22 Nov What is Endometriosis Part 1?
Endometriosis is a common, yet poorly understood, a disease that can strike women of any socioeconomic class, age or race. It is estimated that between 10 to 20 per cent of women of childbearing age have endometriosis. It is a debilitating disease which seems to be on the rise.
This disease occurs when some of the tissue similar to the lining of the uterus (womb), called the endometrium, grows outside of the uterus. Endometriosis is a progressive, chronic condition. It is often painful but there are effective treatments that may relieve the symptoms of endometriosis, especially lifestyle changes.
What causes endometriosis?
The causes of this disease are not known. Contributing factors can include:
- Instead of menstrual (period) blood flowing out of the body, as usual, some travels backwards along the fallopian tubes and into the pelvis. This blood can contain cells from the endometrium. In some women, these endometrial cells stick onto the surfaces of pelvic organs and start growing. Normal pelvic tissue can turn into endometriosis
- Women who have a close relative with endometriosis are up to 10 times more likely to develop the condition.
Other possible contributing factors for endometriosis include:
- long and heavy periods
- frequent periods or short cycles
- starting your period before 11
- having your first pregnancy when you’re older
- problems with the immune system
- low body weight
- alcohol use
Common symptoms include:
- heavy periods or irregular bleeding
- abdominal (tummy) or pelvic pain before and during a period, when having sex or going to the toilet
- bleeding between periods
- bleeding from the bladder or bowel, or changes in urination or bowel movements
- feeling bloated
- being tired and moody, especially around the time of your period
- not being able to get pregnant (infertility)
However, not everyone with endometriosis will experience symptoms.
To diagnose endometriosis, your doctor will probably ask about your symptoms and periods. You may need to have a laparoscopy, which is a type of surgery that allows doctors to look for endometriosis tissue in your abdomen. If your doctor believes you have the disease, they can refer you to a gynaecologist.
- your symptoms
- the severity of your endometriosis
- whether you want to become pregnant
Medicines for endometriosis include hormone-based treatments like the pill or an implant or IUD and pain relief medicine. Hormone treatments can reduce pain and reduce the growth of endometrial cells. However, they work only as long as you take them, so the endometriosis may come back.
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