Sunday 12 October 2014

ENDOMETRIOSIS

                            

Endometriosis is a condition where endometrial tissue is found outside the uterus. It is 'trapped' in the pelvic area and lower tummy (abdomen) and, rarely, in other areas in the body.


The exact number of women who develop endometriosis is not known. This is because many women have endometriosis without symptoms, or with mild symptoms, and are never diagnosed.

Investigations to diagnose endometriosis are only done if symptoms become troublesome and are not eased by initial treatments (see below). Estimates vary so that from about 1 in 10 to as many as 5 in 10 of all women develop some degree of endometriosis.

If symptoms develop they typically begin between the ages of 25-40. Sometimes symptoms begin in the teenage years. Endometriosis can affect any woman. However:

  • Sometimes it runs in families. Therefore, endometriosis is more common in close blood relatives of affected women.

  • Endometriosis is rare in women past the menopause, as to develop endometriosis you need oestrogen, the female hormone. Oestrogen levels fall after the menopause.

  • The combined oral contraceptive pill (often called 'the pill') reduces the risk of developing endometriosis. This protective effect may persist for up to a year after stopping 'the pill'.

     

    Patches of endometriosis can vary in size from the size of a pinhead to large clumps. Many women with endometriosis have no symptoms. If symptoms develop they can vary, and include those listed below.

    In general, the bigger the patches of endometriosis, the worse the symptoms. However, this is not always the case. Some women have large patches of endometriosis with no symptoms. Some women have just a few spots of endometriosis, but have bad symptoms.

  • Painful periods. The pain typically begins a few days before the period and usually lasts the whole of the period. It is different to normal period pain which is usually not as severe, and doesn't last as long.Painful sex. The pain is typically felt deep inside, and may last a few hours after sex.Pain in the lower abdomen and pelvic area. Sometimes the pain is constant, but is usually worse on the days just before and during a period.Other menstrual symptoms may occur. For example, bleeding in between periods.Difficulty becoming pregnant (reduced fertility). This may be due to clumps of endometriosis blocking the passage of the egg from an ovary to the Fallopian tube. Sometimes, the reason for reduced fertility is not clear.Uncommon symptoms include pain on passing poo (faeces), pain in the lower tummy (abdomen) when you pass urine, and, very rarely, blood in the urine or faeces. Very rarely, patches of endometriosis occur in other sites of the body. This can cause unusual pains in parts of the body that occur at the same time as period pains.

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1 comment:

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