Endometriosis
Endometriosis causes pelvic pain and fertility issues and early symptom detection is key. Need advice? Nuvance Health is here for you.
Book Now with an OBGYNWhat is endometriosis?
Endometriosis is a chronic disease where tissue resembling the lining of the uterus grows outside the uterus. This condition affects roughly 10% (190 million) of reproductive-age women and girls globally. Such misplaced tissue can lead to inflammation, the formation of scar tissue and even adhesions in the pelvic region and sometimes other parts of the body.
Endometriosis can start as early as a person's first menstrual period and continue up until menopause. The exact cause of endometriosis remains unknown, and while there's no cure, treatments can help manage its symptoms. The onset of the disease can be as early as the commencement of menstruation and can last till menopause. Although it's not dangerous, it can cause significant pain and other complications, including fertility issues.
Are there different types of Endometriosis?
Yes, endometriosis lesions vary and can be categorized into:- Superficial Endometriosis: Found primarily on the pelvic peritoneum
- Cystic Ovarian Endometriosis (Endometrioma): Located in the ovaries
- Deep Endometriosis: Found in the recto-vaginal septum, uterine ligaments, bladder and bowel.
In rare cases, endometriosis has also been observed outside the pelvic region.
What are the symptoms of endometriosis?
The symptoms of endometriosis can range from mild to severe and may include:
- Severe pelvic pain, especially during menstrual periods
- Pain during or after sexual intercourse
- Painful urination or bowel movements, especially during menstruation
- Heavy or abnormal menstrual bleeding
- Bloating, nausea and fatigue
- Chronic pelvic pain
- Infertility
- Emotional impacts such as depression or anxiety
It's essential to note that the intensity of pain experienced is not always indicative of the disease's severity. Some women may have a severe form of endometriosis but experience little to no pain, while others with a milder form may face intense pain or other significant symptoms.
Treatment options for endometriosis at Nuvance Health
There's no known cure for endometriosis, but various treatments can help manage its symptoms:
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Medications
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen for pain relief
- Hormonal medicines like GnRH-analogues and contraceptives can help control pain
- Fertility medicines for those struggling with pregnancy due to endometriosis
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Surgery
- Laparoscopic surgery can be employed to remove endometriosis lesions, adhesions and scar tissues
- In severe cases, more invasive surgeries might be required
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Alternative therapies
- Physiotherapy and complementary treatments may be beneficial
- Acupuncture and pelvic floor physical therapy can also be considered
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Counseling and support groups
- These can provide emotional assistance and advice.
Treatment choices are often based on individual needs, the severity of symptoms, and fertility desires. While some treatments can alleviate symptoms, endometriosis-related symptoms can sometimes re-emerge after therapy. It's essential to have ongoing discussions with healthcare providers to determine the most effective and suitable treatment approach.
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