Endometriosis

Endometriosis is a condition in women where tissue similar to the inner layer of the uterus (endometrium) begins to grow and protrude beyond the boundaries of the uterus. The Jordania Clinic offers a full range of diagnostics and modern treatment of endometriosis.

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GeorgiaAddress 1

Tbilisi, Dighomi, Chachava Street # 1

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GeorgiaAddress 2

Vake, I.Mosashvili street #12

It's not scary or painful Description of the problem

1

Symptoms

Endometriosis is a disease that can lead to infertility. The main manifestations of endometriosis:

  • pain
  • menstrual cycle disorders (the menstrual cycle is lengthened due to the appearance of bloody discharge before the start, the discharge is very plentiful and accompanied by severe pain)
  • discharge during sexual intercourse, the so-called contact spotting

2

Factors

There is no single cause of endometriosis.
Allocate a hereditary factor, as the most basic factor in which there is a tendency to develop endometriosis.

3

Kinds

Endometriosis is divided into degrees of damage depending on the depth and area and the spread of endometriosis:

  • 1 degree of damage is the identification of superficial and single foci of endometriosis
  • 2 degree of damage is the identification of deeper foci of endometriosis and their number is more than 3.
  • 3 degree of damage is the identification of multiple and deep foci of endometriosis, along with the foci, ovarian cysts are determined and an adhesive process may appear
  • 4 degree of damage - these are very deep and multiple foci, like conglomerates, while it can grow into the intestines, vulva, large cysts with a large adhesive process are also formed

4

Diagnostics

To conduct an accurate diagnosis of endometriosis, it is necessary to study the history of the disease (the number of pregnancies, how the pregnancy and childbirth proceeded, planning a future pregnancy). Mandatory examination on the chair, ultrasound, colposcopy. The gold standard is hysteroscopy, in which the gynecologist can see the entire uterine cavity on the screen through the endoscope and allows you to determine endometriosis in 85%. In some cases, laparoscopy or CT may be required.
Be sure to women diagnosed with endometriosis are prescribed blood tests to detect tumor markers (CA-125, CEA and CA 19-9, RO-test), since with endometriosis the risks of oncology increase. An integrated approach at the Zhordania clinic helps to determine the accuracy of the depth and extent of the lesion up to 97%.

5

Treatment

In the Zhordania clinic, the treatment of endometriosis can be both surgical and conservative. In conservative therapy, complex treatment is prescribed.
Combined oral contraceptives (COCs or estrogen preparations) - reduce pain in endometriosis.
Progestogens - aimed at suppressing a substance that plays a key role in the onset of endometriosis.
Antigonadotropic drugs - aimed at suppressing the production of gonadotropins in the hypothalamic-pituitary system, which are one of the important steps in the development of endometriosis.
Agonists of gonadotropic releasing hormones - are aimed at increasing the level of estrogen (the main female hormones), which prevents the spread of the process.
Additional therapy: immunostimulating drugs, antispasmodics and painkillers.
Surgical treatment of endometriosis - the gold standard in treatment at the Jordania Clinic - is a laparoscopic operation. During laparoscopic surgery, all endometrial lesions are removed. It is important for women who are planning a pregnancy to preserve all organs as much as possible, therefore, with endometrioid cysts, a puncture and drainage of the cyst is performed, as well as removal of the capsule. The operation allows you to save all tissues as much as possible and reduce pain and the spread of the process. After the operation, maintenance hormonal therapy is prescribed.

6

Rehabilitation

Conservative treatment of endometriosis is long, but after a month the woman notices an improvement in her condition.
After the operation to remove endometriosis, a woman returns to her normal rhythm of life in a week. And after 2 months you can already plan a pregnancy

7

I am healthy

For a woman, health in the intimate sphere is very important, it affects both the physical and psychological state. The specialists and technologies at the Jordania clinic allow you to return your physical and psychological comfort quickly and efficiently.

>

1

Symptoms
Endometriosis is a disease that can lead to infertility. The main manifestations of endometriosis:
  • pain
  • menstrual cycle disorders (the menstrual cycle is lengthened due to the appearance of bloody discharge before the start, the discharge is very plentiful and accompanied by severe pain)
  • discharge during sexual intercourse, the so-called contact spotting
>

2

Factors
There is no single cause of endometriosis.
Allocate a hereditary factor, as the most basic factor in which there is a tendency to develop endometriosis.
>

3

Kinds
Endometriosis is divided into degrees of damage depending on the depth and area and the spread of endometriosis:
  • 1 degree of damage is the identification of superficial and single foci of endometriosis
  • 2 degree of damage is the identification of deeper foci of endometriosis and their number is more than 3.
  • 3 degree of damage is the identification of multiple and deep foci of endometriosis, along with the foci, ovarian cysts are determined and an adhesive process may appear
  • 4 degree of damage - these are very deep and multiple foci, like conglomerates, while it can grow into the intestines, vulva, large cysts with a large adhesive process are also formed
>

4

Diagnostics
To conduct an accurate diagnosis of endometriosis, it is necessary to study the history of the disease (the number of pregnancies, how the pregnancy and childbirth proceeded, planning a future pregnancy). Mandatory examination on the chair, ultrasound, colposcopy. The gold standard is hysteroscopy, in which the gynecologist can see the entire uterine cavity on the screen through the endoscope and allows you to determine endometriosis in 85%. In some cases, laparoscopy or CT may be required.
Be sure to women diagnosed with endometriosis are prescribed blood tests to detect tumor markers (CA-125, CEA and CA 19-9, RO-test), since with endometriosis the risks of oncology increase. An integrated approach at the Zhordania clinic helps to determine the accuracy of the depth and extent of the lesion up to 97%.
>

5

Treatment
In the Zhordania clinic, the treatment of endometriosis can be both surgical and conservative. In conservative therapy, complex treatment is prescribed.
Combined oral contraceptives (COCs or estrogen preparations) - reduce pain in endometriosis.
Progestogens - aimed at suppressing a substance that plays a key role in the onset of endometriosis.
Antigonadotropic drugs - aimed at suppressing the production of gonadotropins in the hypothalamic-pituitary system, which are one of the important steps in the development of endometriosis.
Agonists of gonadotropic releasing hormones - are aimed at increasing the level of estrogen (the main female hormones), which prevents the spread of the process.
Additional therapy: immunostimulating drugs, antispasmodics and painkillers.
Surgical treatment of endometriosis - the gold standard in treatment at the Jordania Clinic - is a laparoscopic operation. During laparoscopic surgery, all endometrial lesions are removed. It is important for women who are planning a pregnancy to preserve all organs as much as possible, therefore, with endometrioid cysts, a puncture and drainage of the cyst is performed, as well as removal of the capsule. The operation allows you to save all tissues as much as possible and reduce pain and the spread of the process. After the operation, maintenance hormonal therapy is prescribed.
>

6

Rehabilitation
Conservative treatment of endometriosis is long, but after a month the woman notices an improvement in her condition.
After the operation to remove endometriosis, a woman returns to her normal rhythm of life in a week. And after 2 months you can already plan a pregnancy
>

7

I am healthy
For a woman, health in the intimate sphere is very important, it affects both the physical and psychological state. The specialists and technologies at the Jordania clinic allow you to return your physical and psychological comfort quickly and efficiently.

Don't over tighten

Consultation




    Specialists of the direction

    Our specialists communicate in 5 languages

    • Ketevan Jinjolava

      11 years
      experience

      Obstetrician-gynecologist, gynecological surgeon, Medical doctor

    • Eteri Margalitadze

      7 years
      experience

      Obstetrician-gynecologist, oncogynecologist, Doctor

    • Tamuna Gogoladze

      17 years
      experience

      Obstetrician-gynecologist, MD, PHD, associate professor

    • Ketevan Manjgaladze

      14 years
      experience

      Obstetrician-gynecologist, MD, PHD

    • Maka Jorbenadze

      15 years
      experience

      Reproductologist, MD, PHD, Associate Professor

    Question answer

    Endometriosis is an abnormal growth of tissue similar to the endometrium. It is possible to stop the development of this disease. It depends on the timeliness of the woman's treatment, the stage of the disease, the degree and depth of tissue germination. To date, it is possible to treat endometriosis both conservatively and surgically.

    It is possible to get pregnant. But it is necessary to stop the growth of tissue and the spread of the pathological process. Usually, with conservative proper treatment, pregnancy can be planned after 3 months. With surgical treatment 2 months after surgery.

    Effectively relieve pain in endometriosis - combined oral contraceptives (COCs). They are appointed for a long time.

    The main disorder that leads to endometriosis is a disorder in the level of estrogens, which are the main hormones produced by the ovarian follicles.

    Jordania Clinic is a national center for reproductive medicine with over 60 years of experience.

    The Jordania Clinic is an innovative center for the diagnosis and treatment of infertility. The clinic began its activity on the basis of the Research Institute of Human Reproduction, founded by Professor Zhordania in 1958. Therefore, our experience of more than 60 years allows us to carry out IVF programs with an efficiency of more than 80%.

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