A lined tissue in the Uterus is called as endometrium. In some cases the cells escape from the lining of uterus and place them in other organs in pelvic area of the body like the uterine ligaments, fallopian tubes, or ovaries. Due to this a painful medical condition is caused called as endometriosis.
The displaced cells act as if they are still in uterus during menstrual cycles. They start thickening and bleed when the menses begin. But the problem is that the blood has nowhere to go. Due to this problem the blisters are formed bothering the neighboring tissues and creates the encompassing cyst. This cyst becomes a scar or adhesion to the abnormal tissues that bind the body organs together. If the tissues are dislocated in fallopian tubes or ovaries, then the adhesions and scars interfere with the process of conception.
According to the statistics, 8 to 30 % women of conception age suffer from this condition. Many sufferers do not have any symptoms, others experience increasing pain as this condition progresses. With this medical condition, the chances of ectopic pregnancy occur usually in fallopian tubes.
This condition is often genetic and it generally strikes women aged about 25 to 40 years who haven’t had children.
What are the Symptoms?
- Pelvic pain prior to menses and lasts for many days after the menstrual cycle
A sharp pain during intercourse
Heavy menstrual cycle
Pain and strain during bowel movements
If you suspect this condition, you must immediately seek medical attention and go to a gynecologist. During pelvic examination the gynecologist might be in a position to feel some patches of endometriosis, but laparoscopy is one and only way to detect the same. During the medical treatment, the laparoscopy instrument is inserted in the abdomen area through a tiny incision. The medical treatment is done with minor procedure with either general or local anesthesia. As ovarian cancer and the endometriosis have similar symptoms, therefore laparoscopy is recommended.
The intensity of the symptoms decreases in women using some of the contraceptives. If oral contraception does not help, then testosterone derivatives may be used to stop menstruation after medical advice. Though there are many side effects of derivatives like the excess hair growth, weight gain, acne, etc. In such cases the displaced cells shrink. Medical treatment like Surgery is the only option for removing the growths. A medical treatment of electrocautery by using electric currents to destroy the cell or laser surgery is recommended. Unfortunately, the chances of recurring are always there. In extreme cases, the uterus and the ovaries removed and medically treated.
Gonadotropin (Releasing the hormone) also called as the GNRH is the recent medical treatment if surgery or contraception becomes unsuccessful. It can be either given through nasal spray, injection, or through an implant that is replaced every twenty eight days. As GNRH suppresses estrogen, there are side effects like vaginal dryness, hot flashes, and the irregular vaginal bleeding. The GNRH treatment can only be given for a period of six months as the risk of the bone loss is connected with low estrogen. With all these medical treatments recurrence after termination of medication is quite common.
Endometriosis doesn’t require medical treatment in all cases. If symptoms do not appear, one hardly requires medical attention. Menopause itself remedies moderate endometriosis. Therefore, post menopausal females who have not undergone estrogen replacement therapy do not need any medical treatment. In many cases, the estrogen replacement therapy reactivates endometriosis.