The cause of groin pain in women may be endometriosis

Gynecological diseases are among the health problems that are quite common in women and have many different types. One of them, endometriosis, is a gynecological disease in which a tissue similar to the tissue that forms the lining of the uterus grows outside the uterine cavity.

This tissue, called endometrial tissue, can grow outside of the uterus in the ovaries, intestines, tissues covering the pelvis, and sometimes even outside the pelvic region, although it is rare. Endometriosis, which can manifest itself with complaints such as inability to have a child, groin pain, pain during sexual intercourse or defecation, and also known as a chocolate cyst, can be detected only during routine controls without any symptoms in some cases.

Many Reasons May Play a Role in the Development of Endometriosis

The exact cause of endometriosis, which develops with the growth of the endometrium layer covering the inside of the uterus, outside the uterus is not known exactly. However, among the issues considered as risk factors in the development of the disease; disorders in the anatomical structure, weak immune system, hormonal disorders, genetic predisposition, geographical factors. Endometriosis is diagnosed in a significant proportion of women who apply to health institutions with the complaint of infertility. However, it is not possible to evaluate the disease as a definitive cause of infertility. A history of endometriosis can be detected in one out of every five women who have had children before. Although women between the ages of 25 and 35 are the age group most affected by the disease, this disease can also be found in older women or young girls.

Infertility and Groin Pain Are Among The Most Important Symptoms

Endometriosis is detected by chance in some women without causing any symptoms or complaints. The most obvious difference between pain due to endometriosis and pain caused by different reasons is that it is felt during the menstrual period and ends with relief when the bleeding ends. Apart from this, the type and severity of the symptoms also vary according to the region where the endometrium layer is located. Symptoms such as menstrual irregularity, blood in the urine, painful defecation, infertility, intestinal problems, severe back pain during menstruation are also among the symptoms of endometriosis. Rarely, chocolate cysts located outside the pelvic region can cause different types of symptoms such as bloody sputum production. Transvaginal ultrasound plays an important role in accurately detecting the disease in patients who apply to health institutions with symptoms related to the disease or in routine gynecological examinations. Considering the possibility of endometriosis, necessary research should be done in couples in whom a healthy pregnancy cannot be achieved despite regular and unprotected sexual intercourse for one year.

Treatment Options Vary According to the Patient

”The treatment plan in endometriosis disease, which has severe menstrual pain and infertility among the most important symptoms, is shaped according to the patient’s complaints and the size of the cysts. Follow-up and treatment with hormonal treatments and drugs to relieve pain can be recommended only for women with menstrual pain complaints. In patients who apply with the complaint of infertility, it may be necessary to resort to surgical operations. Laparoscopic surgery, also known as the closed method, which promises less risk of complications and shorter recovery time, is preferred in patients with the appropriate profile where the chocolate cysts will be removed by surgical intervention. In patients who want to have a child after surgery, especially in cases such as advanced age and the presence of additional male problems, additional treatments to increase ovulation and in vitro fertilization can be recommended. The surgeon’s experience is also very important in the surgical removal of the chocolate cyst. After the operations performed by specialist physicians, the chance of conceiving within a year is quite high. Lifestyle changes such as healthy nutrition and regular physical activity are also important for the success of treatment. In advanced endometriosis patients who are older, have children and do not plan to have children again, surgical removal of the uterus and ovaries can be recommended as a definitive treatment.

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