What is endometriosis ?
Obstetrics And Gynecology / / April 23, 2016
Endometriosis uterine video
What is endometriosis?
Endometriosis occurs when tissue that is in the uterus, grows in other parts of the body: it may be the ovaries, fallopian tubes, uterus appearance, intestines or other internal organs.Because hormonal changes during the menstrual cycle, this tissue is destroyed and can cause painful adhesions or scar tissue, endometriosis is so gormonalnozavisimym disease.Many women find themselves in the symptoms of endometriosis.
Symptoms of endometriosis
pain just before, during or after menstruation is the most common symptom of endometriosis.
In some women, the pain may occur during or after intercourse, or during bowel movements or urination.This sometimes leads to chronic pelvic pain, and lower back.However, many women with endometriosis have mild symptoms or they are non-existent.The symptoms can be associated with the location of endometriosis.
Most women feel strong and moderate pain during menstruation.This condition is usually fa
pain caused by endometriosis, and may begin with the first menstruation.If the menstrual pain is strong enough, you should consult your doctor.The first step might be to track symptoms and taking pain medication, but eventually, treatment of adolescents are the same as for adults.
Endometriosis and Infertility
Sometimes the first or only symptom of endometriosis is a problem getting pregnant.Scars overgrown endometrium may be to blame.The good news is that medical treatments are effective for overcoming infertility - and pregnancy itself can relieve some of the symptoms of endometriosis.
E ndometrioz or fibroids?
Endometriosis is one of the reasons for severe menstrual pain.But the pain can be caused by another cause, such as fibroids - noncancerous growths of muscle tissue of the uterus.Fibroids can cause severe cramping and heavier bleeding during menstruation.
Modern medicine does not know until the end, why endometrial tissue grows outside the uterus, but there are several theories:
- Heredity plays a role, and some endometrial cells may be present from birth.
- Cells can also migrate to the pelvis during menstruation, through the blood, or during surgery, such as cesarean section.
- Weak immune system or violation can not eliminate foreign cells, like the endometrium.
- Features of the structure of the fallopian tubes.
Endometriosis: Who is at risk?
Endometriosis is more common in women who have:
- Age 30 - 40 years
- There were no children
- Menstruation lasts more than 7 days
- Have menstrual cycles shorter than 28 days
- Menstruation began 12 years
- There are a mother or sister with endometriosis.
For most women, endometriosis recedes with menopause.Some women find relief during pregnancy.In some cases, symptoms of endometriosis can just get lost.About a third of women with a low degree of endometriosis report that their symptoms have passed on their own, without medical intervention.
Going to your gynecologist, make a personalized picture of symptoms, which can help in the diagnosis and can help to identify endometriosis.
You need to regularly pay attention to:
- When there is pain
- How strong is the pain
- How long it lasts
- Easing and increased pain
- pain that limits your activities
- Pain during sexual intercourse, bowel movements, orurinating
- Postponed gynecological diseases previously
After interviewing your doctor will perform a pelvic exam to check the ovaries, uterus, cervix and anything unusual.Usually enough conventional examination, ultrasound and colposcopy.But you may need a laparoscopy and hysteroscopy.Laparoscopy is the only true way to determine if you have endometriosis.
In some cases, you may need to biopsy tissue.
tests can sometimes identify ovarian cyst or internal scars, which may be associated with endometriosis.The doctor also identify the causes that can cause symptoms similar to endometriosis.
treatment of endometriosis
Today, endometriosis is treated in several ways:
- Therapeutic (conservative, medical).As a rule, used in the treatment of pain medications, which would eliminate the pain.
Oral contraceptives, which are able to control the level of estrogen and progestin, which make your menstrual period is shorter and easier.Often the symptoms of endometriosis may return after stopping the pill.
Hormones.These drugs mimic menopause, menstruation, along with eliminating the symptoms of endometriosis, or inhibit the production of female hormones.
- Surgical minimally invasive techniques , such as laparoscopy and laparotomy, involving the removal of endometriosis with the preservation of organs.
During laparoscopy, the surgeon may remove the visible growths or the endometrial adhesions.For most women, there is an immediate relief of pain.However, a year after the operation, about 45% of women once again faced with the symptoms of endometriosis.The probability of recurrence increases with the passage of time.Hormone therapy after surgery may improve the outcome.
- Surgical with removal of the uterus and ovaries. In severe cases of endometriosis may require laparotomy or open abdominal surgery to remove growths or hysterectomy - removal of the uterus, and possibly all or part of the ovaries.Although this treatment has a high success rate, endometriosis is still repeated in about 15% of women who have a uterus and ovaries.
- Endometriosis: symptoms, diagnosis, treatment and hormone therapy
- Female infertility: causes, diagnosis and treatment
- complex medical gymnastics gynecological diseases
- polyps in the uterus: endometrial polyps and polyps of the cervix
- Colposcopy cervical Dysplasia
endometriosis and pregnancy
many women with endometriosis have no problems with the pregnancy.But, laparoscopic surgery can significantly improve pregnancy amongst women with moderate to severe endometriosis.In vitro fertilization is the only option if the infertility caused by endometriosis, persists.
prevention of endometriosis
Although there is no way to prevent endometriosis, can advise the following measures, which will help you feel better.
- Regular exercise can help reduce pain by improving your blood flow.
- Regular gynecological check-ups and timely treatment of inflammatory diseases.
- Acupuncture, yoga, massage and meditation may also be helpful in reducing symptoms.