What is Endometriosis: Signs and Symptoms, Diagnoses
The presence of endometrial-like tissue outside the uterus, which induces chronic inflammation.
Endometriosis can develop anywhere in the body, but they usually occur in the pelvic area.
Usually, this tissue is expelled during menstruation, but displaced tissue cannot do this.
This may affect:
- The ovaries
- The fallopian tubes
- The peritoneum
What Causes Endometriosis:
Although the exact cause of endometriosis is not specific possible explanations include:
- Retrograde menstruation
- Transformation of peritoneal cells
- Surgical scar implantation
- Endometrial cells transport
- Immune system disorder
Risk factors of ENDOMETRIOSIS:
- Starting period at an early age
- Going through menopause at an older age
- Short menstrual cycles — for instance, less than 27 days
- Having higher levels of estrogen in the body
- Low body mass index
- Never giving birth
- One or more relatives (mother, aunt or sister) with endometriosis
- Any medical condition that prevents the typical passage of menstrual flow out of the body
- Uterine abnormalities
Incidence of ENDOMETRIOSIS:
5-10% of women suffer from debilitating pain associated with endometriosis.
More prevalent in-
- 20-40% of infertile women
- 40-60% of women with dysmenorrhea
- 75% of women reporting chronic pelvic pain
Endometriosis begins at an early age:
64% were <30 years!
Age 10-19: 18%
Age 20-29: 31%
Age 30-39: 64%
Endometriosis affects women during the prime years of their lives!
SIGNS AND SYMPTOMS:
- HEAVY OR IRREGULAR MENSTRUAL BLEEDING
- PAIN DURING OR AFTER INTERCOURSE
- PAIN IN OTHER BODY PARTS
- REDUCED FERTILITY
- BOWEL PROBLEMS
- ABDOMINAL PAIN
How to diagnose ENDOMETRIOSIS:
Pelvic exam- The doctor manually feels areas in the pelvis for abnormalities, such as cysts on reproductive organs or scars behind the uterus.
Ultrasound- This test uses high-frequency sound waves to create images of the inside of the body. Ultrasound imaging won’t definitively tell the doctor whether someone has endometriosis, but it can identity cysts associated with endometriosis.
Laparoscopy-To is an individual doctor who may refer to a surgeon to look inside the abdomen for signs of endometriosis using a surgical procedure called laparoscopy.
Treatment options of ENDOMETRIOSIS:
- Pain medications
- Hormone therapy-
- Hormonal contraceptives
- Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
- Progestin therapy
- Conservative surgery