Causes, Symptoms, and Treatment Remedies

Endometriosis Treatment Remedies


The contents of this app are provided for educational purposes only and are not intended to diagnose, treat, cure, or prevent any disease or health condition. The information provided should not be considered as a substitute for the advice of a medical doctor or other healthcare professional.

Pathology (What is Endometriosis?)

Endometriosis may spread endometrial tissue beyond the pelvic region, but this is rare.

In endometriosis, displaced endometrial tissue continues to act as it normally would when it is inside the uterus.

When endometriosis involves the ovaries, cysts called endometriomas may form.

Endometriosis usually develops several years after the onset of menstruation.

Endometriosis Causes

The most likely explanation for most cases of endometriosis is retrograde menstruation.

Retrograde menstruation occurs when menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body.

Blood vessels or lymphatic fluid may transport endometrial cells to other parts of the body, resulting in endometriosis.

It is possible that an immune system problem causes a woman's body not to recognize and destroy endometrial tissue that is growing outside the uterus.

A genetic disposition may contribute to the development of endometriosis, because a woman who has one more close relatives with endometriosis is more likely to have endometriosis herself.

A medical condition that prevents the normal passage of menstrual flow out of the body can cause retrograde menstruation, leading to the development of endometriosis.

A previous pelvic infection makes a woman more likely to get endometriosis.

Women who have uterine abnormalities are more likely to get endometriosis.

Endometriosis Symptoms

The pelvic pain and cramping of endometriosis may include both lower back and abdominal pain.

Dysmenorrhea is the term used to describe the pain that occurs during a woman's menstrual period, and is a common symptom of endometriosis.

Some women with endometriosis have abnormal bleeding in between periods. This symptom is called menometrorrhagia.

Women with endometriosis may be infertile.

Fatigue can be a symptom of endometriosis.

The signs and symptoms of endometriosis end temporarily during a woman's pregnancy.

Signs and symptoms of endometriosis will end permanently after a woman completes menopause.

Postmenopausal women who take estrogen may still have the signs and symptoms of endometriosis.

The main complication of endometriosis is impaired fertility.

Endometriosis Diagnosis

Endometriosis is often first diagnosed in women who are seeking treatment for infertility.

The severity of pain in endometriosis is not necessarily a reliable indicator of the extent of the condition.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain.

Conditions that may be confused with endometriosis include pelvic inflammatory disease (PID) and ovarian cysts.

Endometriosis may be mistaken for irritable bowel syndrome (IBS) because of the symptoms of diarrhea, constipation and cramping.

Some women have both irritable bowel syndrome (IBS) and endometriosis, making the diagnosis of endometriosis more difficult.

The cause of severe pelvic pain is often difficult to identify.

Discovering endometriosis early helps to avoid unnecessary complications and pain.

If a doctor suspects endometriosis he/she A will take a thorough history that includes asking the woman to describe the timing and location of the pelvic pain.

A pelvic exam is very important in the diagnosis of endometriosis.

During a pelvic exam the doctor will feel for abnormal areas in the pelvic area.

During a pelvic exam a doctor may be able to feel abnormalities such as cysts and scars.

Often it's not possible to feel small areas of endometriosis during a pelvic exam.

An abdominal or transvaginal ultrasound may be used to diagnose endometriosis, in order to view the reproductive organs.

Ultrasound imaging can identify the cysts than are associated with endometriosis.

Abdominal surgery may be necessary to identify the signs of endometriosis.

Laparoscopic surgery is typically used when surgery is necessary to identify signs of endometriosis.

The surgeon may take samples of tissue from the abdominal cavity to make the diagnosis of endometriosis.

Laparoscopic surgery can provide information about the location, extent and size of the displaced endometrial tissue.

Endometriosis Treatment

Information about the location, extent and size of displaced endometrial tissue helps determine the best treatment options for a case of endometriosis.

Endometriosis is usually treated with medications or surgery.

Surgery is typically considered the last resort in the treatment of endometriosis.

Over the counter pain relievers can help ease the pain of menstrual cramps associated with endometriosis.

When over the counter pain relievers fail to provide relief for the symptoms of endometriosis, another approach may be necessary.

Supplemental hormones can be effective in reducing or eliminating the pain of endometriosis.

Hormonal medications may slow the growth and prevent new implants of endometrial tissue.

Symptoms of endometriosis may recur after stopping hormone therapy.

Birth control pills help control the hormones responsible for the buildup of endometrial tissue each month.

Most women have lighter and shorter menstrual flow when they are using a hormonal contraceptive.

Oral contraceptives may reduce or eliminate the pain of mild to moderate endometriosis.

Gonadotropin-releasing hormone (Gn-RH) is used to treat endometriosis because it blocks the production of hormones that stimulate the ovaries.

When Gn-RH is used to treat endometriosis, endometrial tissues shrink in size.

Gn-RH can force endometriosis into remission during the time of treatment.

Gn-RH can reduce or eliminate endometriosis for months or even years following treatment.

Medroxyprogesterone (Depo-Provera) effectively stops menstruation and the growth of endometrial implants.

Danazol is a drug to treat endometriosis that suppresses the growth of the endometrium by blocking production of hormones that stimulate the ovary.

Danazol is not a first line treatment for endometriosis because it can cause serious side effects and can be harmful to the baby if the woman is pregnant.

Endometriosis Prevention

True prevention of the consequences of endometriosis is based on increased awareness of the disease in adolescence.

Adolescence provides a window of opportunity for the hormonal manipulation of endometriosis.

The American College of Obstetrics and Gynecology recommends beginning nonsteroidal anti-inflammatory medications (NSAIDS) combined with oral contraceptives for adolescent females who present with dysmenorrhea (painful menstruation).

If an adolescent female continues to have dysmenorrhea after 3 months of treatment with NSAIDS and oral contraceptives, diagnostic laparoscopy should be considered.

Adolescents with diagnosed severe endometriosis should be treated through surgery, resection or laser treatment.

All adolescents who are diagnosed with endometriosis and have had surgery should be placed on suppressive hormone therapy to prevent further disease progression.

The first line of preventive therapy for women under age 16 who have had surgery for endometriosis is continuous cyclic oral contraceptives (COCs).

Women over age 16 who have been treated surgically for endometriosis may be treated with either COCs or growth hormone (GnRH).

Growth hormone is not recommended as a preventive treatment for surgically treated endometriosis in women under age 16 because of concerns that the growth hormone may affect bone maturation.

If an adolescent female has only mild to moderate endometriosis, preventive treatment based on symptoms rather than on the physical lesions may be the best choice.

Endometriosis Statistics & Facts

Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant.

Many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term.

Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer occurs at higher than expected rates in women with endometriosis.

Endometriosis-associated adenocarcinoma is a rare type of cancer that can develop in older women who have had endometriosis.

Getting regular exercise may help improve the symptoms of endometriosis.

The prevalence of endometriosis is approximately 6 to 10%.

In-vitro fertilization (IVF) procedures can improve fertility in many women with endometriosis.

Attempts to hormonally manage the symptoms of endometriosis started almost 70 years ago.

Endometriosis was first identified in 1860.

Research has demonstrated an association between endometriosis and certain types of cancers, including ovarian cancer, non-Hodgin's lymphoma and brain cancer.

Endometriosis Treatment Remedies plus

The contents of this app are provided for educational purposes only and are not intended to diagnose, treat, cure, or prevent any disease or health condition. The information provided should not be considered as a substitute for the advice of a medical doctor or other healthcare professional.

Pathology (What is Endometriosis?)

Endometriosis is a disorder in which tissue that normally lines the inside of the uterus, the endometrium, grows outside of the uterus.

Endometriosis most often involves the ovaries, bowel or the lining of the pelvis.

In endometriosis, the displaced endometrial tissue thickens, breaks down and bleeds with each menstrual cycle even though it is outside of the uterus.

When the displaced endometrial tissue breaks down and bleeds, it becomes trapped because there is no way for it to exit the body.

Tissue that surrounds an endometrioma often becomes irritated and develops scar tissue and adhesions.

Endometriosis Causes

When displaced endometrial cells enter the pelvic cavity they can stick to the walls of the pelvis and to other organs inside the pelvis.

Displaced endometrial cells that stick to the pelvic wall and the surfaces of pelvic organs grow, thicken and bleed during each menstrual cycle.

Because the cells lining the abdominal cavity come from embryonic cells, it is possible that a few areas of tissue in the abdominal lining can turn into endometrial tissue and lead to the development of endometriosis.

Endometrial cells may attach to a surgical incision after pelvic surgery, such as hysterectomy or C-section, resulting in endometriosis.

Women who have never given birth are more likely to have endometriosis.

Endometriosis Symptoms

The primary symptom of endometriosis is pain in the pelvic region.

Women with endometriosis describe menstrual pain that is far worse than the normal pain associated with menstrual periods.

The pelvic pain and cramping of endometriosis may begin before a period and last for several days during the period.

Women with endometriosis may experience pain during or after sexual intercourse.

Women with endometriosis may have pain with bowel movements or urination, particularly during the menstrual period.

Endometriosis can cause especially heavy bleeding during the menstrual period. This symptom is called menorrhagia.

Women with endometriosis may have gastrointestinal symptoms, such as diarrhea, constipation, bloating and nausea, particularly during the menstrual period.

Endometriosis Treatment

Warm baths and a heating pad can help relax pelvic muscles, reducing cramping and pain associated with endometriosis.

Traditional abdominal surgery or laparoscopic surgery may be used to remove endometrial tissue in women with severe endometriosis.

Sometimes removing the uterus and ovaries (total hysterectomy) is the best treatment for severe endometriosis.

pub 48 Diagnosing and Treating

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