Doctor insights on:
Why Is Endometriosis Pain Worse During The Night
Can endometriosis br diagnosis w/o surgery? Diangosis today with endo based off monthly r pelvic pain during mens that is getting worse.
No: #endometriosis is a curious disorder without proven cause, and commonly used treatments are speculative. Pelvic and operative interventions commonly cause pelvic and abdominal organ (intestine) adhesions resulting in tethered, twisted, and constricted intestine; a set-up for ibs-like symptoms. Women with joint hypermobility syndrome (see brighton criteria) have terrible menstrual pains. ...Read more
Should women w/endometriosis avoid lymphatic massage? I had it a few times, 2x during period, then read it cld cause spreading. Symptoms progresvly worse.
Spread: I have not heard this nor if I read it. I think if it helps you and make you feel better than you should continue doing it. If it makes it worse than stop. I cannot believe there's evidence either way. ...Read more
Are period cramps worse during teenage years? I used to get bad cramps as a teenager which slowed down in my 20s. Could it be endometriosis?
Endometriosis ?: Because a young teenage woman is unfamiliar with the effects of larger doses of hormones produced in the menstrual cycle, the effects seem stronger than when regular cycles predominate in one's 20s and up. Endometriosis is treated well with low dose oral contraceptives, and fertility is preserved better than with untreated endometriosis, which can seriously affect fertility negatively. ...Read more
Very painful periods. Cramping before and after. Always worse during my actual period. How can endometriosis be ruled out?
Endometriosis common: Endometriosis is far and away the most common cause of female pelvic pain. The list of possible causes is just not that long in most patients. Pain during or after intercourse should be evaluated by your gynecologist. Other causes include pid (pelvic inflammatory disease, a bacterial infection of the uterus/tubes/ovaries) but usually there is a low grade fever and some extra vaginal discharge. ...Read more
Having watery diarhhea/vomiting /pain before and during period. Got dehydrated and went to hospital. Periods getting worse. Could it be endometriosis?
Period pain: There are many causes of painful periods, but endometriosis is a common one — and it can be accompanied by changes in bowel movements, painful urination, pain with sex, and excessive bleeding with periods. Talk with your gynecologist about your diagnosis and the best ways to manage your symptoms. ...Read more
The pain in my side is progressively getting worse where my uteral endometriosis is, I feel very sick, what do I do?
U feel v. Sick?: Then go to the next er for evaluation and treatment. ...Read more
Complicated: A very complicated question you should talk over with a gynecologist expert in the management of endometriosis. Assuming you are the patient we are talking about (49 years old), you have very little to lose in having a hysterectomy and potentially a lot to gain. It is very dependent, however, on specifics of each case. ...Read more
If your endometriosi: Is bad enough then u may need after other measures like meds and less invasive surgery has been tried, hopefully if u have to have the hyesterec then your endometriosis will be gone or markedly lessened so u can enjoy life, bad endomtriosis is not compatible with enjoying life. ...Read more
Can clomaphene cause problems when I have endometriosis? Did clomaphene work or make endometriosis worse?
Talk to your doctor: Clomiphene alters hormonal balances in the body, especially of estrogen. This is how it works as an infertility drug. Endometriosis can be worsened by the presence of high levels of estrogens. Clomiphene use is relatively contraindicated in women with endometriosis. But again, you should talk to your doctor since only they know why you may still need to take the drug despite your condition. ...Read more
Removed nuvaring for break week after skipping for 3month. Endometriosis like symptoms returned within 24hrs. Normal or getting worse? What can I do?
Many women experience pain from endometriosis just prior to their period.
When you remove the Nuvring for your break week, your body begins to prepare to have a period. It doesn't mean your endometriosis is worse, just that it is changing with your hormones as it would each month if you were not skipping the break week. You can take Ibuprofen and shorten the break week to 4 days. ...Read more
Varies: Everyone experiences pain differently. For some it may feel like cramping, others sharp or stabbing pains and yet others may feel a burning sensation. You can reduce this by teaching your partner to avoid deep penetration. The outer third of the penis and vagina are the most sensitive, so deep insertion isn't needed and for you is painful. ...Read more
Absolutely: The inflammation in the pelvis due to endometriosis is often located deep in the pelvis just behind the uterus and cervix which means it is just above the top of the vagina. This area is indeed, during penetration apt to get bumped and can indeed cause what is called "deep dyspareunia" (pain with deep penetration). A very common cause of this pain is endometriosis. ...Read more
Endometriosis of gut: Most GI doctors consider endometriosis in women with complaints of chronic discomfort. Crampy, nonpelvic pain can be seen in extensive endometriosis, & symptoms do not always intensify prior to or during menses. The disease can mimic inflammatory bowel disease on barium studies. On colonoscopy, submucosal lesions like endometriosis may be polypoid. Endoscopic ultrasound may be of further help. ...Read more
Would endometriosis cause my Crohn's to flare during my period? Ceohns only flares during my period.
Endometriosis/Crohns: Endometriosis (endo) and crohn's disease seem to be related in that women with endo have a higher incidence of crohn's. Endo implants on your intestines can mimic crohn's symptoms- is this a flare caused by endo? Probably sometimes yes, sometimes no. Clearly if one has both, it's important to treat both as they seem to feed the painful symptoms of one another. ...Read more
Endometriosis reoccurred after 2nd surgery, dr refused 3rd surgery said would cause it to spread and become worse, I have an endometrioma, is this true?
Fertility Specialist: At this point you would likely benefit from seeing a specialist. There are different options and different concerns. Surgery is still an option but you really need to know what your goals are. I would not do anything before seeing a specialist. And yes only surgery will remove an endometrioma but not all of them need to be removed. ...Read more
Yes: The endometrial glands that are not in the endometrial cavity ("endometriosis") bleed and shed the same time as the endometrial ones, except they're trapped where they are (in the ovary, in the abdomen, in the lung, etc) and causes pain by mass effect. Later, as that tissue gets trapped long term the body sips it up and it becomes scar tissue. ...Read more
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