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What is Endometriosis?

Endometrosis occurs when the tissues from the endometrium, that is the inner layer of the uterus appears in parts of the body lying outside of the uterus.

It many cases, this tissue travels to other parts of the pelvis such as the ovaries and fallopian tubes. Even though this endometrial tissue is outside the uterus but is still responds to a woman’s hormonal cycle every month.

This displaced tissue bleeds but the blood has no way to escape. This causes a scar tissue and often pain results. Endometrosis is one of the most common gynecologic conditions requiring both medical and surgical treatment. It affects 5 to 10% of women and the median of at 25 to 30 years of age.

Endometriosis Symptoms

Endometrosis is characterized by cyclical pain, which usually begin prior to menses. Deep dyspareunia and sacral backache with menses are common. The ectopic endometrial cells cause the cyclical dysmenorrhea of endometrosis.

The most common sites are the ovaries, posterior cul-de-sac, uterosacral ligaments, posterior broad ligament, and anterior cul-de-sac. The uterine serosa, recto sigmoid and bladder are less frequent locations. Infertility is a common consequence of endometrosis. Cyclic dysuria or hematuria may indicate bladder endometrosis.

Diagnosing Endometriosis

Tender nodules are often palpable through the posterior vaginal for nix on bimanual examination and along the uterosacral examination. Ovarian enlargement, fixation of the adnexal, pelvic pain, retro displacement may also be detected. Ultrasound may identify adnexal masses. Endometrosis can be definitely treated with laparoscopy.

Endometriosis Treatment

There are many different methods of treating Endometrosis, which can be successful in eliminating pain, and infertility that is often associated with it. In case of chronic pain patients, it has been noted that there are always other things going on besides the pathology.

Usually, we just look for the physical problems and we don’t deal with the emotional or psychological aspects. One of the most interesting theories that come out in year 1970 and it was the gate control theory which showed that even with discrete physical symptoms, peripheral signs such as pinches and things, when that information gets to the spinal card, it can be significantly modified by local information and by sending endometrosis.

When visceral pain is compared to any pain that may be from a discrete injury then it is observed that it is very hard to pinpoint the cause of visceral pain. We know that the extent of disease with, for instance, endometrosis, does not correlate one to one with the pain of any particular patient.

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