Doctor insights on:
Different Severities Of Endometriosis
After I had a hysterectomy, I was told that I had adenomyosis. Is that different from endometriosis?
Yes it is different: Adenomyosis is when there are glands from the lining of the uterus up inside the wall of the uterus. Endometriosis is when these cells and glands from the lining of the uterus are growing outside the uterus. Adenomyosis is a common cause of heavy periods. ...Read moreSee 2 more doctor answers
I have bad endometriosis and had laparospy last year. Now it's gone back. How do I monitor it's growth and severity ?
By your symptoms: The amount of endometriosis present in any one person interestingly does not correlate with the amount of pain or symptoms that person has. You do not need to monitor the growth of endometriosis. You do need to report back to your obgyn on your level of pain and your satisfaction with the treatment. If your pain becomes unbearable then you can discuss further options ...Read more
So i was researching endometriosis and there are different colors of it, mine is a large golf ball sized black endometriosis, what does that mean?
Color matters little: The size and location, and how much associated scarring is present, matters much more than the color. Large endometriosis lesions always appear very dark because of the iron and polymerized heme pigments from past episodes of bleeding; just what heme pigments are generated and how well the iron is processed determines the hue. Glad you're proactive & hope you are successfully treated. ...Read more
Endometriosis: Endometriosis is a bening disease defined by the presence of endometrial glands ( lining of inside the uterus) outside the uterus and its associated with pelvic pain and infertility. The disease tends to progress and recurrs. Primary dysmenorrhea is when no specific diagnosis has been made and secondary dysmenorrhea is when an actual medical condition has been diagnosed. ...Read more
After being diagnosed with endometriosis, i have received 2 different treatments: diphereline for 6 months and belara or marvelon. which one is better?
Birth control best: A birth control pill is the best treatment for endometriosis because it treats it and has the best side effects such as lighter, shorter and less painful periods. You should always take them unless you are trying to conceive. Other treatments actually mimic menopause which will cause hot flashes and vaginal dryness. ...Read more
I have been diagnosed with endometriosis for about 10 years and I have different pains now that are chest pains and strange pelvic pains. See doctor?
Yes: I do not treat endometriosis but I do know that it can affect the chest. When a lung collapses on its own it is called a spontaneous pneumothorax. There is a subset of this that occurs in conjunction with a woman's menstral cycle. This is called a catamennial pneumothorax. It is felt this is due to endometriosis in the chest cavity. ...Read moreSee 1 more doctor answer
Before I had my laparoscopy, I was told I might have endometriosis or a chronic case of pelvic inflammatory disease. How are these different?
Only 1 is infectious: Pelvic inflammatory disease is infection that can cause pain, scarring and "adhesions" from the pus which is collected bacteria and white blood cells. Treatment requires antibiotics to kill the bacteria. Even after the infection is gone however, scar tissue may remain. Endometriosis is misplaced tissue from the lining of the uterus, that settles elsewhere and bleeds at the time of the period. ...Read moreSee 2 more doctor answers
I am 21 year old girl. I have pain and cramps from left ovary.
I was on few opinions and everybody tell different. It is cyst, then endometriosis.Help?
I had both US and MRI for lower abdomen at different offices. Doc read US said I have endometriosis. Another doc read MRI said no. Should I trust MRI?
Not diagnosed by MRI: The only way to confirm the presence of endometriosis is by direct visualization through video laparoscopy. Only in cases involving the ovaries where endometriosis can cause a so-called "chocolate cyst" to develop can it be seen with imaging studies such as CT, MRI, or ultrasound. However, this accounts for only a small percentage of cases of endometriosis. ...Read moreSee 1 more doctor answer
I am experiencing fatigue, abdominal pain (all over) (severity: severe) (quality: sensation of tearing pain) , nausea (severity: moderate) , dizzi...
See ur doctor: while these symptoms are common and nebulous, such as viral (e.g. flu) - would see ur doc if persistent/severe, esp for treatable causes. Urgent attention if hi fever, blood, pain on urination, change in position of pain, evidence for dehydration incl peristent vomit. chk for pregnancy if applicable. Keep hydrated, avoid aspirin, can use tylenol if no allergies. ...Read more
I continue to get ovarian cysts when on a different continuous birth control pills year round for endometriosis. Last one was serous cystedoma. Could changing birth control pills potentially help.
What is the cause of ovulation pain? Recently have different type of pain in lower abdomen during period. History of removing endometriosis & cyst.
Mittelschmerz: ovulation pain (mittelschmerz) is cause by first the actual rupture of the cyst causing a sharp sudden pain with some residual discomfort afterwards. But many ovulated cysts will also bleed slightly and the blood irritates the perineum causing often a couple days of crampy to sharp pain. Endometriosis rarely goes away completely and pain with bleeding more likely that or adenomyosis ...Read more
Should I trust a regular OB GYN to do a Laparoscopic Cystectomy on an 8.4 and 4 cm hypoechoic cystic lesion? Or should I have a gynecologic oncologist do a Laparatomy? Both suspect endometriomas/endometriosis but have different surgery suggestions.
Ans: Endometriosis is diagnosed by exploratory surgery. If this is what is expected why would you need an oncologist? The lesion will go to pathologist who will make the diagnosis for you. So if endometriosis you have no need for oncologist/gynecologist. Both are well trained I am sure in the procedure which is straight forward ...Read moreSee 1 more doctor answer
A cause of pain: Endometriosis is a condition where the uterine lining implants somewhere outside the uterus in the abdomen. It can implant on a tube, an ovary, the bowel, the abdominal side-wall, etc. It tends to bleed just like it would inside the uterus during a period, except that it is inside the abdomen. It causes the surrounding tissue to become irritated and inflammed and this is painful. ...Read more
Yes.: Not all patients with endometriosis have a family history, but many do. If you are having pelvic pain, severe pain with your periods or pain on penetration with intercourse, you should see your gynecologist. While you can not see endometriosis on an ultrasound, you can see other sources of pelvic pain. Robotic laparoscopic surgery is the best way to see endometriosis. ...Read moreSee 2 more doctor answers
Endo: In short we don't know. There are some theories that suggest that endometriosis occurs because of back bleeding through the fallopian tubes into the pertoneal cavity and the body is not able to digest this blood for which reason endometriosis develops. Most women have retrograde menses but only about 10 percent may get endometriosis due to a faulty immunological system. ...Read moreSee 1 more doctor answer
Variable: In some women, even a large amount of endometriosis causes no pain. In other women a small amount causes significant pain. Women feel a variety of different pain symptoms and the severity is different from person to person. It can be debilitating or it can be very mild. ...Read moreSee 1 more doctor answer
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