y lo que estos hacen es calmar los sintomas por algun tiempo y al paso de algunos dias vuelven las molestias.
Hola… Estaba Mirando el articulo por que un dia mi novio utilizo un condon que me ardio.
Hola les queria comentar que tengo 14 anos y ultimamente tengo flujo my amarillo antes me picaba mucho la vagina pero ya se me paso.
Hola me llamo daii tengo 18 anos ase unos meses vengo teniendo unos flujos blancos medio amarillento con un pokito de olor me arde y luego tengo picasones constante a la hora de tener relaciones con mi novio me salen flujos liquidos y ala ves otros medios duritos fui al ginecoloco y me dijo qe esta todo normal que tengoo m pueden ayudar?
ASE UNOS MESES ATRAS ME DIO UNA COMEZON EN LA PARTE EXTERIOR DE LA VAGINA Y QUE ME EMPEZO A ARDER Y A INFLAMARSE YO PENSE QUE FUE POR UN PROTECTOR QUE TENIA MUCHO OLOR Y ENTONCES LO DEJE PASAR , PERO RESULTA QUE AHORA ME VOLVIO A PASAR Y ME E SENTIDO MUY ADOLORIDA , ME PICA , Y ME ARDE DEMACIADO EN MOMENTOS , Y TANTO QUE ME PICA ME ESTOY DEJANDO LEVES HERIDAS PERO LO RARO ES QUE NO E USADO NINGUN PROTECTOR Y E SIDO BIEN CUIDADOSA DESDE LA VEZ ANTERIOR QUE FUE ASE COMO 2 O DOS MESES Y MEDIO NESECITO SU AYUDA PLISS ! Hola stoy muy angustiada, xq hace mas de 2 meses q stoy con picazon y ardor al momento de orinar, es unasensacion horribleee, tengo los labios vaginales inflamados y ala hora de higienizarme mis partes intimas me salen quesos blancos y amarillos, pastosos como si no m hubiese banado una semana,sto tiene unos olores muy fuertes q ni me aguanto y m incomoda muchisimo, agradeceria una ayuda u orientacion!!!
HOla Yuls, podrias tener una infeccion vaginal, por lo que te recomiendo ir a un especialista del caso para que puedan ayudarte.


Hola a todas, tengo 18 anos hace aproximadamente un ano que comenze a tener relaciones genitales con mi pareja, nunca me protejo menos uso condon, he sentido que tengo infeccion siempre me baja fluor blanquito muchismo desenso , acudi a mi ginecologo me receto ovulos y pastillas y se me paso pero ahoraa ya hace meses como hace 3 dias recien me ha comenzado a sentir ardor picazon en mis labios, y a la hora de hacer mis higienes a mis partes sale esas cosas blancas tipo queso que pareciera que no me he banado semanas .. El dia de ayer tuve relaciones con mi novio, y cuando terminamos de tener relaciones fui al bano orine y me ardia un poco, ahora cuando orino y me seco me duele cuando me seco mi vagina y quiero saber porqeu me arde y duele cuando me seco o tengo cualquier tocamiento con mi vagina.
Hola Osmary, tienes que tener confianza en tus padres, quien mas que ellos son los que podran ayudarte, un padre nunca hace dano a sus hijos al contrario, ayudan a solucionar los problemas.
Si has tenido una infeccion es porque seguro tu enamorado ha contraido una infeccion y te lo ha pasado a ti. Utiliza preservativo, si tu novio no carga, pues tu cargalo, por un momento de placer vas a quedar embarazada, si eso es lo que deseas pues adelante. Holaa, mi chavo y yo tuvimos relaciones sin proteccion fue nuestra primera vez, el no metio todo el pene nadamas la punta, puede que haiga una infeccion?, cuando orino no tengo dolor, ni ardor, nadamas me sale flujo amarillo. HOLA MI PROBLEMA ES QUE TENGO CASI COMO HACE DOS MESES PERO NO DE MANERA CONTINUA UN ARDOR Y PICAZON EN MI VULVA PERO AHORA YA ME PREOCUPA POR QUE ES UN POCO CONTINUO QUISIERA SABER QUE PUEDO HACER PARA EVITAR TODO ESTO???????
Si tienes verguenza hablar con tu madre y no sabes que hacer con esa dolencia, te recomiendo que vayas al ginecologo de manera inmediata, el especialista en estos casos podra ayudarte a mejorar lo que tienes.
Con respecto a las relaciones, al comienzo generalmente es suave, despues de un rato es un poco mas brusco. Hola a todos, quisiera comentarles q tengo hace ya 2 meses con picazon en los labios y un Poco de ardor me pica y ya no se q hacer.!!
Hola, hace 10 meses que tengo infecciones urinarias y vaginales frecuentes, despues de tener relaciones sexuales inician, voy con el medico y me da antibioticos se me calma por unos 5 dias aprox. Hola yo tengo 33 ase un poco mas de un ano me pusieron el dispositivo el de la t bueno desde ahi comense con picason en mis labios vaginales despues me dio una pequena infeccion k mi medico me la trato se me quito pero yo segui con la picazon y despues me dio resequedad por lo cual se me reditos me dieron pastillas pomadas pero no se me quita y no mesale nada de infeccion ni ongos ya me isiron una biopsia y todo sale bien y la verdad ya no se k hacer ni k ponerme lavresequedad se me calmo con Sure de almendras pero la picason sigue y no se pork ,cabe mencionar k tengo diabetes y no si sea por eso pork Pense k era el dispositivo pero ya me Lo retiraron y la verdad la primer.semana k me Lo quitaron anduve muy bien ,ha mientras reglo todo es perfecto.
Hola este articulo me ha parecido interesante ya que estoy precensiando unos sintomas de una infeccion u hongo. Hola pues tengo inchado mi labio menor ii me pica mucho mi vagina mi labio menor parese utra clitoris que cuelga un pedazo de piiel al lado de la clitoris q hago no qiero ir al ginecologo?
Aniluap, tu sabes muy bien que eso es una infeccion, por el bien tuyo y de tu bebe debes ir al doctor para que te receten algo para calmar esa dolencia, recuerda que una infeccion en tu cuerpo podria pasar a la leche materna, asi es que mejor, acude urgente.
Hola… Tengo 18 anos hace una semana estoy con unas comesones y ardiencias en la vagina…!! Angie Marlovis, si tienes ardor y comezon, debes tener claramente una infeccion vaginal, aun asi te recomiendo hacerte una consulta sin ningun tipo de temor a tu ginecologo. Hola estoy muy preocupada ya que hace hace dos dias tengo un flujo muy raro es duro blanco pero sin olor tiene la consistencia de ph mojado y eso me procupa y su ves tengo Radon y un poco de Picazon pero es del momento tengo 15 anos y me da mucha verguenza decirles a mis padres ayudenme Porfavor!
JANELLA no debes tener verguenza en comentarle a tus padres, todos hemos pasado por esa etapa y por el contrario, tus papas te van a ayudar y van a ir contigo al medico para que puedan hacerte un chequeo, es una rutina que pasamos todas mas mujeres. Yesenia, lo mas seguro es que cuando te has llegado a rascar se hayan abierto ciertas fisuras en esa parte interna, es mejor ir al medico para que puedan recetarte otro medicamento. Ante cualquier eventualidad en nuestro cuerpo, debemos ir a chequearnos y no automedicarnos. Q onda!,tngo una duda,,,acabo de tener relaciones con mi novia sin condon y ella estaba en sus dias ac 3 dias y aora tngo ardor al orinar y cuando tngo relaciones con ella tambn me arde.sera una its por lo mismo de sus dias? Hola Adriana Angelica, de acuerdo a la cantidad de cobre que contenga el DIU, vence a los 3, 5 o 10 anos.
Generalmente se deberia revisar cada seis meses, pero todo va a depender del estado de salud de la persona y de su actividad sexual. Hola, hace como 3 anos me senti tipo como verruguitas n mi labios vajinales, fuis al ginecologo y me dijo q eran verrugas genitales q no tenia nada d malo, me hicieron l papanicolao y salio todo bien, siempre desd chika e padecido de flujo y de infecciones vaginales, con el paso dl tiempo me han salido mas verriguitas, tipo lunares, y me pikan muxo, la verdad me da miedo ir al ginecolo, y a a cada rato me pika y me arde muxo mi vajina, q sera ayudenme cren q sea algo malo, solo con mi marido tengo relaciones sexuales, y le pregunto q si le e pegado las verruguitas y tiene el su pene linmpio, a hora ya no es una verruguita son mas, y son como lunares me pikan y tengo unas pegado al recto, ayudenme porfa tngo miedooo. Daniela, tu caso puede tratarse de una gran infeccion vaginal, que segun lo que comentas los flujos puede deberse a ese motivo. Las infecciones son normales en las mujeres sin importar la edad que tengas o que seas virgen. Arisa, si ahora tienes mas verruguitas en la zona de la vagina debes ir nuevamente al ginecologo porque puede que esa infeccion se haya complicado. Marle, seguramente tu problema se debe a un tema de falta de lubricacion en la vagina, no se si sea tu caso pero antes de tener relaciones prueba estimular las zonas sensibles de tu cuerpo para que asi logres una mayor excitacion y tengas una adecuada lubricacion. Que sea algo de consideracion o no, solo vas a poder saberlo cuando vayas al medico y te hagas un chequeo, por lo que comentas el ardor en la vagina suele darse por infecciones vaginales que son muy frecuentes y comunes en las mujeres por diversos motivos. Fernanda debes ir al ginecologo y verificar si tu flora vaginal y tu ph estan balanceados, aveces sin intencion las mujeres cometemos un error. Hola!, mi caso es el siguiente, tengo 23 anos: Yo he ido al ginecologo a hacerme un chequeo porque justamente tenia una flujo vaginal anormal, y de color amarillento, lo que mas me molestaba esta el exceso de flujo que presentaba, el doctor me realizo un analisis de cultivo de mi flujo vaginal. Mariel, ve al ginecologo porque segun lo que comentas se trata de una infeccion vaginal que necesita ser tratada a tiempo.
1.Les recomiendo a todas que al usar el bano, no se sienten, y menos si es un bano publico o de centros comerciales. Hace unos tres dias desde cuando voy al bano y hago pipi siento como si algo se desprendiera en mi vagina. Mi hija d trece Nos tiene picazon en la vagina se rrasca y llora porque hata se saca snagre que hago yo la limpio y le coloco crema No 4 de bebe. The main aim of any holistic treatment (for fertility) is to help create, improve and maintain a healthy environment within to encourage early foetal development. Worrying about fertility can cause stress and stress can be a fundamental cause of infertility, thus you can find yourself in a vicious circle.
In Traditional Chinese Medicine our reproductive system can be associated energetically with emotional stress such as fear, worry, anxiety etc. Ideally starting three months, depending on the issues to address, prior to attempting natural or assisted conception to allow the body to adjust, rebalance and prepare. Alison specialises in treating infertility, pregnancy, miscarriage, menopause and all things hormonal. Alison on Brooklands RadioAudio clip: Adobe Flash Player (version 9 or above) is required to play this audio clip. If the ovary  contains a cyst formed by endometriotic cells then this is called an endometrioma. However, EP’s are also sometimes diagnosed during a routine ultrasound even when no abnormal symptoms having been experienced at all. Most often the Fallopian tube containing the EP is removed but sometimes it is possible to remove the EP alone and preserve the tube.
However, treatment can take several weeks to complete and during this time blood tests are needed to assess progress. Because of this it is advisable to have a trans-vaginal ultrasound around 6 weeks after the onset of menstruation to determine where the pregnancy is growing. If you have questions or you just want to find a caring infertility specialist, Dr Eric Daiter would be happy to help you (in the office or on the telephone). Daiter is a board certified Reproductive Endocrinology and Infertility expert with greater than 15 years of clinical experience in the diagnosis and treatment of endometriosis.
Endometriosis is a condition wherein the endometrial tissue has its growth outside the uterus like lining cells and is seen in the pelvic area, the ovaries, fallopian tubes or the intestines, rectum or bladder. However, the treatments enhance in the reduction of its symptoms and allow a person to work in the normal pace. Use of oral contraceptive pills might reduce the flow during menstruation and also reduce the risk of retrograde bleeding.
Eating healthy foods, drinking plenty of water and including fruit juices in the diet help a woman to be free from such disease.
Endometriosis is a condition in which the tissue that lines the uterus grows elsewhere in the body, usually in abdominal cavity.
After the surgery and leave the hospital, she may feel soreness around the incision, shoulder pain from the gas used to inflate the abdomen, cramping or constipation. The risks that follow laparoscopy include the complications due to anesthesia, infection, injury to organs or other structures, and bleeding.
The patient will need this person in charge of managing the medications for the first couple of days. Some of the activities may be restricted too such as intercourse, tub bathing, douching, and swimming.
During the recovery time for several weeks, the patients will has emotional ups and downs, cry easily, and becomes anxious, agitated, frightened, or suspicious. There are many ways to abort pregnancy, if you are wondering about how to abort pregnancy at home, you can find the solution in health care provider.
Pregnancy symptoms should be understood at earlier because it may be related to something other than pregnancy.
In recent years surgical procedures have been developed in which the endometrium (the uterine lining) is removed or destroyed, leaving the remainder of the uterus and the ovaries undisturbed. The methods used vary in cost and complexity, and the method or methods available in your hospital will depend on the equipment available and the preferences of local gynaecologists.
All procedures are carried out via the vagina, by passage of instruments into the cavity of the uterus through the cervix. This heats up and coagulates the muscle wall of the uterus at the same time as it strips away the lining, thus reducing the risk of haemorrhage. The uterine cavity is continuously flushed through with fluid to open it up and give a good view while simultaneously washing out blood and lining tissue and cooling the uterus down.
Like endometrial resection, the procedure is done using a hysteroscope with constant fluid irrigation. The laser beam is passed down the side arm of a hysteroscope and guided by the surgeon over the uterine lining. As with all operations these include difficulties resulting from the use of the anaesthetic, excessive bleeding (haemorrhage) and infection.
Between two and six per cent of first generation endometrial ablation operations have serious complications and the risk of complications is slightly higher with endometrial resection than with other methods. Recently several newer methods have become available, based on developments in technology, each using a different way of delivering heat to the uterine cavity in order to destroy the endometrium.
They are performed in conjunction with hysteroscopy or ultrasound so that the gynaecologist can check that the instrument is placed correctly in the cavity of the uterus before activating the heat source.
It is suitable for use where there are small fibroids but may not be suitable for some women who have had one or more caesarean section births because this may result in thinning of the uterine wall and a greater risk of damage due to perforation.
You may read about one of these in a newspaper or magazine, or even on the Internet, only to find that it is not available locally. However technical problems with the equipment may occur, resulting in delay and sometimes rescheduling of the treatment if the problem can’t be sorted out right away. It is also normal to experience a vaginal discharge for up to two or even four weeks afterwards. The older (first generation) methods of ablation are more difficult to carry out and do not work so well if the endometrium is very thick .
You will be able to take up your normal domestic activities after a few days and go back to work within one to two weeks – considerably less than the recovery time needed after a hysterectomy! Survey results indicate that, two to three years after the operation, around 20 per cent of women have no menstrual bleeding and 50 to 60 per cent have reduced bleeding, but up to 25 per cent find that there is no improvement or an actual worsening. The procedure reduces fertility and, although some women have become pregnant after endometrial ablation, there is a very high risk of miscarriage and later complications. This is not easy to do from the surgeon’s point of view, particularly if there are several fibroids, and in some cases they may be very numerous. In extreme cases, an emergency hysterectomy may have to be done, but this is fortunately rare.
However, if you have strong objections to hysterectomy for personal or cultural reasons, most gynaecologists will be sympathetic, provided that you fully understand the risks and limitations. Rarely, fibroids may be a cause of recurrent miscarriages, in which case they should be removed.
If so, it may be possible to remove them with the aid of a hysteroscope, using methods similar to those described above.
Preliminary results suggest that the procedure relieves symptoms of heavy bleeding and pelvic pressure in around 80% of women but the long-term success of the treatment is not known. If you are approaching the age of the menopause and medical treatment is not appropriate or has been unsuccessful, embolisation is a sensible alternative to hysterectomy. Only a relatively small number of women have had pregnancies after fibroid embolisation and although the outcome has generally been successful, embolisation may not be recommended to women who plan to have children in the future unless their symptoms are very severe or the only other treatment option would be a hysterectomy. This can be done using electrodiathermy (direct heat generated by electrical energy), by laser or by other similar methods.
Endometriosis that has resulted in the formation of ovarian cysts containing altered blood (endometriomas or chocolate cysts) usually requires surgical treatment, and this is best done by laparoscopy rather than by open surgery, unless the cysts are very large. Algunos se limitarian a pensar de que se trata solo de un contagio sexual, pero es mucho mas que eso, existen otros agentes que producen esta enfermedad. Otras causas serian por Infecciones de Transmision Sexual (ITS), tambien la ropa interior apretada que usaste, el uso frecuente de ropa interior sintetica, los suavizantes de ropa o jabones, los espermicidas, alergia al latex, un tampon que no se retiro a tiempo, incluso los productos de limpieza vaginal.
Ya estoy desesperada porque no se quitan los molestos sintomas, debo admitir que han bajado en intesidad, pero quiero que se me quiten por completo y el ginecologo solo me da antibioticos porque dice que no me puede dar ovulos porque soy virgen.


Soy virgen y todavia no tuve mi primera menstruacion me da verguenza decirle a mi mama ie hago??? Mi situacion es la siguiente: mi flujo es constante y de color amarillo, oloroso, pero sin picazones ni ardores.
Y el martes de esta semana me bajo la regla nose si me irrite o que paso, si es una infeccion por via sexual ya que soy activa, que puede ser?
Yo tengo 20 y desde qe tuve a mi nina a los 18 tengo muchas infecciones vaginales yo pense cuando estaba embarazada qe era por esoo por el embarazo pero es estos dos anios tengo infecciones muy constantes por no decir que cada mess Quee puede serrr? Tengo una inchazon picazon un olor orrible flujoo como Amarillentooo Noo lee ee dichoo naa amii mama qee tengoo esoo x miiedo aqe me lleve pa un jinecologoo y le digan qe tengo una infeccion x tramiccion sexual mii mama me pegaa y sii le dicen qe no soy viirgen me mataa ayudenme xfvorr estoy dessesperada loqe ago es yoral tengo 12anos y nesesito qe me ayuden xfvorr estoy muy azuztadaaaaaaaa qee agoo sii le dijo a mi mama qe me yeve par ginecologoo o qee?
He ido al ginecologo y me a enviado ovulos y medicamentos para la infeccion y nada se me calma po unos dias y vuelven los sintomas. E estado leyendo sus comentarios y d verdad me da un poco de temor, hace como tres semanas me fui al?ginecologo xq sangraba constantemente y el doctor me receto hormonas tengo q decirle que tenia la t de cobre y me la quitaron en esa visita…!!!
Fui al ginecologo y me dijo que son hongos y me dio ovulos, me los puse y se me paso, pero ahora volvio el picazon. Una semana antes de q me viniera la regla empece a tener un color rosado en mi flujo y con dolores en el bajo vientre, me vino y se me fue la regla, a los tres dias volvieron las molestias y el flujo d ese color al asustarme he ir al medico de cabecera este me dijo q me keria revisar le dije q el xq me contesto q si no me revisaba no podia saber lo q tenia, me dijo q me quite el pantalon y las bragras, asi lo hice pensando q solo me iba a mirar x fuera pero para mi sorpresa cogio y me empezo a tocar dentro, me dijo q tenia hongos. Si algunos casos los doctores pueden decirte q te desnudes y tocar las partes afectadas, sin demorar ni tomarse el tiempo, pero si viste que quiso sobrepasarse contigo, pues debiste denunciarlo.
Pero ahora solo siento un poco de picason en mis labios, ?Que puedo hacer para que se me vaya esto? Tengo ardor al orinar y cuando termino en el mismo me da comezon y me esta bajando un flujo vaginal de color verde claro. Tu sabes que la flora vaginal es la que se encarga de proteger a la vagina de posibles microbios o infecciones y el ph es quien mantiene humedecido las labios vaginales y aveces sin querer utilizamos jabones de tocador muy fuertes para nuestra zona intima y eso puede llegar a provocar esa descompensacion que puede originar mas adelante una infeccion.
Actualmente nuevamente me volvio a salir este mismo flujo anormal, me preocupe mucho pero quise hacer el tratamiento de diez dias, pero no lo termine solo hice 6 y como me sentia mejor lo deje.
Trata de usar ropa intima de algodon, evita los pantalones o ropa caliente en tu zona intima. Si sientes que te arde tu zona intima, seguramente tienes el ph alto.algunos medicos mandan a comer pastillas de vitamina C para regularlo. La garnarenella, es un flujo que huele a feo, como a pescado, flujo espumoso, amarillo etc, eso depende del cuerpo y del avance de la infeccion. Si tienes pareja, tu companero debe ser tratado, por que si tu estas usando cremas, y el no se cuida, te estara reinfectado cada vez que tengan relaciones. Fortalece tu organismo, subir las defensas harpa que todo tu cuerpo luche para no enfermarse. Recientemente me purgue con albendazol (tome dos pastillas), y dos dias despues tome secnidazol. Si tienes alguna infeccion fuerte, y aun yendo al medico no se te quita, preguntale si puedes tomar antibioticos inmediatamente se vaya el periodo al tiempo que te pones ovulos de los que le te indique, que seguramente sera algo de l oque te mencionpe por que eso es lo que mandan siempre.
Por favor no abuses de los medicamentos, sigue la recomendacion de tu medico, y solo repite el tratamiento si es necesario, no te automediques. There can be side effects of MXT, a second injection may be needed and if the treatment does not work then surgery is likely the only remaining option.
It is easy, just call us at 908 226 0250 to set up an appointment (leave a message with your name and number if we are unable to get to the phone and someone will call you back). It is believed that women who delay pregnancy till an older age are always at the risk of developing the condition. The most important cause might include the endometrial cells that become loose where the menstrual flow gets into the fallopian tubes and the abdominal cavity and pelvis during menstruation cycle. The first treatment to be given to such patients is to increase the production of estrogen in the body.
Cleaning and grooming habits demand changes for women as they are resistant to acquire such diseases inwardly. It’s important to remember that not all of the endometrial implants will remove with surgery.
Endometrial resection is now much less popular than other methods of ablation because it is more difficult to perform and carries a slightly greater risk of complications than the newer methods (see below). The laser is in many ways ideal for this task but has the disadvantage of being very expensive and beyond the price range of most NHS hospitals.
These complications are less likely following all methods of endometrial ablation than they are after a hysterectomy.
However in hospital that have carried out these procedures for a number of years they are generally very safe and effective. If you have had one or more caesareans in the past, an ultrasound scan will be done to measure the thickness of the wall to see if you are suitable for MEA.
This is because new treatments have to be thoroughly tested and compared with existing methods before they can be introduced more widely.
If the perforation isn’t spotted immediately and the treatment goes ahead, this can result in damage to nearby structures, including the intestines and large blood vessels, and emergency surgery to repair the damage is then required. If these methods are used, it is usual to prescribe drugs to thin the lining in preparation for surgery. Longer-term follow-up indicates that over two-thirds of women treated with endometrial ablation are satisfied with the results and avoid hysterectomy. It is normally done by open surgery unless the fibroids are within the uterine cavity (see below). After a myomectomy, there is no guarantee that you can still become pregnant or that heavy bleeding will be cured and there is still a chance that further fibroids will grow in the future. However, it is best for such procedures to be carried out in a hospital that specialises in hysteroscopic surgery because removal of fibroids in this way is difficult and requires considerable experience. These show up the blood supply to the uterus (uterine arteries)by dye injected through a very fine plastic tube inserted into one or both groins. This is usually treated by an infusion of a strong pain killer such as morphine and it is necessary to stay in hospital for one or two days. If the fibroids are very large or numerous, a 60% shrinkage may still leave you with symptoms of discomfort or pressure. Embolisation is not available in all hospitals and if you are keen to have this procedure you may need to be prepared to travel.
Surgery may be particularly beneficial for women who are trying to conceive a baby as hormonal treatment would not be suitable in this situation.
For women with severe endometriosis who want children, in vitro fertilisation (IVF) may be the best option and this can be combined with spells of medical treatment to relieve symptoms in between cycles of IVF. Quisiera saber otros consejos u otras alternativas para el cuidado e higiene intimo gracias. Me preocupa seguir tan hinchada y ese agua que sale, es transparente, muy acuoso y sin olor.
Luego e tomado el tratamiento del doctor pero hace una sem se me kito el apetito sexual y me dolia mucho, mi esposo me ha examinado y dice que tengo una rajita entre la vagina y el recto, m heche una crema que me recetaron para cicatrizar las laceraciones pero al dia sig me comenzo picar horible y en mi clitoris tengo en el inferior roja y cositas blankas me arde toda mi vagina y no se que acer porq tengo comezon auxilio es urgnt…!
Ahora despues de mi periodo menstrual nuevamente volvi a presentar este flujo anormal desagradable y exagerado… Que me recomienda? Si es el bano de tu casa, te recomeindo lavarlo con agua caliente y limpido a diario, asi lo podras usar com tranquilidad sin peligros de infeccion.
Gynocanesten, son muy refrescantes y antimicoticos, es decir te destierramn toda infeccion por hongos, clamidia, candidiasis, picazon etc. Women are advised to wait 3 months from when they receive this treatment before attempting to fall pregnant again.
Severe bleeding occurs as blood flowing from the endometrial tissue that has grown outside the uterus, does not have an outlet to move. Sometimes gastrointestinal or urinary tracts might experience a blockage after the implants of endometriosis.
Change in the lifestyle, taking a healthy diet, exercises and natural therapies might help in the prevention of endometriosis. Particularly during menstruation cycle it is often advised a woman to be more conscious about cleanliness. This chapter also describes alternative surgical methods of treatment for endometriosis and uterine fibroids. It is probebly the safest of all the methods of endometrial ablation and is more suitable than other methods for use under a local, rather than a general, anaesthetic. Some hospitals will prefer existing methods; others may be involved in testing out one of the newer methods.
If the discharge becomes offensive or if you develop a temperature and feel unwell this may be a sign that you have developed an infection. Women who respond well initially but whose heavy bleeding gradually returns may be treated successfully by a second endometrial ablation procedure.
Similarly fibroids do not usually cause infertility although they are more common in women who have not had children. However most women who have become menopausal immediately after embolisation have been over the age of 45. Creo que realmente lo que mas me enferma es la ropa interior ajustada, y los residuos de jabon q quedan en la misma. Mi ginecologa digo que era irritacion pero comenze de nuevo con los sintomas y fui de nuevo a mi ginecologa.
Tambien puedes usar panitos humedos sin alcohol y sin aroma para secarte despues de orinar. Few women experience severe bleeding and pain with the growth of cysts, lesions and scars on the tissue during menstruation cycle. Oral contraceptive pills, progesterone pills or injections, Danazol and Mirena are some of the medications given to reduce the intensity of endometriosis.
The usage of progesterone pills or injections might cause depression, increase the weight and lead to blood stains. Performing physical exercises also help in bringing out the unnecessary toxins in the body in the form of sweat.
Some studies found that surgical treatment of endometriosis may improve a sub-fertile woman that has chance to get pregnant. This is more likely to be required if you are under the age of 40 when you are first treated. Overall the procedure seems to carry a low risk of complications and certainly fewer complications than hysterectomy or myomectomy. Una vez empieces a visitar al ginecologo o ginecologa, perderas la pena, y veras que no es nada del otro mundo. The growth of endometrial cells lining the pelvic organs might also experience a growth of different forms of tissue.
Excessive use of medications leads to tenderness in the breast, nausea, and other hormonal defects. The overall rate of risk is about 1-2%, the serious complication is only 0,2% of patiens, and the mortality rate is about LESS THAN FIVE PER 100,000 cases. The other possible reasons might be early menstruation, early menstrual cycles, and women without children and blocks that stop the flow during menstrual cycle.
Pelvic laproscopy or laparotomy might destruct the growth of endometrial tissue and scar tissue. In rare cases the place where endometriosis develops might experience ovarian cancer after the stage of menopause in women. Small pieces of endometrial cells might move to the blood vessels or the lymphatic system and reach the other parts of the body such as eyes, brain, skin or lungs. Ultra sound, MRI scans, CA 125 and other tests might also help in recognizing the disease though none of them actually reveal a confirmation. Removal of the uterus might be suggested to women who are not willing to produce children in future.
Hysterectomy can also be a possible solution for the disease where both the ovaries are removed.
Si usas metronidazol, ovulos te recomiendo unos que no tiene forro, sino que los pones a la nevera, se coneglan, y cuando les retiras el plastico, es pura crema congelada que la pones en tu vagina. People exposed to environmental toxins might also experience a disadvantageous effect on the hormones and the immune system. It is better to avoid dairy products like milk, cheese and butter as it makes the disease worse. It is also observed that the disease might affect others based on the hereditary condition of a family. Flax seeds, whole some grains, and salads serve as the best natural remedy to treat endometriosis.



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