Recent information shows that endometriosis may be a condition that happens in 6-10 women of reproductive age – roughly 6 million women in the U.S. the average age for endometriosis cases was thought to be around 30-40 years of age.
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Estimates recommend that 200th to 500th of ladies being treated for infertility have endometriosis, and up to 80th of ladies with chronic pelvic pain is also affected. whereas most cases of endometriosis are diagnosed in women aged 25 to 35 years, endometriosis has been reported in girls as young as 11 years of age.
Almost any female between puberty and menopause is at risk of the onset of endometriosis. As young women in their mid-teens are being laparoscope to investigate their period pain, we are finding an increased incidence of endometriosis in these young girls.
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Similarly, endometriosis has conjointly been found in peri and post-menopausal women. However, endometriosis is comparatively rare in this group.
It would appear that endometriosis is more doubtless to occur in females through their twenties and into their thirties. women who delay their childbearing would seem to be more prone, although young girls will still develop quite severe forms of endometriosis. Stress factors could play a part and contraceptive history is also important.
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Pregnancy could disrupt the course of endometriosis, though not cure it in all patients. However, women who have had children are somewhat less likely to have endometriosis, although it’s by no means rare in patients who have had maybe one or 2 children.
What is the typical age that a woman can develop endometriosis?
Endometriosis is pretty much only present in women of reproductive age – it’s stricken by hormonal production, oestrogen, that is most prevalent throughout the normal female reproductive lifetime. Levels of this secretion considerably diminish after the menopause.
Where will endometriosis occur in the body and what are the symptoms?
The typical symptoms are typically related to the site of the endometriosis:
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a. it may be within the body/ muscle of the uterus (adenomyosis).
b. It may be within the ovary giving rise to cysts (“chocolate cysts”), which can interfere with the function of the ovaries.
c. It may be within the area between the bowel and vagina or female internal reproductive organ (the pouch of Douglas) or the supporting ligaments to the womb, which might cause pain on having sex.
d. It may be within or on the surface of the bowel, which might cause pain on intestine opening, notably at the time of a period.
e. It may be within or on the bladder inflicting pain on passing urine.
Some ladies will experience some or all of those problems. it’s necessary to remember that some ladies can have the presence of endometriosis in their pelvis, however, have remarkably very little in the way of symptoms. Conversely, some ladies can have several typical symptoms of endometriosis, however little is also visible to the naked eye.
Am I likely to have endometriosis?
Patients who are significantly possible to have endometriosis are those with the onset of increasing period pain where this has not been a particular problem within the past. Patients who are developing new pain on intercourse or vague, unexplained abdominal pain, which may be unrelated to either intercourse or periods, may also have endometriosis.
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Endometriosis will typically be associated with period dysfunction and irregularity. Sometimes patients could gift with symptoms of pain or pressure thanks to endometriotic cysts within the ovaries.
The classic association with endometriosis is, of course, infertility. Most patients with infertility are currently laparoscope, specifically to look for evidence of tubal damage and to ascertain for endometriosis.
Gynaecologists need to remember that the incidence of endometriosis is increasing as more patients defer their childbearing. Therefore, young women under the age of 40 who present with infertility or abnormal gynaecological symptoms, such as pain, bleeding, dyspareunia (pain on intercourse), or dysmenorrhea would like an active investigation to exclude the possibility of developing endometriosis.