Symptoms of
Endometriosis
The commonest
symptom of Endometriosis is menstrual pain and
cramping. Many women also experience irregular
periods, infertility, stomach pain and upset,
and extremely painful sexual intercourse.
Endometriosis is also often accompanied by
fibroid tumors in the uterus.
Endometrial tissue is often first
discovered during a laparoscopy for pelvic pain
and infertility. The problem with endometriosis
is that it is extremely difficult to
diagnose.
Many women in the United States
are misdiagnosed with everything from irritable
bowel syndrome to stress. Many doctors just
chalk up a woman's complaints of pelvic pain to
premenstrual syndrome and menstrual cramps. The
fact that many women live for years with no
symptoms whatsoever of the dysfunction, makes
endometriosis even harder to detect. Many
doctors have been known to tell women that
getting pregnant is a good way to rid herself of
the dysfunction, however, there is no medical
evidence to back up this theory of different
symptoms depending on where the endometrial
tissue is growing. Many women experience
infertility.
The best method for
diagnosis is by an experienced gynecologist who
can perform a pelvic examination. Since
Endometriosis is often found in the culdesac,
the space between the Uterus and the Rectum,
performing a combined rectal and vaginal
examination is crucial to the diagnosis.
Endometriosis symptoms tend to vary depending on
where in the body the endometrial tissue is
growing. Endometriosis is a condition where the
tissue that normally forms the lining of the
uterus begins to grow in other areas of the
pelvic cavity. Since this tissue cannot be shed
during menstruation, it can form lesions and
abrasions on various pelvic and reproductive
organs. These lesions can rub against
surrounding organs causing a variety of problems
and complications in the pelvic
cavity.
Endometriosis Symptoms often
include, abnormally heavy menstrual flow, pelvic
pain, back pain, stomach upset and painful
ovulation. Endometriosis symptoms often mimic
symptoms of irritable bowel syndrome, uterine
fibroids and menstrual cramps. Since
endometriosis is extremely hard to detect many
women with symptoms of the condition are
misdiagnosed by doctors.
Other
Endometriosis
Symptoms
Endometriosis is a significant cause of
infertility. This happens when the endometrial
tissue grows in or around the ovaries. Often the
ovaries can become inflamed and develop cysts,
tumors and lesions. Once ovulation ceases, so
does regular menstruation. For this reason,
irregular periods often is accompanied by
endometriosis.
While the cause of
endometriosis is not clear, some experts believe
that endometriosis is caused by retrograde
menstrual blood. This is when the tissue that is
shed during menstruation is somehow forced back
into the pelvic cavity because of spasm in the
lower portions of the
uterus.
Endometriosis
Treatment
There are various
forms of endometriosis treatment available for
women. One of the most common forms of treatment
for endometriosis is hormone therapy. Physicians
prescribe synthetic progestin, birth control
pills, and Danazol or GnRH agonists. These
hormones will make a woman's body temporarily
menopausal. This will cause her uterus to stop
producing endometrial tissue, which will also
stop the growth of tissue outside the uterus.
While hormone therapy helps, it is not one
hundred percent effective.
Many women's
bodies have a low tolerance for synthetic
hormones. Synthetic hormones such as progestin
can cause uncomfortable side effects such as
mood swings, nausea, swelling and even blood
clots have been reported. Women who have
experienced complications taking the birth
control pill, for example are not urged to try
hormone therapy as Endometriosis Treatment.
Also, endometriosis is likely to return once a
woman stops taking the hormones. Unfortunately
birth control pills are not very effective in
controlling severe endometriosis, but may help
for young women with severe menstrual
cramps.
New Surgical
Endometriosis
Treatment
Hysterectomy is still widely used as a
treatment for endometriosis. Many doctors feel
that removal of the uterus is the most efficient
way of ridding a woman of endometriosis. This
does not represent the modern approach to
treating endometriosis However there are new
surgical procedures that remove endometrial
tissue while leaving the uterus in tact. This
procedure is called pelvicscopic surgery and
when done correctly it has a ninety percent
success rate. Many gynecological surgeons are
becoming very skilled at pelvicscopic or
advanced laparoscopic surgery and can remove
endometrial lesions without any damage to the
surrounding organs.
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