The symptoms of endometriosis vary. Some girls experience gentle symptoms, however others will have moderate to severe symptoms. The severity of your pain doesn’t indicate the degree or stage of the condition. you’ll have a light form of the disease, yet experience torturous pain. It’s also possible to possess a severe type and have little discomfort.
Pelvic pain is the most typical symptom of endometriosis. you’ll even have the following symptoms:
You may even have no symptoms. It’s necessary that you just get regular gynecological exams, which can enable your gynecologist to observe any changes. this is often significantly necessary if you’ve got 2 or a lot of symptoms.
Understandably, you wish fast relief from pain and other symptoms of endometriosis. This condition will disrupt your life if it’s left untreated. endometriosis has no cure, however its symptoms can be managed.
Medical and surgical options are out there to help reduce your symptoms and manage any potential complications. Your doctor could first try conservative treatments. they’ll then suggest surgery if your condition doesn’t improve.
Everyone reacts differently to those treatment options. Your doctor can assist you find the one that works best for you.
It may be frustrating to get diagnosis and treatment options early in the disease. thanks to the fertility problems, pain, and fear that there’s no relief, this disease will be difficult to handle mentally. consider finding a support group or educating yourself a lot of on the condition. Treatment options include:
- painful periods
- pain in the lower abdomen before and during menstruation
- cramps one or two weeks around menstruation
- heavy menstrual bleeding or bleeding between periods
- pain following sexual intercourse
- discomfort with bowel movements
- lower back pain that may occur at any time during your menstrual cycle
You can strive over-the-counter pain medications like ibuprofen (Advil), however these aren’t effective in all cases.
Taking supplemental hormones will generally relieve pain and stop its progression. This therapy helps your body to control the monthly changes in hormones that promote the tissue growth that happens after you have endometriosis.
Hormonal contraceptives decrease fertility by preventing the monthly growth and buildup of endometrial tissue. birth control pills, patches, and vaginal rings will reduce or perhaps eliminate the pain in less-severe endometriosis.
The medroxyprogesterone (Depo-Provera) injection is also effective in stopping menstruation. It stops the expansion of endometrial implants. It relieves pain and other symptoms. this could not be your first choice, however, thanks to the risk of decreased bone production, weight gain, and increase in the incidence of depression in some cases.
Gonadotropin-releasing hormone (GRNH) agonists and antagonists
Women take what are called gonadotropin-releasing hormone (GnRH) agonists and antagonists to block the production of estrogens that stimulate the ovary. Estrogen is the hormone that’s mainly responsible for the development of female sexual characteristics. This prevents menstruation and creates an artificial menopause. The therapy has side effects like vaginal dryness and hot flashes. Taking small doses of estrogen and progesterone at the same time can help to limit or prevent these symptoms.
Danazol is another medication used to stop menstruation and reduce symptoms. While taking danazol, the disease may continue to progress. Danazol can have side effects including acne and hirsutism, which is abnormal hair growth on your face and body. Other drugs are being studied that may improve symptoms and slow disease progress.
Conservative surgery is for women who want to get pregnant or experience severe pain and for whom hormonal treatments aren’t working. The goal of conservative surgery is to remove or destroy endometrial growths without damaging your reproductive organs.
Laparoscopy, a minimally invasive surgery, is used to both visualize, diagnose, and remove the endometrial tissue. Your surgeon will make small incisions in your abdomen to remove the growths surgically or to burn or vaporize them. Lasers are commonly used these days as a way destroy this “out of place” tissue.
Last-resort surgery (hysterectomy)
Rarely, your doctor may recommend a total hysterectomy as a last resort if your condition doesn’t improve with other treatments. During a total hysterectomy, your surgeon will remove your uterus and cervix. Your doctor will also remove your ovaries because they make estrogen, and estrogen causes the growth of endometrial tissue. They will also remove visible implant lesions.
This radical approach to treatment is used only when other treatment approaches have failed, and the pain and inflammation are interfering with quality of life. This procedure will stop the cycle of menstruation, and symptoms of endometriosis should reduce. There is no guarantee that all pain will go away, however.
You’ll be unable to get pregnant after a hysterectomy. Get a second opinion before agreeing to surgery if you’re thinking about starting a family.
What causes endometriosis?
During a daily menstrual cycle, your body sheds the liner of your uterus. this enables menstrual blood to ensue your uterus through the tiny opening within the cervix and out through your vagina.
The exact cause of endometriosis isn’t known . one of the oldest theories is that endometriosis happens attributable to a process referred to as retrograde menstruation. This happens when menstrual blood flows back through your fallopian tubes into your pelvic cavity rather than leaving your body through the vagina.
Another theory is that hormones transform the cells outside the uterus into cells like those lining the inside of the uterus, called endometrial cells. Others believe the condition could occur if small areas of your abdomen convert into endometrial tissue. this could happen as a result of cells in your abdomen grow from embryonic cells, which may change form and act like endometrial cells. It’s not known why this occurs.
These displaced endometrial cells is also on your pelvic walls and therefore the surfaces of your pelvic organs, like your bladder, ovaries, and rectum. They continue to grow, thicken, and bleed over the course of your menstrual cycle in response to the hormones of your cycle.
It’s conjointly possible for the menstrual blood to leak into the pelvic cavity through a surgical scar, such as after a caesarean delivery. Another theory is that the endometrial cells are transported out of the uterus through the lymphatic system. Still another theory purports it’s going to result to a faulty immune system that isn’t destroying errant endometrial cells. Some researchers believe endometriosis would possibly begin in the fetal period with misplaced cell tissue that begins to retort to the hormones of puberty. this is|this can be} often known as Mullerian theory. the development of endometriosis may also be coupled to genetics or perhaps environmental toxins.
What is endometriosis?
Endometriosis is a disorder during which the tissue that forms the lining of your uterus grows outside of your uterine cavity. the liner of your uterus is termed the endometrium.
Endometriosis happens once the endometrium grows on your ovaries, bowel, and tissues lining your pelvis. It’s unusual for endometrial tissue to spread on the far side your pelvic region, however it’s not impossible. endometrial tissue growing outside of your uterus is known as an endometrial implant.
The hormonal changes of your cycle have an effect on the misplaced endometrial tissue inflicting the area to become inflamed and painful. this implies the tissue can grow, thicken, and break down. Over time, the tissue that has broken down has obscurity to go and becomes trapped in your pelvis.
This tissue trapped in your pelvis can cause:
- scar formation
- adhesions, in which tissue binds your pelvic organs together
- severe pain during your periods
- fertility problems
Endometriosis is a common gynecological condition, affecting up to 10 percent of women. You’re not alone if you have this disorder.
Endometriosis has four stages or types. It can be any of the following:
Different factors determine the stage of the disorder. These factors can include the location, number, size, and depth of endometrial implants.
Stage 1: Minimal
In minimal endometriosis, there are small lesions or wounds and shallow endometrial implants on your ovary. There may also be inflammation in or around your pelvic cavity.
Stage 2: Mild
Mild endometriosis involves light lesions and shallow implants on an ovary and the pelvic lining.
Stage 3: Moderate
Moderate endometriosis involves deep implants on your ovary and pelvic lining. There can also be more lesions.
Stage 4: Severe
The most severe stage of endometriosis involves deep implants on your pelvic lining and ovaries. There may also be lesions on your fallopian tubes and bowels.
The symptoms of endometriosis can be similar to the symptoms of other conditions, such as ovarian cysts and pelvic inflammatory disease. Treating your pain requires an accurate diagnosis.
Your doctor will perform one or more of the following tests:
Your doctor will note your symptoms and personal or family history of endometriosis. A general health assessment may also be performed to determine if there are any other signs of a long-term disorder.
During a pelvic exam, your doctor will manually feel your abdomen for cysts or scars behind the uterus.
Your doctor may use a transvaginal ultrasound or an abdominal ultrasound. In a transvaginal ultrasound, a transducer is inserted into your vagina. Both types of ultrasound provide images of your reproductive organs. They can help your doctor identify cysts associated with endometriosis, but they aren’t effective in ruling out the disease.
The only certain method for identifying endometriosis is by viewing it directly. This is done by a minor surgical procedure known as a laparoscopy. Once diagnosed, the tissue can be removed in the same procedure.