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Endometriosis Explained

Endometriosis affects women of childbearing age. This inflammation can lead to pain and problems with infertility. Here are some facts about endometriosis and possible treatments for the condition.

Endometriosis is a condition where cells from the inner layer of the uterus (endometrium) are deposited in areas outside of the uterus. Endometrial cells are the ones that shed when you have your menstrual cycle each month. Endometriosis looks like dark spots and can be found on the outside of the uterus, ovaries fallopian tubes, bladder and intestines.

How do those cells get there? It is believed that endometrial cells find their way out during menstruation. Some cells move upward and back through the fallopian tubes instead of downward through the vagina and out the body. Since your period is driven by your hormonal cycles, it is rare for post-menopausal women to experience endometriosis since they don’t have a menstrual cycle any more.

Endometrial cells can also reach the outside of the uterus from previous surgeries. Women who have had cesarean sections could have had the cells deposited in the pelvic cavity during the surgical incisions.

Some women with endometriosis do complain of cramping and abdominal pain. The pain won’t usually subside until the condition is dealt with. But, unless it causes problems there is nothing to do for it. Endometriosis is not a malignant condition.

Pain and cramping aren’t the only symptoms of endometriosis. Women present with heavy menstrual bleeding, diarrhea, blood in the urine and low back pain also.

Women greatly affected by endometriosis may require surgery to deal with it. A procedure called a laparoscopy is performed to cauterize any spots in the pelvic cavity. By removing the endometrial spots, the pain will usually subside. Women with recurrent pain may need a cauterization of the nerves leading to the uterus that are delivering the pain response.

When accompanied by heavy bleeding and pain, a hysterectomy may need to be performed for recurrent endometriosis. With a hysterectomy, the uterus and sometimes the fallopian tubes and ovaries are removed along with any endometrial spots that still exist.

If surgery is not the way you want to go, medication can be used to treat endometriosis. Since endometriosis pain is worse during ovulation and the menstrual cycle, using a continuous cycle of oral contraceptives will stop menstrual periods.

The worst part of endometriosis for most women is the pain. Your doctor may prescribe ibuprofen or NSAIDs like Aleve for the pain and discomfort. If the pain is manageable, nothing else has to be done beyond that point.

Endometriosis is a benign condition that can cause a lot of pain for women of childbearing age. It can be treated with medication. For women with more intense symptoms, surgical intervention may be required.


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