Endometriosis Treatment Clinic
The Clinic offers:
- • identification of endometriosis ( including specialized diagnostic modalities required )
- • qualification for pharmacological treatment
- • qualification for operative treatment in St. Sophia’s Hospital using the most advanced laparoscopic techniques
The Clinic provides NHF-funded and self-paid services from 8 am to 6 pm ( on selected days of the week ).
It is not uncommon for endometriotic implants to develop on the bladder walls or inside the vagina. Incidentally, endometrial tissue can be found outside the abdominal cavity – on the arm, in the lungs or even in the brain. Each endometriotic lesion is subject to cyclical hormonal changes; every month, during menstruation, the displaced endometrial tissue is shed, but it has nowhere to go since it cannot be expelled via vaginal route. This results in internal bleeding and blood product degradation which triggers inflammatory reaction in the surrounding organs and the formation of scar tissue and adhesions.
Other symptoms may include a diarrhea, constipation, bloating, irregular or heavy menstrual flow, fatigue and significant deterioration in the quality of life. Since endometriotic foci can also develop in extra-pelvic locations, some symptoms may be atypical and uncommon, e.g., coughing of blood during menstruation when the endometriotic lesion is located within the chest area or leg paresis if the implant affects the nerves supplying the lower extremity.
In inconclusive cases, a laparoscopic surgery remains the only reliable method to diagnose endometriosis.
- pharmacological – it most commonly involves a drug-induced amenorrhea (lack of menstruation) and alleviation of pain.
- surgical – conservative or radical. Conservative treatment is recommended in women of reproductive age and involves adhesiolysis (lysis of adhesions), excision or ablation of endometriotic lesions or the resection of the endometriotic lesions in the neighboring organs. A radical (destructive) operative treatment is indicated in patients who do not desire future pregnancies and suffer significant pain. The procedure involves a total hysterectomy / bilateral oophorectomy (removal of both ovaries) which results in surgical menopause. Depending on the site of the endometriotic lesions, the progression of the disease and the operating doctor’s surgical skills, the procedure is performed using laparoscopy (which is the method of choice) or laparotomy. Unfortunately, recurrence occurs in about 20% of previously operated patients and repeat operations are frequently required.
- Alternative methods supporting endometriosis treatment include among others: physical activity / physiotherapist-led exercise targeted at pelvic floor muscles, post-operative rehabilitation, osteopathy, psychotherapy, plant-based diet, adequate vitamin and microelement supplementation, etc.
OUR CLINIC DOCTORS
Radosław Maksym, MD
Arbesa Qinami, MD