Endometriosis can be a female health issue that happens when cells in the lining of the womb (uterus) grow in other places on the body. The uterine cavity is lined with endometrial cells, which are usually under the influence of female hormones. Endometrial-like cells in places outside the uterus (endometriosis) are affected by hormonal changes and react in a manner that is just like the cells discovered within the uterus. Symptoms frequently worsen with the menstrual period.
Endometriosis is normally found during the reproductive years; it is often calculated that endometriosis happens in about 6-10% of females. Symptoms might be based upon the site of active endometriosis. Its main but not common indication is pelvic pain in several manifestations. This may lead to pain, abnormal bleeding, and issues becoming pregnant (infertility).
Endometriosis impacts females within their reproductive years. The actual prevalence of endometriosis is not recognized, since many females may have the condition and have no signs. Endometriosis is usually estimated to impact over a million females (estimations range between 3% to 18% of females) in the USA. It is one of the main factors behind pelvic pain and reasons behind laparoscopic surgery and hysterectomy in this country. Estimates declare that between 20% to 50% of women being treated for infertility have endometriosis, and up to 81% of females with chronic pelvic pain can be affected.
The reason for endometriosis is not known. One theory is that the endometrial cells shed once you get your period travel in reverse through the fallopian tubes in to the pelvis, where they implant and develop. It is known as retrograde menstruation. This backward menstrual circulation happens in most women, but experts feel the immune system may be unique in women with endometriosis.
Endometriosis is usual. In some cases, it might run in the family. Although endometriosis is normally identified between ages 25 – 35, the condition probably starts considering the time that usual menstruation begins.
Pain is the most important symptom of endometriosis. A woman with endometriosis could have:
- Painful periods
- Pain within the lower stomach just before and during menstruation
- Cramps for a week or two prior to menstruation and during menstruation; cramping pains can be steady and range from flat to serious)
- Pain during or subsequent intercourse
- Pain with bowel movements
- Pelvic or back pain that may happen anytime during the menstrual cycle
Notice: There might be no signs and symptoms. A few women having a large number of tissue implants in their pelvis do not have pain at all, although some women with milder disease have serious pain.
Complications of endometriosis contain inner scarring, adhesions, pelvic cysts, chocolate cyst of ovaries, ruptured cysts, and bowel and ureteral obstruction as a result of pelvic adhesions. Infertility may be relevant to scar formation and anatomical distortions due to endometriosis; however, endometriosis might also interfere in more subtle methods: cytokines and other chemical agents might be released that interfere with reproduction. Peritonitis from bowel perforation can happen.
Ovarian endometriosis may complicate pregnancy by decidualization, abscess and/or rupture. Pleural implantations are related to recurrent correct pneumothoraces on occasion of menses, termed catamenial pneumothorax.
Endometriosis can usually be treated with medicines and/or surgical treatment. The goals of endometriosis therapy might include pain relief and/or improvement of fertility. Therapy depends upon the below factors:
- Severeness of symptoms
- Severeness of disease
- Whether you desire kids in the future
If you have minor symptoms and don’t ever wish kids, you may decide to have usual tests every 6 – 12 months so the doctor can make sure the disease is not becoming worse. You can handle your symptoms by using:
- Exercise and relaxation methods
- Nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen (Advil) and naproxen (Aleve), acetaminophen (Tylenol), or prescribed pain relievers to cure cramping and pain.
For many other females, treatments include:
- Medicines to control pain
- Hormone medicines to prevent the endometriosis from having worse
- Surgery treatment to remove the areas of endometriosis or the whole uterus and ovaries
Therapy to prevent the endometriosis from having worse frequently involves using birth prevention tablets continuously for 6 – 9 months to prevent you from getting periods and create a pregnancy-like state. This is called pseudopregnancy. This treatment uses progesterone and estrogen birth prevention capsules. It relieves most endometriosis symptoms. However, it does not avoid scarring or reverse physical modifications which have already happened as the result of the endometriosis.