20 de outubro de 2020 , por
Experts estimate that 11% of reproductive-age women have endometriosis worldwide, yet here in the U.S., it can take up seven to 12 years for a proper diagnosis. For example, we know that endometriosis is an inflammatory disease, and that inflammation can exacerbate painful symptoms. (2018). So what might some of those treatments be? This site complies with the HONcode standard for trustworthy health information. Additionally, endometriosis can happen when endometrial cells are released into the abdomen during a surgery, such as a c-section. When that’s jostled around, say during sex or a bowel movement, it can cause pain. Painful urination: If endometriosis shows up outside the bladder, it can make urination painful, or blood can show up in the urine. Here’s what worked for her. These can be symptoms of endometriosis, but also symptoms of other issues, including endometrial cancer. Experts suspect endometriosis is caused by something know as retrograde menstruation.
Some women only discover they have endometriosis when they start trying to fall pregnant. Other common sites include the cervix, vagina, vulva, ureters (the tubes that connect the kidneys to the bladder) and bladder. I have pelvic pain throughout my cycle, extreme menstrual cramps and bloating, chronic fatigue, shooting pain in my thighs and pain with sex. Let’s start with all women! Constipation: If endometriosis occurs on the bowels or lower intestine, it can lead to constipation. If medical remedies don’t work, surgery’s an option. If you have a burning sensation when your partner is first entering you, that’s not probably endometriosis. If you’re saying to yourself: “Wow, it wouldn’t dawn on me to go see my gynecologist if I’m having poop problems—I’d see a gastroenterologist!” you’ve now identified one of the challenges with endometriosis. “Because endometriosis can spread to all of the other organs in the abdomen, the bowel, the bladder, the lining of the abdomen, a woman can begin to experience pain with bowel movements and pain with urinating,” Dr. Kelly-Jones says. (2019). Dr. Sherry Ross, ob-gyn at Providence Saint John’s Health Center, Santa Monica, CA, gets this. Endometriosis can be a difficult condition to diagnose.
And there’s good reason why this occurs. Julianne Hough of ‘Dancing With the Stars’ speaks out about overcoming the pain of endometriosis, a condition that affects 1 in 10 women. Unlike primary dysmenorrhea, secondary dysmenorrhea is period pain that is the result of another underlying condition. If there’s no fertilized egg, there’s no need for a cushy lining, so the body sheds that layer—also know as having your period if you’re a woman. If you are still consistently avoiding white pants after a full week, start tracking your cycle and share your calendar with your doctor. Partly because symptoms can mimic other disorders, and partly because 20% to 25% of women who have endometriosis are asymptomatic, the condition can be hard to identify. She is also a Narrative Medicine instructor at Columbia University College of Physicians & Surgeons. That’s because the only way to be sure that it’s present is to do a laparoscopy, a minimally invasive surgery in which a long thin camera and other tools are inserted into the pelvis through small incisions in the abdomen, and tissue samples are taken and studied by a pathologist. We went to some of the nation’s top experts in endometriosis to bring you the most up-to-date information possible. Beyond meds and surgery, researchers are investigating the role genetics play in endometriosis in hopes that it can them predict who will develop it, and aid in the creation of highly effective treatments, too. Despite these symptoms, 20% to 25% of endometriosis patients are asymptomatic. Before we get into the nitty gritty, it’s worth noting that the prevailing wisdom dictates that doctors begin treating endometriosis before there’s a definite diagnosis. It may sometimes be found in other parts of the body, but this is rare. Period pain that occurs regularly and is not associated with another underlying condition is called primary dysmenorrhea. And in a way, her prediction was correct, except the pain migrated to my abdomen and inner thighs. Doctors are wary of using it long-term because, down the road, estrogen suppression can lead to issues like osteoporosis, heart disease, and cognitive decline. We've got the doctor-approved scoop on the causes, symptoms, treatments, and a jillion other facts and tips that can make life with this challenging health condition easier. © The State of Queensland (Queensland Health) 1996-2020. So reducing the amount of inflammatory foods (such as red meat and alcohol) in your diet can help, as can adding in anti-inflammatory foods like salmon, nuts, and olive oil. Asymptomatic patients may also learn about their endometriosis if the tissue mass gets very large and leads to excessive bloating. (2020). Some of these symptoms may be indicative of other diseases or be side effects of treatment, but some may also be related to endometriosis (although these were not yet examined in clinical studies). Period pain. That’s what endometriosis is: The growth of endometrial cells and development of thick tissue outside of the uterus that can lead to inflammation, lesions, and scarring. And don’t get me started on crop tops and low-rise pants — neither one of those trends will every hang in my closet. Learn how one woman did it and get her three main tips for starting the conversation. (2019). “Endometriosis can grow anywhere in a woman’s pelvic region. (n.d.) “Medical Treatments for Endometriosis.” brighamandwomens.org/obgyn/infertility-reproductive-surgery/endometriosis/medical-treatment-for-endometriosis, Endometriosis Treatment: Feinberg School of Medicine at Northwestern University. Infertility: Between 30% and 50% of women who have endometriosis suffer from infertility issues. No woman enjoys getting her period (I think?
“The association between endometriosis and autoimmune diseases: a systematic review and meta-analysis.” academic.oup.com/humupd/article/25/4/486/5518352, Endometriosis Treatments: Brigham and Women’s Hospital. Severe cramping: Known as dysmenorrhea, this affects 60% to 80% of women with endometriosis. “Endometrial implants can be scattered throughout the bowels causing them to function abnormally creating uncomfortable bloating.”, Endo women spend a lot of time in the bathroom and it’s not to achieve the perfect beach waves. The biggest risk factor for this condition is being female (not much you can do there!). Seek medical help if your period pain is getting in the way of your daily activities. These days, my endo bloat game is so strong, I’ve had to leave restaurants in the middle of a meal, fully recline in the backseat of a car (sorry, Uber drivers) and retreat to my bed once I get home. Even though there is no known cause or cure, a diagnosis is critical in creating a care plan with your doctor to help mitigate these symptoms and puts an end to the question, what on earth is wrong with me? Had I known then what I know now, I could have avoided at least one of those surgeries.”. Endometrial cells that mistakenly ended up in the pelvis can attach onto its walls, as well as the outside of the uterus, the fallopian tubes, or any of the organs within the pelvis. But sometimes, the blood flow gets mixed up, and instead of flowing out, it flows up, going back through the fallopian tubes and into the pelvis. Because of the nature of the disease, its symptoms can cross over into other conditions, making it hard to get to the root of the issue. That decade of pain can be attributed to a mix of factors, including limited access to care, a stigma around pelvic pain and menstruation-related complaints, and doctors who don’t fully understand how to treat it. This is because: the symptoms of endometriosis vary so much Endometriosis can also occur within the muscle wall of the womb (adenomyosis) and occasionally on the bowel and/or bladder.
A doctor may also opt to put you on a short stint of a nonsteroidal aromatase inhibitor, which is a class of drugs that prevents the cells in the body from making estrogen or by suppressing estrogen production. (2010). If it is a knife-stabbing feeling when a partner is thrusting deeper, that’s a red flag for the condition. I have two wardrobes: one for “normal” days and one for flare-ups consisting of no-elastic band sweatpants, pants one size larger than my normal size, loose-fitting dresses, long sweaters and t-shirts. These are some of the signs and symptoms that something more than just “period pain” is going on. (2012). There are also theories that involve cells outside of the uterus mimicking endometrial cells when they’re activated by certain hormones, like estrogen.
Knowing the signs of endometriosis, including pain symptoms, can help you effectively discuss them with your doctor. The first line of defense is NSAIDs, or nonsteroidal anti-inflammatory drugs, which block the body’s production of the hormonal compound prostaglandin, thus cutting down on pain, inflammation, and cramping. Because the stray tissue can’t leave the body like normal menstrual blood does, it stays inside the pelvis where it can cause inflammation in the surrounding organs. Symptoms can vary widely, depending on where the stray endometrial tissue is located. “Endometriosis.” mayoclinic.org/diseases-conditions/endometriosis/symptoms-causes/syc-20354656, Endometriosis Diagnosis: National Institutes of Health.
And that’s the start of endometriosis. “Proteomic Analysis of Menstrual Blood.” ncbi.nlm.nih.gov/pmc/articles/PMC3494145/, Endometriosis Symptoms: Mayo Clinic. “Oftentimes, a patient will use the descriptor ‘knife-like’ or ‘searing’ or ‘cutting’.
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