Doctor insights on:
Endometriosis Stages Chart
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.
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.See 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.See 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.See 1 more doctor answer
Multiple ways: Once endometriosis is diagnosed (usually with surgery), depending on the severity, it can be treated with hormone suppressing medications. Sometimes in mild cases, oral contraceptive pills can help. In severe cases where large cysts have formed or where it is causing blockage of the bowels or urinary system, surgery is needed and may require a hysterectomy with removal of the ovaries.See 1 more doctor answer
Chronic Condition: Endometriosis is a chronic female condition where parts of the uterine lining (endometrium) sheds through the tubes and implants in the pelvic cavity. The result is no symptoms, to chronic pain, to difficulty conceiving, to pelvic masses. It is estimated that endometriosis occurs in 6–10% of women, presenting in the early reproductive years. Laparoscopy at times is used for diagnosis.
Endometriosis: Surgery is the gold standard, and reduces the amount/extent of disease. The most effective medical treatment is the drug lupron (r). It is costly with some side effects, but is safe and often as good for pain as surgery. The injectible contraceptive depo-provera gives mixed results. A much older drug, danazol, is mostly no longer used.
Pelvis, abdomen: Endometriosis is a serious problem in which little pieces of tissue (similar to the uterine lining that bleeds and sheds each month) are trapped inside one's pelvis and abdomen. Rarely, women may have tissue trapped in the chest or other places. With each menstrual period, the trapped tissue sheds and bleeds on the inside of the abdomen (the blood has no way to leave the body), causing much pain.See 1 more doctor answer
Never: Endometriosis, though sometimes quite painful, is never a diagnosis that would lead to death. Very severe forms of endometriosis can cause endometrial tissues to affect various internal organs and cause bleeding but that's incredibly rare.
Endometriosis: Patches of endometrial tissue—normally occurring only in the lining of the uterus (endometrium)—appear outside the uterus. The misplaced endometrial tissue responds to hormones as normal endometrial tissue, it can bleed and cause pain. When it is inactive, the patches of endometrium remain quiet and do not bleed or cause pain for some time.See 1 more doctor answer
Yes!: Endometriosis close to the rectum may cause pain due to scarring like in this picture. This is especially try closer to your periods. Also nerve endings get hypersensitive around the disease. If advanced, the lesions may invade the rectal area! For these reasons, it's important to make the diagnosis with laparoscopy and if possible, resection of as much disease as possible.See 4 more doctor answers
Heres a classic pic: This is an endometriotic implant in the pelvis. These lesions are hormonally sensitive and will bleeds during menses. Endometriosis in the ovary can cause scarring that ultimately walls itself off to become an endometrioma which then becomes a blood filled (or chocolate cyst - becuase the old blood becomes brown and thick) cyst.See 1 more doctor answer
Find endo-wise Gyn: Endometriosis has been long misunderstood. Find a gyn 1) who will listen, 2) knows that endometriosis is laid down during when you were a 6-7 week embryo and 3) has the surgical skill to completely excise all the endometriosis even if it is near critical structures.
See below: Typical symptoms of endometriosis include: painful period, painful sexual intercourse, and infertility. There is no significant correlation between severity of pain and degree of endometriosis Many patients with endometriosis do not have any symptoms. The gold standard of diagnosis of endometriosis is through laparoscopy.See 1 more doctor answer
Fairly common: Although experts may disagree over small differences, good ballpark figures for endometriosis are as follows: about 10-15% of women in the general population, between 40-60% of women with normal male partners who seek help for infertility, and as high as 80-90% who meet the above and have chronic pelvic pain.See 1 more doctor answer
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