Endometriosis: Don’t Delay Treatment

Endometriosis is a common gynecological disease in which cells of the endometrium (the inner layer of the wall of the uterus) grow outside of its normal location. The number of patients suffering from this pathology is growing every year.

Endometriosis is a common gynecological disease in which cells of the endometrium (the inner layer of the wall of the uterus) grow outside of its normal location. The number of patients suffering from this pathology is growing every year. According to experts, endometriosis occurs in 10% of women of reproductive age in the world, which is about 176 million patients. Endometriosis is the third most common cause of gynecological hospitalizations in the United States.

At what age can endometriosis occur?
In the vast majority of cases, endometriosis occurs in women of reproductive age. The peak incidence occurs at the age of 30-50 years. One of the important aspects of the disease is that, according to studies, over 50% of women with endometriosis face difficulties in conception (no pregnancy after 12 months from the beginning of attempts to conceive a child). Endometriosis does not equal infertility, but it can take a lot of effort and time for successful conception.

What are the causes of endometriosis?
The causes of endometriosis most often include hormonal disorders, immune disorders, genetic predisposition, frequent abortions, caesarean section, inflammatory diseases of the pelvic organs, the presence of an intrauterine device.

Are there clinical manifestations of this disease?
The clinical manifestations of endometriosis are so diverse that they sometimes mislead even the most experienced doctors. Symptoms may be completely absent, and sometimes they can be so pronounced that they disturb the sleep and peace of a woman. Symptoms depend on the form of endometriosis, the degree of distribution, and comorbidities. The clinical manifestations of endometriosis include:

pain in the lower abdomen, aggravated during menstruation,
violation of menstrual function (intermenstrual spotting, “daub” discharge before and after menstruation), more abundant and prolonged menstruation,
infertility (most often asymptomatic),
other specific symptoms characteristic of rare forms of endometriosis (with endometriosis of the intestine – increased intestinal peristalsis, streaks of blood in the feces, with endometriosis of the bladder – frequent, painful urination, etc.).
How do I know if I have endometriosis?
Often, endometriosis is an accidental finding at the next visit to the gynecologist. It is possible to speak with confidence about the diagnosis only after a thorough examination and on the basis of the results of laboratory and instrumental diagnostics. According to the indications, ultrasound, laparoscopy, hysteroscopy, hysterosalpingography, biopsy (examination of tissues of pathological areas) are performed.

How is this disease treated?
Treatment of endometriosis can be conservative, operative and combined. The latter is considered to be the “gold standard”. Recently, the most modern drugs and technologies have been used.

How to choose a correction method?
The choice of the correction method depends on the severity of the symptoms, the severity, the age of the woman and her plans for pregnancy. After the treatment, fertility is restored, pain during menstruation is significantly reduced.

Can Endometriosis Really Be Cured?
Remember that if you have been diagnosed with endometriosis https://en.wikipedia.org/wiki/Endometriosis, this is not a sentence! Early detection of the disease and correctly selected treatment helps in 90% of cases.