Silent Pain : Endometriosis

by Dr Agilan Arjunan, Fertility Specialist & Gynaecologist, KL Fertility Centre ( Malaysia)

Pain relates to a neurological sensation causing emotional or physical discomfort. The endurance of pain not only limits the individuals capabilities but may alter their quality of life. Therefore, the pursue of relief is of outmost importance and need.

Pelvic pain is commonly associated with women and is one of the common reasons for a visit to the gynaecologist. The diligent gynaecologist conducts a through examination, orders several test as required, identifies the root cause and administers appropriate treatment. This task is carried out so that the pelvic pain is relieved and the women is back to her pain free lifestyle.

What if the medical examination and routine test by the gynaecologist yield normal results? In that case, what is the cause of the pelvic pain? Can the pain be relieved?

I am sure some women have gone through this similar predicament. They are quite familiar with the medical term “Endometriosis”. A condition related to pelvic pain that have silently been endured by these women.

What is Endometriosis ?

Endometriosis is a condition where the cells of the uterus ( womb) lining ( endometrium) is found outside of the womb. Endometriosis is often associated with cyclical period pain and sometimes  it leads to long term pelvic pain.

Deposits of endometriosis can be found anyway outside of the womb, namely on the innermost layer of the abdomen ( peritoneum) , ovaries , Fallopian tubes , bladder and large bowels.

In severe cases, it can also be found on the vaginal wall.

Continue reading “Silent Pain : Endometriosis”

Why Am I Not Getting Pregnant Again ?

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre ( Malaysia)

 

Mrs M walked into the clinic with her beautiful daughter Maya, aged 5 . She is a happily married woman and conceived Maya within their first 6 months of marriage. Her pregnancy was well and Maya was delivered via a caesarean delivery.

The obvious question popped up in my mind, “ How can I help you ?”

“ Well one ain’t enough and we have been trying for a second child for the past one and a half years. I just don’t understand why i am not getting pregnant. I got pregnant with Maya easily. Surely we are not suffering from infertility. But why it is not happening again ?”

She is just one out of many women who find it difficult to believe that they are struggling for a second child or what is medically known as secondary subfertility.

What leads to secondary subfertility ? Let’s find out why.

Continue reading “Why Am I Not Getting Pregnant Again ?”