ENDOMETRIOSIS
What is endometriosis The endometrium is the tissue that lines the inside of the womb (uterus).
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.
Who gets endometriosis? By Dr.V.P.Singh Sexologist Bareilly
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'.
What are the symptoms of endometriosis?
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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