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9 Symptoms of Endometriosis Every Woman Should Know About Are you experiencing pelvic pain, irregular menstrual cycles or even digestive issues? If so, you could be one of the millions of women who have endometriosis. Endometriosis is a disease in which tissue, similar to the lining of the uterus, grows in other places in the body. It is one of the most common gynecological diseases, and its primary symptoms include pain and infertility. This condition impacts 11% of American women between 15 and 44-years of age and is especially common among women in their 30s and 40s. Endometriosis, sometimes called "endo," gets its name from the word endometrium, the tissue that normally lines the uterus or womb. Endometriosis is often found on the ovaries, fallopian tubes and the outer surface of the uterus. Other growth sites can include the vagina, cervix, vulva, bowel, bladder or rectum. Rarely, endometriosis appears in other parts of the body, such as the lungs, brain and skin. Endometriosis growths are benign (not cancerous) but can still cause problems. What are the symptoms of endometriosis? The symptoms of endometriosis can vary, but many women with this condition experience: - Painful menstrual cramps, which may get worse over time - Pain during or after sex - Pain in the intestine or lower abdomen - Lower back pain - Painful bowel movements or painful urination during menstrual periods - Heavy menstrual periods - Premenstrual spotting or bleeding between periods - Problems getting pregnant - Stomach and digestive issues (constipation, bloating, nausea) If you have symptoms of endometriosis, it’s important to discuss them with your doctor. Your OB/GYN will talk to you about the best course of action. They may prescribe medication or perform one or more of the following procedures to determine if you have endometriosis: - Pelvic exam: Your doctor will feel for large cysts or abnormalities in the pelvis during a pelvic exam. Smaller areas of endometriosis are harder to feel. - Imaging test: Your doctor may do an ultrasound to check for ovarian cysts from endometriosis. The doctor or technician may insert a wand-shaped scanner into your vagina or move a scanner across your abdomen. Ultrasound tests use sound waves to make pictures of your reproductive organs. Computed tomography (CT) and magnetic resonance imaging (MRI) are other common imaging tests that can take a picture of the inside of your body. - Laparoscopy: Laparoscopy is a type of surgery that doctors can use to look inside your pelvic area to see endometriosis tissue. Surgery is the only way to be sure you have endometriosis. Sometimes doctors can diagnose endometriosis just by seeing the growths. Other times, a small tissue sample is needed to study under a microscope to confirm the diagnosis. It’s not completely clear what causes endometriosis, but there are several issues that are believed to be contributing factors: - Genetic factors: Endometriosis can run in families and may be inherited in the genes. - Immune system problems: A faulty immune system may fail to find and destroy endometrial tissue growing outside the uterus. Immune system disorders and certain cancers are more common in women with endometriosis. - Hormones: The hormone estrogen appears to promote endometriosis. - Surgery. During a surgery to the abdominal area, such as a Cesarean section or hysterectomy, endometrial tissue could be picked up and moved by mistake. For instance, endometrial tissue has been found in abdominal scars. There is no cure for endometriosis, but treatments are available for the symptoms and problems it causes. If you are not trying to get pregnant, hormonal birth control is generally the first step in treatment. This may include: - Extended-cycle birth control (you have only a few periods a year) or continuous cycle birth control (you have no periods). These types of hormonal birth control are available in pill form or by injection and help stop bleeding and reduce or eliminate pain. - Intrauterine device (IUD) to help reduce pain and bleeding. The hormonal IUD protects against pregnancy for up to seven years, but the hormonal IUD may not help your pain and bleeding due to endometriosis for that long. Hormonal treatment works only as long as it is taken and is best for women who do not have severe pain or symptoms. Surgery is usually chosen for severe symptoms when hormones are not providing relief or if you are having fertility problems. During the operation, the surgeon can locate any areas of endometriosis and may remove them. After surgery, hormone treatment is often restarted unless you are trying to get pregnant. It’s important to have regular visits with your OB/GYN. Your doctor can work with you to develop a plan tailored to your needs. Learn more about women’s services at Ochsner. To learn more about Dr. Wyeth Lawson, or to make an appointment, click here.
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Zašto žene čekaju 8 godina za dijagnozu Endometrioza je bolest kod koje se tkivo endometrija tj. sluznice maternice, nalazi izvan maternice, najčešće u organima zdjelice i potrbušnice Još jedan Mjesec osviještenosti o endometriozi je ispred nas, posvećen poremećaju od kojeg boluje jedna od deset žena. Mnoge pate u tišini, ne znajući što im se događa i bez dijagnoze. Kako bismo dali glas tim ženama i kako bismo pomogli podići osviještenost o činjenici da je u prosjeku potrebno 8 godina kako bi se endometrioza dijagnosticirala, INTIMINA je nedavno objavila upečatljiv video zvan ''Čekanje''. Video predstavlja osmogodišnju djecu koja koriste svoju dob kako bi simbolizirali osmogodišnje čekanje na dijagnozu. Svaka od tih djevojčica je živa onoliko dugo koliko je potrebno da se postavi dijagnoza endometrioze. S obzirom na to da milijuni žena širom svijeta potencijalno imaju ovu bolest, kampanja želi educirati i potaknuti akciju koja je potrebna kako bi se skratilo čekanje na dijagnozu. Endometrioza je bolest kod koje se tkivo endometrija tj. sluznice maternice, nalazi izvan maternice, najčešće u organima zdjelice i potrbušnice. Uzrok endometrioze još uvijek nije poznat, a dijagnosticiranje može biti izazovno jer ovo stanje ima slične simptome kao brojni drugi poremećaji. Kako bismo educirali žene i motivirali ih da potraže pomoć na vrijeme, ginekologinja brenda INTIMINA, Dr. Shree Datta donosi vodič kroz simptome endometrioze i moguće načine liječenja: Kako prepoznati simptome? Endometrioza se manifestira različito od osobe do osobe pa liječnicima može biti vrlo izazovno doći do dijagnoze. Učestali simptomi koji upućuju na endometriozu uključuju cikličku bol u zdjelici, bol tijekom spolnog odnosa ili bol prije i tijekom menstruacije. Promjene u radu crijeva, umor i poteškoće sa začećem također su česti simptomi tako da je ključno što prije tražiti medicinski savjet. Vođenje dnevnika boli i simptoma je najbolji način da objasnite svoje stanje liječniku. Odnosno, zabilježite simptome vezane uz menstruaciju, informacije o tome je li se pogoršavaju te o tome kako utječu na vaše svakodnevne aktivnosti. Ginekolog može predložiti ultrazvuk, odrediti mogu li vam pomoći lijekovi, te je li potrebna laparoskopija kako se obavile detaljnije pretrage ili kako bi se liječila endometrioza. Mogući načini liječenja Iako neke žene neće imati mogućnost izliječiti endometriozu, liječenje ovisi o vrsti, lokaciji i stupnju endometrioze. Liječenje može uključivati lijekove poput kontracepcijskih pilula, Mirena spirale i/ili operaciju. Nekim ženama mogu pomoći jednostavne tablete protiv bolova poput Ibuprofena. U nekim slučajevima potrebna je mješavina različitih tretmana. Endometrioza je potaknuta estrogenom, tako da je ključna pažljiva briga o jetri i probavi kroz prehranu. Konzumiranje puno zelenog povrća i protuupalne hrane te smanjenje unosa kofeina i alkohola može utjecati na simptome endometrioze. Dodaci ribljeg ulja i vitamin B12 mogu pomoći kod bolova povezanih s endometriozom. Također, pomaže i redovito vježbanje. Ženama koje pokušavaju zatrudnjeti i koje pate od endometrioze savjetuje se da se na vrijeme konzultiraju sa svojim ginekologom. Počnite uzimati suplemente za trudnoću tri mjeseca prije nego što pokušate zatrudnjeti i često imajte nezaštićeni seks tijekom ciklusa u kojem pokušavate zatrudnjeti. Mnoge žene nemaju poteškoće sa začećem, ali isplati se na vrijeme potražiti stručnu pomoć. Progovorite o boli Simptomi endometrioze razlikuju se od osobe do osobe. Ponekad je potrebno dosta vremena da si žene priznaju da imaju zdravstvenu poteškoću i potraže profesionalnu pomoć. Mnogima može biti neugodno razgovarati s liječnikom o intimnim problemima, no otvoren i iskren odnos je ključan kako bi dobili ispravnu dijagnozu. Milijuni žena imaju endometriozu pa je educiranje javnosti i borba protiv tabua pravi način da im se pomogne progovoriti o boli kao i tražiti ranu dijagnozu. "Endometrioza je dugotrajno stanje koje može uzrokovati iscrpljujuće simptome tijekom menstruacije. Može se manifestirati na mnogo različitih načina zbog čega ju se može teško dijagnosticirati. Nekada je potrebno do osam godina za dijagnosticiranje endometrioze, stoga je ključno na vrijeme konzultirati liječnika uz dnevnik simptoma. Bolno je znati da toliko žena pati u tišini kada im mi liječnici možemo pružiti liječenje i podršku - stoga vas molimo da nas posjetite ako imate problema", dr. Datta zaključuje.