Deep Infiltrating Endometriosis (DIE) is a complex and often painful form of endometriosis where tissue resembling the uterine lining grows deep into pelvic structures—typically more than 5 mm beneath the peritoneal surface. It frequently involves organs like the rectum, bladder, vagina, and uterosacral ligaments.
Symptoms of DIE
DIE is often associated with:
- Severe pelvic pain, especially during menstruation
- Painful intercourse (dyspareunia)
- Painful bowel movements or constipation
- Urinary urgency or discomfort
- Chronic fatigue
- Infertility or difficulty conceiving
Due to the depth and extent of tissue involvement, these symptoms can be more intense and persistent compared to superficial endometriosis.
Diagnosis
Accurate diagnosis of DIE typically involves:
- A detailed clinical history and pelvic examination
- Advanced imaging, such as transvaginal ultrasound or MRI
- Diagnostic laparoscopy in some cases
Because of the potential to affect multiple organs, diagnosing DIE requires careful evaluation by experienced clinicians.
Treatment Options
Treatment depends on the severity of symptoms and the patient’s reproductive goals. Options include:
- Medical therapy: Hormonal treatments may provide temporary relief but often do not eliminate deep lesions.
- Surgical treatment: Laparoscopic excision is considered the gold standard. It allows precise removal of deep lesions and restoration of pelvic anatomy while preserving fertility when possible.
Surgical treatment for DIE is technically challenging and should ideally be performed by a specialist with expertise in minimally invasive gynecologic surgery.
Specialized Care for DIE in Mumbai
If you're seeking accurate diagnosis and advanced treatment for DIE, it is important to consult a qualified deep infiltrating endometriosis surgeon in Mumbai. Surgeons with expertise in this area can offer effective, organ-preserving treatment that significantly improves quality of life.
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