Endometriosis occurs when the endometrial tissue (lining of the uterus) that grows inside the uterus, is found outside the uterus.
Endometriosis lesions can be found anywhere in the pelvic cavity: on the ovaries, the fallopian tubes, on the pelvic side-wall (peritoneum), the uterosacral ligaments, the cul-de-sac, the Pouch of Douglas (rectouterine pouch or rectouterine excavation), the rectal-vaginal septum and in addition Endo can be found in caesarian-section scars, laparoscopy / laparotomy scars, on the bladder, on the bowel, on the intestines, colon, appendix, and rectum.
In even more rare cases, endometriosis has been found inside the vagina, inside the bladder, on the skin, in the lung, spine, and brain.
The pain often associated with your menstrual period, but a woman with endometriosis may also experience pain that doesn’t correlate to her cycle this is what makes this disease/condition so frustrating.
For many women, the pain of endometriosis is so severe that it impacts their lives in significant ways.
Common signs and symptoms include: Painful periods, pain in the lower abdomen, lower back pain, pain with bowel movement or urination, infertility, excessive bleeding, fatigue, diarrhea, constipation, bloating or nausea.
The medical field recommends following treatment / relieve options:
- Medications to control pain
- Hormone therapy that lowers your body’s estrogen levels
- Surgery to remove any visible endometriosis implants and scar tissue or in severe cases, removing the uterus and ovaries.
Treatment to stop the endometriosis from getting worse often involves taking anti-inflammatory pain medications and birth control pills, patches or rings continuously over a course of several months to stop your body from having periods and create a pregnancy-like state. It relieves most endometriosis symptoms. However, it does not prevent scarring or reverse physical changes that have already occurred as the result of the endometriosis.
Surgery may be recommended if you have severe pain that does not get better with other treatments.
Surgery may include:
- Pelvic laparoscopy or laparotomy to diagnose endometriosis and remove all endometrial implants and scar tissue (adhesions).
- Hysterectomy to remove the womb (uterus) if you have severe symptoms and do not want to have children in the future. One or both ovaries and fallopian tubes may also be removed. If you do not have both of ovaries removed at the time of hysterectomy, your symptoms may return.
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