Endometriosis is a frequently encountered condition in gynecological examinations. The answer to the question What causes endometriosis is still not very clear. The most accepted explanation is that it results from the uterine lining flowing out of the uterus into the abdomen in the opposite direction during menstruation.
The main source that nourishes the tissues formed during endometriosis is the female hormone. These hormones secreted from the ovaries keep the endometriosis alive and cause the disease to progress. For this reason, endometriosis is the disease of women in their fertile period. It is common between the ages of 15-49. In this age group, endometriosis is seen in one out of every 10 women.
In case of severe menstrual pain, it is not considered normal and should be consulted by a gynecologist. Since there are delays in admission, the diagnosis of endometriosis is delayed for 7-10 years.
WHAT ARE THE SYMPTOMS OF ENDOMETRIOSIS?
The presence of the tissues of the inner lining of the uterus in the abdomen causes minimal bleeding and subsequent adhesions. These adhesions cause pain over time, the most common complaint is menstrual pain (dysmenorrhea). Severe pain can interfere with social life. The student may not be able to go to school, the working woman may have to get permission or a report every time, there is usually a need for painkillers in the emergency room. There may be situations where there is no response to pain reliever. Nausea and vomiting may also accompany the pain. Sometimes, it can be confused with appendicitis pain, there are also patients who underwent surgery with a wrong diagnosis.
Pain during sexual intercourse (dyspareunia), persistent abdominal and groin pain (chronic pelvic pain) are also common. In patients with endometriosis Menstrual irregularity is also seen, there is an increase in vascularity in the inner lining of the uterus and the uterine wall, therefore menstrual bleeding may increase, intermediate bleeding may occur. In the case of endometriosis affecting the intestines, constipation, pain and bleeding during the big toilet can be seen. Endometriosis bladder (mesa ne) can also affect, in which case burning occurs when urinating. Urinalysis is usually normal.
DOES ENDOMETRIOSIS Cause infertility?
Endometriosis can cause infertility. 30% of Endometriosis patients may have trouble conceiving. Intra-abdominal adhesions may affect the ovaries, causing obstruction in the tubes. In some endometriosis patients, chemical imbalances have been detected in the uterus, in which case recurrent pregnancy loss and in vitro fertilization failures may occur.
WHAT IS THE TREATMENT OF ENDOMETRIOSIS?
The treatment of the patient with Endometriosis varies according to the complaint, that is, the treatment varies according to the person. Plans are made according to the patient's desire for a child, age, number of eggs and severity of pain. Endometriosis patient should be treated by trained and experienced doctors.
WHAT IS DONE IN ENDOMETRIOSIS SURGERY?
Laparoscopic ie closed surgery in the treatment of endometriosis, ovaries The resulting chocolate cyst is removed. Adhesions are opened, free movement of the uterus, ovaries and tubes is ensured. Sometimes, hard tissues such as balls form in the nodule style, which are also removed during endometriosis surgery. Removing the cysts, opening the adhesions, cleaning the nodules, reduces the pain in the patient.
Endometriosis The uterus and ovaries can also be removed in the surgical treatment. If the patient does not want a child, will not give birth again, or if he is looking for a definite treatment, the ovaries can be removed, along with the uterus.
Is ENDOMETRIOSIS VISIBLE ON ULTRASOUND?
Early stage endometriosis, ultrasound strong> does not appear. In the advanced stage, that is, in cases where adhesions are severe, nodules are formed and the mobility of the female organs is reduced, endometriosis can be detected by ultrasound.
Endometriosis, when it affects the ovaries, chocolate cyst occurs, these cysts are visible on ultrasound.
WHAT ARE THE SYMPTOMS OF DEEP ENDOMETRIOSIS?
Severe menstrual pain (dysmenorrhea), severe groin pain , abdominal pain that does not go away, severe pain when defecating, constipation, severe pain when urinating (dysuria), burning, needle stabbing pain, sexual intercourse Severe pain during intercourse (dyspareunia), feeling of pressure, pain that continues after intercourse, feeling of psychological fatigue due to long-term pain are the symptoms of deep endometriosis.
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