What is endometriosis?
Friends, let us tell you that this endometriosis is a disorder and one in which this tissue similar to the lining of your uterus grows outside your uterine cavity. And along with this, the lining of your uterus is called the endometrium.
Endometriosis occurs when endometrial tissue grows on your ovaries, bowel, as well as the tissues lining your pelvis. It is rare for endometrial tissue to spread beyond your pelvic area, but it is not impossible. And let us tell you that the endometrial tissue that grows outside your uterus is known as an endometrial implant.
The hormonal changes of your menstrual cycle affect the wrong endometrial tissue, causing the area to become swollen and painful. And friends, that just means that the tissue will grow, thicken, and break down. And it’s that over time, this tissue that’s broken down has nowhere to go and gets stuck in your pelvis.
This can then cause this tissue to become trapped in your pelvis:
Like this irritation, scar formation, adhesions in which tissue binds your pelvic organs together, and that severe pain that occurs during the menstrual cycle, plus all those fertility issues.
Symptoms of Endometriosis
Friends, let us tell you that the symptoms of endometriosis are different. Some people experience mild symptoms, accompanied by symptoms, but others may have moderate to severe symptoms. The severity of your pain does not indicate the degree of the condition and the stage either. You may have a mild form of the disease and still experience excruciating pain. It is possible to have a severe form and very rarely cause discomfort.
It is important to note that you may not experience any symptoms.
Friends, pelvic pain is the most common symptom of endometriosis. And along with this, you can also have these following symptoms:
- such as painful periods
- as well as it cramps in 1 or 2 weeks around menstruation
- and it is then heavy menstrual bleeding and either it is bleeding between periods
- and you are infertile
- and that pain during intercourse
- and that discomfort with bowel movements
- And with it you have lower back pain which can happen at any time during your period.
Friends, it is important that you have regular gynecological exams, and that will allow your gynecologist to monitor any changes. And with that I think this is especially important and that if you have two or more of these symptoms.
Obviously, you want instant relief from pain and other symptoms of endometriosis. And at the same time, if it is left untreated, this condition can cause all the challenges in your day to day activities. And at the same time, there is no cure for endometriosis, and that but only its symptoms can be controlled.
It should be noted that there are medical as well as surgical options available on your own to help reduce symptoms and manage any potential complications. Your doctor may try conservative treatment first. Friends, if your condition does not improve and then they may recommend surgery.
Friends, let us tell you that everyone reacts differently to these treatment options. And with that said, your doctor will help you find the one that works best for you.
Treatment options include:
- such as pain medications
- And while you can take over-the-counter pain relievers like ibuprofen, it is recommended that they are not very effective in all cases.
It should be noted that taking supplemental hormones can sometimes relieve pain and at the same time it can stop the progression of endometriosis. And let us tell you that hormone therapy only helps your body to regulate the monthly hormonal changes that promote all the tissue growth that accompanies endometriosis.
It is to be noted that hormonal contraceptives reduce fertility by inhibiting the monthly increase as well as the formation of endometrial tissue. In addition, birth control pills, patches and vaginal rings can reduce or even eliminate pain in less severe endometriosis.
Let us tell you that medroxyprogesterone (Depo-Provera) injection is also effective in stopping menstruation. In addition, it inhibits the development of endometrial implants. And tell that it gives relief from pain and other symptoms. It may not be your first choice because of the risk of weight gain, decreased bone production and, in some cases, the increased incidence of depression.
Gonadotropin-releasing hormone (GnRH) agonist as well as its antagonist
They are called gonadotropin-releasing hormone (GnRH) agonists and antagonists to block the production of estrogen that stimulates the ovaries. GnRH and an example of this agonist is Lupron Depot, which is a single injectable, while Elagolix, which is taken orally, is also an antagonist. Both can suppress estrogen production.
Explain that estrogen is the hormone that is mainly responsible for the development of all sexual characteristics in those assigned to women at birth. And at the same time it also blocks the production of estrogen. And at the same time I create that artificial menopause.
GnRH therapy has side effects such as vaginal dryness as well as hot flashes. In addition, taking small doses of estrogen and progesterone at the same time may help limit these symptoms and prevent either.
Be aware that it can be challenging to get a diagnosis early in the disease and start treatment options. And let’s say, it can be stressful to think about – or face it – about fertility issues as well as potentially finding relief from your pain as well as fear.
It’s that important to a address of your mental health so that’s part of your own overall wellness. And with that, consider finding a support group as well to further educate yourself on the condition. And with that said, taking these steps can be helpful in creating a balanced approach to managing your condition.
Danazol is another drug that is used to help stop menstruation and reduce the symptoms of endometriosis. And the disease may continue to progress while taking danazol. Danazol can cause side effects including acne as well as hirsutism. So that Hirsutism a excessive and that growth of the hair and on your face and body.
It is worth noting that other drugs are being studied that may improve symptoms as well as slow the progression of the disease.
Conservative surgery is commonly used for those who want to become pregnant and who experience severe pain and hormonal treatments are not working. The goal of conservative surgery is to remove the endometrial growth without causing damage to the reproductive organs and either to destroy it.
So that’s Laparoscopy, is a minimally invasives and the surgery so it’s used to the both visualize and diagnose endometriosis. It is also used to remove abnormal or displaced endometrial tissue. A surgeon makes small incisions in the abdomen to surgically remove the growth and either burn it or vaporize it.
Let us tell you that laser is now usually used only to destroy this “out of place” tissue.
Please tell that this is the last resort surgery (hysterectomy)
And that if your condition doesn’t improve with other treatments, your doctor may recommend a total hysterectomy as a last resort.
So that’s Durings total and hysterectomy, the surgeons removed the uterus and the cervix. They also remove the ovaries as well because these organs make estrogen, and in addition, estrogen can cause the growth of endometrial tissue. Additionally, that surgeon removes all visible implant lesions.
Let us tell you that on the basis of the condition of the person being treated, these two other types of hysterectomy are done.
A subtotal – also called partial or supracervical – hysterectomy removes only the top part of the uterus, as well as the part that keeps the cervix in place.
Friends, let us tell you that it is only when cancer is present and that it is usually only that a radical hysterectomy is done. And he removes the entire uterus, cervix, as well as the top part of the vagina.
Note that while hysterectomy can cure endometriosis, it is not a cure. And with that, you will be unable to get pregnant after hysterectomy. And also if you’re thinking about starting a family, get that second medical opinion before you agree to the surgery.
What causes endometriosis?
Explain that it is during the same regular menstrual cycle that your body sheds the lining of your uterus. And at the same time, it allows menstrual blood to flow from your uterus through the small opening of the cervix, as well as out of your vagina.
It should be noted that the exact cause of endometriosis is not known. And there are many theories regarding its cause, although none of that theory has been scientifically proven.
According to research, one of the oldest theories is that endometriosis is caused by a process called retrograde menstruation, which is experienced by about 90 percent of women. This happens when menstrual blood flows back into your pelvic cavity instead of leaving your body through your vagina through all of your fallopian tubes.
Let me tell you that the same other theory is that hormones convert the cells outside the uterus into cells similar to the lining of the uterus, and at the same time, those that I know as endometrial cells. This is known.
Let us tell you that others believe that this condition can happen when small areas of your abdomen become converted into endometrial tissue. Cells in the U.S. develop from embryonic cells, and those that can change shape and act like endometrial cells. And friends, why it happens like this is not known.
Explain that these displaced endometrial cells can occur on the walls of your pelvis and all surfaces of your pelvic organs, such as your bladder, ovaries, as well as the rectum. They grow, thicken and bleed during your menstrual cycle in response to the hormones in your cycle.
Explain that it is also possible for menstrual blood to leak into the pelvic cavity through a surgical scar, and such as this after a cesarean delivery, as well as someone who usually does it through a C-section. is called.
Another theory is that endometrial cells are taken out of the uterus through the lymphatic system. Along with this, another theory says that it is the immune system in destroying the wrong endometrial cells. May be due to system not working properly.
Some believe that endometriosis may begin in the embryonic period with misaligned cell tissue that begins to respond to the hormones of puberty. And at the same time it is often called the Müllerian principle.
Explain that the development of endometriosis is genetics and that it may even be linked to environmental toxins.
Explain that there are four stages or types of endometriosis. And it could be any of the following:
- like at least
- and gentle
- and that liberal
- and that serious
It should be noted that various factors determine the stage of the disorder. These factors may include the location, number, size, as well as depth of the endometrial implant.
Step 1: Minimal
Note that in minimal endometriosis, it is small lesions on your ovaries and either lesions and shallow endometrial implants. And along with this, you may also have swelling in or around your pelvic cavity.
Step 2: Lighten
It is to be noted that endometriosis involves mild lesions on the ovaries and pelvic lining as well as shallow implants.
Step 3: Medium
Be aware that moderate endometriosis involves multiple deep implants on your ovaries and pelvic lining. And at the same time they can also be sores.
Step 4: Critical
It should be noted that in the most severe stage of endometriosis, it involves many deep implants on your pelvic lining as well as your ovaries. You can also have sores on your fallopian tubes as well as your intestines. You may also have cysts on one or both of your ovaries.
Friends, let us tell you that the symptoms of endometriosis can be similar to the symptoms of other conditions, such as ovarian cysts and pelvic inflammatory disease. And in addition, the condition shares similar symptoms to irritable bowel syndrome (IBS), which can prolong the diagnosis.
Let it be known that at the core of treating your own pain is to get an accurate diagnosis. And with that said, it’s important to note that the diagnosis process can vary. In some cases, it can take 4 to 11 years from the onset of symptoms to diagnosis, according to research published in 2019.
Let me tell you that while working with your health care team, try to be patient with yourself and also with you.
Tell that your doctor will do one or more of the following tests:
as that detailed history
Your doctor will note your symptoms as well as a personal or family history of endometriosis. A general health evaluation may also be done to determine if there are any other symptoms of a chronic disorder and not either.
Note that during a pelvic exam, your doctor will use a speculum and a light to look inside the vagina and cervix. And at the same time they will feel your own stomach manually for ulcers or scars behind the uterus only.
Tell that your doctor can use transvaginal ultrasound or abdominal ultrasound. And with that, in a transvaginal ultrasound, that’s a probe inserted into your own vagina.
Note that both types of ultrasounds provide images of your reproductive organs. And they can also help your doctor identify cysts associated with endometriosis, and that’s but they can treat the disease that far. are not effective.
The only sure way to diagnose endometriosis is to look at it directly. And in addition, it is done by a minor surgical procedure called laparoscopy And at the same time, once diagnosed, the tissue can be removed in the same process.
As these fertility problems are a serious complication of endometriosis And only a person of this mild form may be able to conceive and conceive a child only.
It should be noted that although they are the only drugs used to treat endometriosis, they do not improve fertility itself.
Let us tell you that only a few people have been able to conceive after the endometrial tissue is surgically removed. If that doesn’t work in your case, and that’s only then you can consider fertility treatments and either in vitro fertilization to help you improve your chances of having children.
It is recommended that you talk to your doctor to better understand your options such as if you are planning to start a family and also if you have been diagnosed with endometriosis. , then you should consider having children as soon as possible. And either it is your doctor who can help you learn more about options for becoming a parent or delaying pregnancy itself.
Be aware that with endometriosis, your symptoms may worsen over time, making it more difficult to conceive naturally. And at the same time, it is very important for your own doctor to do an assessment before and during your pregnancy.
Friends, even though fertility is not a complication you experience, managing chronic pain can still present challenges. So Depression’s, and anxiety’s, as so well as others mentally health of problems so can occur in people with endometriosis because they are not uncommon.
Be sure to talk to your doctor about ways to help deal with these side effects. And they may recommend joining a support group or using other helpful resources to help you manage the condition on your own.
Friends, let us tell you that endometriosis usually develops years after the start of your menstruation. And at the same time it can be a painful condition.
It should be noted that however, understanding its risk factors can help you determine whether you are more likely to develop the condition, and at the same time that you should consult with your doctor. When should I talk to you?
It should be noted that women of all ages are at risk of endometriosis. And with this it usually affects women in their 30s and 40s, but symptoms can start as early as puberty.
Tell that you talk to your own doctor if you have a family member who has endometriosis. And at the same time, it can put you at a higher risk of developing the disease.
This pregnancy can temporarily reduce the symptoms of endometriosis. Women who have not had children are at increased risk of developing this disorder. And with that, though, endometriosis can still occur in women who have children. And it should be noted that this supports the understanding that hormones influence the development of the condition as well as its progression.
Tell that if you have problems with your periods and only then you should talk to your own doctor. And they can also be involved in these issues:
- Tell that it is heavy and long duration
- And this menstruation that starts at a young age
- And these factors can put you at higher risk.
Race and Ethnicity Research Data
Notably, while endometriosis affects about 11 percent of American women between the ages of 15 and 44, according to the US Department of Health and Human Services, a 2019 study found that that race as well as ethnicity can influence its spread.
It should be noted that when compared with white women, and that Hispanic, as well as I that, black women are less likely to be diagnosed with endometriosis. And alternatively, Asian women were also 50 percent more likely to receive that diagnosis than white women.
It should be noted, however, that a review published in 2019 found that when the results were limited to women with infertility, disparity decreased for black women; And it had no statistical significance among Black, White and Asian patients. The researchers argued that it is unknown and that the previous associations were made on the basis of clinical bias or other factors.
Additionally, there is a lack of research examining the prevalence and outcomes of American Indian or Alaska Native women.
It should be noted that overall, more inclusive research on the environment as well as socio-economic factors and access to health care is necessary to better understand the disease.
It should be noted that endometriosis is a chronic condition that is idiopathic, which means that what causes it is not yet determined. And with this, I am that at the moment there is no cure for it.
However, effective treatments, such as medications, hormone therapy and surgery, are available to help manage its side effects as well as complications such as pain and fertility issues. And with that said, the symptoms of endometriosis usually improve after menopause.
If you think that you may have endometriosis, it’s time to start the process of getting an accurate diagnosis and eventually make a plan based on your specific situation, and that’s only if you see your doctor right away. Contact is important.