Frequently asked questions about endometriosis

What is endometriosis?

Endometriosis is a condition where tissue similar to the lining from the uterus is also found elsewhere in the body, mainly in the abdominal cavity.

Who gets endometriosis?

Endometriosis typically affects women during their reproductive years. These are usually time between patient's onset of menstruation until menopause. Researchers estimate that between 10 and 15 percent of women who have begun their menstruation cycles develop endometriosis. They have also found that in cases of infertility, 25 to 50 percent are due to endometriosis. This is why it is so important to speak with your doctor about endometriosis if you are having problems conceiving.

What are the the signs of endometriosis?

The most typical symptom of endometriosis is pelvic pain. The pain sensation is often with menstruation, however a lady with endometriosis may also experience pain sometimes during her monthly cycle. Another symptoms is infertility, and ladies with endometriosis also experience severe fatigue.

How's endometriosis diagnosed?

The only way to diagnose endometriosis without a doubt is during a laparoscopy, the industry small surgical procedure. However, many physicians are able to “diagnose” endometriosis based on a woman’s symptoms and begin treatment on that basis.

Is there a cure for endometriosis?

Actually till now there is no any definite cure of endometriosis available . But it can be treated, as well as for many women you'll be able to manage their symptoms through a mixture of long term treatments.

What is the treatment of endometriosis?

Medical treatment should be tried first but laparoscopic surgery is when medical treatment fail. Endometriosis isn't likely the problem unless patient have symptomatic endometriosis in the places that can not be tolerated. Before considering endometriosis because the problem, we would strongly recommend ruling out all possibilities for pain that could be associated with patient's recent surgery. If women have not been dealing with some kind of pain for awhile, I'd lean toward the current surgery being the issue first. Set up sling is actually causing the pain, having surgery may have flared something and/or caused alterations in body permitting current pain.

Using hormone therapy for endometriosis won't help with infertility. Hormone therapy for endometriosis prevents pregnancy. However, many studies of women with severe endometriosis have discovered that 6 months of GnRH-a treatment before in vitro fertilization raises the chances of conceiving a successful pregnancy. Not every women with endometriosis have pain. Endometriosis doesn't necessarily worsen over time. While pregnant, endometriosis usually improves, because it does after menopause. If you have mild pain, have no plans for any future pregnancy, or are near menopause (around age 50), and patient might not feel a need for treatment. The decision can be her. Pain recurrence after hormone therapy is also common.

Laparoscopy is the most common surgical procedure for that diagnosis and treatment of Endometriosis. A Laparoscopy is really a relatively minor operation when used purely for diagnosis. It is when additional surgical treatment for Endometriosis is conducted throughout a Laparoscopy that the procedure gets to be more invasive and would be defined as major surgery. The procedure is usually done under general anesthetic. This kind of operation may also be known as key-hole surgery, and is among the lesser forms of invasive surgical treatment available today. There are some hospitals which will perform this operation being an out-patient procedure, with the patient going home within 24 hours. Many hospitals require the patient to remain instantly, that allows for post surgery recovery to become monitored.

How is a Laparoscopy Done?

Laparoscopic surgery is a surgical treatment and is done by first inflating the abdomen with gas, which is usually carbon dioxide, through a small incision near the navel. An extended thin instrument known as a Laparoscope is then carefully inserted into the inflated abdominal cavity to examine the abdomen and pelvis. During surgery your body will be tilted slightly with the feet raised greater than the head. This allows a few of the abdominal organs to shift upward toward the chest and taken care of. The gas which is used to inflate the abdomen helps you to provide a better view within the abdomen by pushing the abdominal wall and also the bowel from the organs within the pelvic cavity. This makes it easier for that surgeon to see the reproductive organs.

Where do I find someone who specialises in endometriosis?

Any good gynecologist trained in laparoscopy can manage endometriosis. Most national or local support groups will be able to advise you how to locate specialist help. Also read some articles from websites on how to look for a centre which specialises in treating endometriosis and the questions you need to ask your physician before you decide around the right specialist and the right strategy to you.

Is endometriosis an std or infectious?

It is fact that endometriosis can't be transferred in one individual to a different. The cause of endometriosis isn't yet known, but it's not an infectious disease.

Is endometriosis inherited?

The cause of endometriosis is not yet known, but research demonstrates that first-degree relatives of ladies with this particular disease have a seven-fold risk of developing endometriosis.

Am i going to have the ability to have children?

It is estimated that 30-40% of ladies with endometriosis may have difficulties in succeeding as pregnant. This, however, implies that 60-70% may have no problems. If fertility is a superb wish, then please discuss your symptoms together with your physician to ensure that together you are able to develop the very best treatment plan for you. What we don't know, however, is if it is the endometriosis itself that impacts a woman's ability to get pregnant, or something else at work. It also doesn't mean you won't or can't get pregnant.

One theory is that it may be related to a fundamental immune condition that increases inflammation. Inflammation is caused, partly, by chemicals called cytokines, released when the immune system sweeps in to fix a problem. Endometrial tissue outside the uterus is certainly among those problems! And, actually, studies find higher levels of cytokines in the fluid within the peritoneum, which encloses the gastrointestinal and reproductive organs.

Other studies suggest that high levels of cytokines can negatively affect not only fertility, however the results of pregnancy and also the health of embryos. Cytokines also affects the healthiness of your eggs, with studies discovering that women with endometriosis convey more problems associated with remarkable ability to produce healthy eggs compared to those without. Unhealthy eggs tend to be not as likely to lead to a pregnancy even when a sperm reaches them. The inflammatory theory also gets support from baboon studies, which found endometriosis and endometriosis-related infertility improved when the animals received anti-inflammatory treatment. Studies in females are actually focusing on the potential benefits of anti-inflammatory drugs to deal with endometriosis.

Will a hysterectomy cure endometriosis?

Some women chose, like a last measure, to have a hysterectomy. However, this does not guarantee complete pain relief. If you choose a hysterectomy it is important that all the endometriosis is taken away at the same time.

Will pregnancy cure endometriosis?

No. Some women discover that their pain symptoms are reduced while pregnant, but this isn't the situation for everybody. In most cases, endometriosis will return following childbirth and stopping breast feeding.

Is endometriosis cancer?

No. Endometriosis cysts are sometimes referred to as beningn disease, simply people are afraid because they may behave similarly to cancer, but endometriosis is not the same disease. In unusual cases, endometriotic implants has lead to cancer, but this is very rare. Some investigation suggests that some women with endometriosis may be in a slightly higher risk of developing certain cancers but this really is still controversial.

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