Endometriosis is a benign but chronic disease seen in women of reproductive age that can turn life into a nightmare. In our country, 1.5 million women, in other words, one out of every 10 women are struggling with this disease. Areas of endometriosis, such as the endometrium, which cover the uterus, also respond to hormones that maintain the menstrual cycle.
During the menstrual period, destruction and bleeding occur in these foci as in the uterus. Endometriosis may not only manifest itself with low back pain, but may also present with severe menstrual cramps, pain during sexual intercourse, constant fatigue, burning in urination, and symptoms that mimic other diseases. In some patients, a small lesion can seriously affect the quality of life, while in others, it can progress insidiously without causing any complaints. For all these reasons, diagnosis can take many years, and patients have to live with severe pain for years. Worse, if the symptoms of ‘deep endometriosis’, in which endometriotic lesions occur outside of the peritoneal cavity, for example, in the urinary tract, intestines or bladder wall, are ignored, it can be much more advanced at older ages, damaging the organs and making the treatment more complex.
SYMPTOMS OF ENDOMETRIOSIS
The primary symptom of endometriosis is pelvic pain, which is usually associated with the menstrual period. Although most women experience menstrual cramps, women with endometriosis typically describe menstrual pain that is much worse than normal. He also reports that over time, the pain gets worse.
CAUSE OF ENDOMETRIOSIS?
The exact cause of endometriosis is still unknown. Retrograde menstrual bleedingThe most widely accepted theory in this regard is that during menstruation, the tissues in the uterus pass through the woman’s tubes and settle in the abdominal cavity and continue their development there. immune system disordersThe immune system is also thought to differ from normal in a way that allows this.
Spread by blood and lymph:Intrauterine tissue can spread through blood or lymph.
Genetic:Genetic predisposition from the family and a number of environmental causes may cause endometriosis.
Although there is no clear cause yet, the above reasons are among the causes of endometriosis.
Embryoniccell transformation: When the estrogen hormone is secreted excessively during puberty, it can transform cells in the first stage of development into endometrial cells.
Endometriosis treatment takes place in two ways. These; drug therapy and surgery. How the treatment will be done depends on the symptoms of the disease and your pregnancy status.
How is endometriosis treated?
There are two main complaints in endometriosis: The first is painful menstruation
the other is usually infertility.
Treatment methods may differ according to the type of complaint. For example, only women with pain complaints are given painkillers, hormonal drugs, or surgical methods are recommended in more severe cases.
Are we going to do endometrioma (endometriosis cysts) cysts removal, direct ovulation enhancing treatment or in vitro fertilization treatment? Our recommendations vary for each patient and are individual. The age of the woman, the duration of marriage, the presence of the accompanying male factor play an important role in which treatment method will be chosen.
It should not be forgotten that endometriosis is a disorder caused by modern life conditions and to regulate living conditions, Changes in eating habits, in particular, may prevent the progression of the disease.