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Endometriosis

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Overview

Endometriosis is a chronic disorder characterized by the growth of tissue similar to the inner lining of the uterus (endometrium) outside the uterus. It primarily affects the ovaries, fallopian tubes, and pelvic tissue. In rare cases, it may extend beyond the pelvic region.

Types of Endometriosis

  1. Superficial Endometriosis: Found mainly on the pelvic peritoneum.
  2. Cystic Ovarian Endometriosis (Endometrioma): Develops within the ovaries.
  3. Deep Infiltrating Endometriosis: Occurs in the recto-vaginal septum, bladder, and bowel.

Causes of Endometriosis

The exact cause of endometriosis remains unclear, but several factors contribute:

  • Retrograde Menstruation: Menstrual blood containing endometrial cells flows back through the fallopian tubes into the pelvic cavity.
  • Hormonal Imbalance: Disruptions in hormonal regulation.
  • Surgical Scars: Resulting from procedures like Cesarean sections or hysterectomies.
  • Immune System Dysfunction.
  • Genetic Predisposition.

Risk Factors of Endometriosis

Several risk factors increase the likelihood of developing endometriosis:

  • Age: Women aged 25 to 40 are at higher risk.
  • Family History: Endometriosis tends to run in families.
  • Nulliparity: Women who haven’t given birth.
  • Menstrual Abnormalities: Heavy or shorter periods since puberty.

Symptoms of Endometriosis

Endometriosis presents with various symptoms, including:
1. Painful Menstrual Periods: Severe cramping during menstruation.
2. Dyspareunia: Pain during or after sexual intercourse.
3. Pain with Bowel Movements or Urination.
4. Excessive Bleeding.
5. Infertility.
6. Other symptoms may include fatigue, diarrhea, constipation, bloating, or nausea.

Preventions of Endometriosis

  1. Exercise Regularly: Engage in physical activity for at least 4 hours a week.
  2. Limit Alcohol Intake: Excessive alcohol consumption can raise estrogen levels, potentially exacerbating endometriosis. Moderation is key.

  3. Reduce Caffeine: Limit your intake of caffeinated drinks. High caffeine levels may impact hormonal balance.

Diagnosis of Endometriosis

  • Pelvic Examination: Identifies abnormalities.
  • Ultrasound: Detects ovarian cysts.
  • Laparoscopy: Direct visualization to determine location and extent.
  • Seek medical evaluation if symptoms persist or worsen.

Treatment for Endometriosis

  • Medication: Analgesics like Ibuprofen or Naproxen for pain relief.
  • Laparoscopic Surgery: Removal of endometrial tissue.
  • Hysterectomy: Removal of the uterus, fallopian tubes, and ovaries.
  • Hormone Therapy: Suppresses endometrial growth.
  • Dietary Modifications: High fiber, omega-3 fats, and magnesium-rich foods.

When to seek medical attention ?

If you experience symptoms suggestive of endometriosis or have concerns about fertility, consult a healthcare provider promptly.

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