2023-05-20 00:00:00
Written by Nahir Abdel Nabi
Saturday, May 20, 2023 03:00 AM
Endometriosis is an often painful disorder caused by the growth of tissue similar to the tissue lining the inside of the uterus. The most common type of endometriosis is ovaries fallopian tubes and tissue lining the pelvis and, in rare cases, tissue similar to the endometrium can be found outside the area where the pelvic organs are located.
According to the website mayoclinic In the case of endometriosis, the tissue similar to the lining of the uterus acts as normal tissue in terms of thickness, decomposition and bleeding with each menstrual cycle, but because these tissues cannot leave your body, they are trapped inside the body, and when endometriosis reaches the ovaries, cysts called polyps may form The lining of the uterus and the surrounding tissues may become irritated, eventually leading to scar tissue and adhesionsor bands of fibrous tissue that may cause pelvic tissues and organs to stick together.
Endometriosis can sometimes cause severe pain, especially during menstrual cycles. Fertility problems may also arise and fortunately, there are some effective treatments.
According to the website, the primary symptoms of endometriosis are pelvic pain, often associated with menstrual periods, and although many women experience cramping during their menstrual periods, those with endometriosis describe menstrual pain as much worse than usual. The pain may also increase over time.
Common signs and symptoms of endometriosis include the following:
Painful periods (dysmenorrhea) Pelvic pain and cramping may start before your period and extend for several days following your period begins You may feel lower back pain and also in your abdomen.
Pain while urinating You are most likely to experience these symptoms during your menstrual period.
Excessive bleeding You may experience heavy periods every now and then or bleeding between periods (bleeding between periods).
Infertility Sometimes, endometriosis is first diagnosed in people seeking treatment for infertility..
Other signs and symptoms You may experience tiredness, diarrhea, constipation, bloating or nausea, especially during menstrual cycles.
The intensity of the pain may not be a reliable indicator of the severity of your condition. You may feel severe pain with simple endometriosis, or you may feel little or no pain with advanced endometriosis..
Endometriosis is sometimes confused with other conditions that can cause pelvic pain, such as pelvic inflammatory disease or ovarian cysts. It can be confused with irritable bowel syndrome, a condition that causes bouts of diarrhea, constipation, and abdominal cramping. Irritable bowel syndrome can accompany endometriosis, What may complicate the diagnosis.
Endometriosis can be a difficult condition to treat. Early diagnosis, a multidisciplinary medical team, and an understanding of your diagnosis may improve symptom management..
Although the exact cause of endometriosis is uncertain, possible explanations include::
Retrograde menstruation. In the case of retrograde menstruation, menstrual blood containing endometrial cells flows through the fallopian tubes into the pelvic cavity instead of leaving the body. These endometrial cells adhere to the wall of the pelvic cavity and the surfaces of the pelvic cavity organs, where they grow and continue to thicken and bleed throughout each menstrual cycle.
Transformation of peritoneal cells. In what’s known as the “induction theory,” experts suggest that hormones or immune factors promote the conversion of peritoneal cells (the cells that line the inner side of the abdomen) into endometrial-like cells..
Transformation of embryonic cells. Hormones such as estrogen may transform embryonic cells in the early stages of development into endometrial cell implants during puberty..
Surgical scar grafting After a surgical procedure, such as a hysterectomy or cesarean section, endometrial cells may adhere to the surgical incision.
Migration of endometrial cells. Blood vessels or tissue fluid (lymph) may transport endometrial cells to other parts of the body.
Immune system disorder A problem with the immune system may cause the body to be unable to recognize and destroy endometrial tissue that is growing outside the uterus.
To diagnose endometriosis and other conditions that may cause pelvic pain, your doctor will ask you to describe your symptoms, including where and when the pain occurred.
Tests to check for physical signs of endometriosis include:
Pelvic exam During a pelvic exam, your doctor will manually feel (medical examination) areas in your pelvis for abnormalities such as cysts on your genitals or scars behind your uterus Small areas of endometriosis often cannot be felt unless they cause a cyst to form.
Ultrasound (ultrasound) This test uses high-frequency sound waves to produce
Magnetic resonance imaging (MRI). An MRI is a scan that uses a magnetic field and radio waves to create detailed pictures of the organs and tissues inside your body.
Laparoscopy In some cases, your doctor may refer you to a surgeon for a procedure that allows the surgeon to see inside your abdomen (laparoscopy). While you are under general anesthesia, the surgeon makes tiny incisions near your navel and inserts a thin viewing instrument (laparoscopy) to look for signs of endometriosis uterus outside the uterus.
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