What is endometriosis?
Endometriosis is a condition in which the endometrium, the lining
of the uterus, grows in areas outside the uterus causing pain and
infertility. This tissue can grow in the pelvic area, on the
ovaries, on the outer surface of the uterus or near the rectum or
bladder. Occasionally it may be found in distant organs, as for
instance a scar of the abdominal wall or in the lungs. It is a
non-cancerous condition.
What can it cause?
Normally the endometrial tissue that develops outside the uterus
is stimulated by oestrogen, the female sex hormone and then breaks
down and bleeds at the time of menstruation, as does the
endometrium in the uterus. This causes each time irritation,
swelling and pain. In the long run scar tissue forms and adhesions
may develop between organs. In the ovaries, one may find cysts,
lined by endometrium and filled with blood pigments.
What are the symptoms?
Increasingly painful menstrual periods.
A dull to severe lower abdominal ache, before or during
menstruation that radiates towards the lower back.
Pain during intercourse or with bowel movements.
Infertility.
How is the condition diagnosed?
A complete medical history and a thorough internal pelvic
examination may help to identify the problem. During the physical
examination nodules formed as a result of endometriosis in the
back of the vagina may be palpated. There may also be tender and
enlarged ovaries or a drawn back uterus, adherent to the rectum.
MRI or magnetic resonance imaging may be used to identify
endometriosis implants in the soft tissues. Laparoscopy may
provide a more accurate diagnosis and may be used to distinguish
between endometriosis, pelvic tumours and other disorders that
produce symptoms similar to those of endometriosis.
What is the treatment?
Treatment depends on the extent of the disease, the woman’s desire
for future child bearing, the degree of symptoms experienced and
the woman’s age.
Medical treatment includes painkillers that treat the discomfort
of the disease. It may be indicated for women with mild to
moderate menstrual pain, with no pelvic examination abnormalities
and with no immediate desire to become pregnant.
Progestogens, which have some of the properties of the natural
progesterone, can be beneficial. They are given continuously
either alone or in combination with an oestrogen (as in a combined
oral contraceptive pill), during several months in a row. However,
this treatment cannot make scar tissues and nodules caused by the
disease disappear. There can be side effects of depression or
spotting, which may limit this option for treatment. Other
medications, the so-called GnRH-analogs, cause a sharp decrease in
the production of oestrogen and a condition that resembles that
following the menopause. During the period of treatment, symptoms
will abate. Unfortunately, because of the side effects of this
therapy, it cannot be prolonged beyond three months.
Surgical treatment may consist of burning up endometrial implants
with a thermocautery or a laser beam. This can presently be done
via a laparoscope. The wall of endometriotic cysts of the ovaries
can also be removed using this approach. What may work well for
one woman may not help another. Usually, a combination of
medications and surgical treatment tailored to the individual
controls endometriosis. In case of advanced endometriosis, the
doctor may suggest removal of the uterus and of the ovaries.
Endometriosis affects women
Magnetic resonance
imaging
Symptoms of
endometriosis
Endometriosis - treatment of Endometriosis,
Endometriosis types, Disease medicines, Endometriosis symptoms,
Endometriosis and Disease symptoms, Endometriosis symptoms Disease and
diagnosis, Symptoms and Solutions, Signs and Symptoms, type of
Endometriosis, cause common, common Endometriosis, Endometriosis List,
causes list, Infectious Endometriosis, Causes, Diseases , Types, Prevention,
Treatment and Facts, Endometriosis information, Endometriosis: Definition,
Endometriosis names, medical Endometriosis, medical Endometriosis and
disorders, cell Endometriosis, Endometriosis Worldwide, Endometriosis
Research, Endometriosis Control, Endometriosis Center, Digestive
Endometriosis Week, Information about Endometriosis, causes of different
Endometriosis, Endometriosis Articles, Endometriosis and conditions, Health
and Endometriosis, Endometriosis Patients, Endometriosis and Sciences,
causes of alzheimer's Endometriosis, Endometriosis causes, alternative
medicine heart Endometriosis, body ailments, Endometriosis medicines,
medical antiques, type of blood Endometriosis