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Do you experience severe pelvic pain during your period? Are you struggling with infertility? You may have endometriosis, which is a gynecological condition that affects up to 11% of women of childbearing age in the United States. University Reproductive Associates, with locations in Hasbrouck Heights, Hoboken, Wayne, Millburn, and Denville, New Jersey, and Goshen, New York, specializes in the diagnosis and treatment of endometriosis and can provide the answers and care you need. To schedule an appointment, call the nearest office or request an appointment online today.
Endometriosis is a painful gynecological condition in which the endometrial tissue grows outside your uterus. Every month, your uterus prepares itself for ovulation and pregnancy by growing endometrial tissue, which contains glands, blood cells, and connective tissue. If your egg isn’t fertilized, your body sheds the endometrial tissue during menstruation.
If you have endometriosis, the endometrial tissue grows in areas outside your womb, such as your fallopian tubes, ovaries, or the outer portion of your uterus. Like the tissue in your uterus, the endometrial tissue located outside your uterus grows in response to ovulation and then tries to shed.
Most women with endometriosis experience pelvic pain that’s more severe during menstruation. Other symptoms include:
Over time, the endometrial tissue may lead to the development of scar tissue that causes chronic pelvic pain and infertility.
At University Reproductive Associates, your doctor performs a comprehensive evaluation when you come in with symptoms that sound like endometriosis. During your exam, they ask detailed questions about your symptoms, gynecological, medical, and family histories, and menstruation, and then perform a pelvic exam.
Your OB/GYN may also request an ultrasound or MRI to evaluate your reproductive organs and look for signs of endometrial tissue growth on other organs. Though imaging studies can provide additional information to explain your symptoms, a diagnostic laparoscopy is the only method that can provide a definitive diagnosis.
During a diagnostic laparoscopy, your provider at University Reproductive Associates inserts a laparoscope (surgical camera) through a small incision in your abdomen to view your organs and look for endometrial tissue growth. Your provider takes samples of tissue for evaluation and may surgically remove as much of the endometrial tissue as possible during the procedure.
Treatment for endometriosis focuses on alleviating your symptoms. The specifics of your treatment plan may depend on your current and future pregnancy plans.
If you have no current plans for pregnancy, the team at University Reproductive Associates may prescribe hormonal birth control to minimize endometrial tissue growth.
If you’re trying to get pregnant, they may prescribe a gonadotropin-releasing hormone (GnRH) agonist, which stops ovulation and the growth of endometrial tissue. The GnRH agonist induces menopause, but when you stop the medication, you may have an easier time getting pregnant.
If your symptoms are severe, surgery to remove the endometrial tissue may be recommended.
For comprehensive endometriosis care, call University Reproductive Associates or use the online scheduling tool to book a consultation.