Barbados Association of Endometriosis & P.C.O.S
Charity No. 1285

Endometriosis

Overview

Endometriosis (en-doe-me-tree-O-sis) is an often painful disorder in which tissue similar to the tissue that usually lines the inside of the uterus — the endometrium —is found outside of the uterus. Endometriosis most commonly involves the ovaries, fallopian tubes, and the tissue lining your pelvis. Additionally, endometrial-like tissue may be found beyond the area where pelvic organs are located and on organs such as the lungs.

Endometriosis is one of the most common but enigmatic diseases1.

What causes Endometriosis?

Endometriosis is a condition that affects millions globally. It occurs when the tissue that normally lines the uterus grows outside of it, potentially leading to pain, infertility, and other health issues. While endometriosis can have a profoundly negative impact on an individual’s life, the exact cause remains unknown.

The possible causes of endometriosis are diverse and varied. One theory suggests that retrograde menstruation – a phenomenon in which menstrual blood flows back into the pelvic cavity instead of out through the vagina – plays a role in causing endometriosis. Another theory suggests that some cells with stem cell-like properties exist near the reproductive organs and develop into endometrial tissue over time. Additionally, it is believed that genetic factors may be involved in determining who develops this condition.

What are the risks of Endometriosis?

Endometriosis is a condition that affects many persons and can have serious consequences. This abnormal growth can cause significant pain and discomfort, as well as lead to further health concerns. Therefore, understanding the risks associated with endometriosis is essential for managing this condition effectively.

The most common symptom of endometriosis is pelvic pain that varies in intensity depending on where the growths are located. Endometrial tissue can also spread beyond the pelvic region, potentially leading to more severe complications such as infertility or ovarian cysts. In some cases, these cysts may require surgery to remove them if they become large enough. Additionally, endometriosis has been linked to an increased risk of certain cancers, including ovarian cancer and breast cancer.

How Is Endometriosis Classified?

Generally, endometriosis is classified (The American Society of Reproductive Medicine) based on severity into four stages -

  • Minimal- I
  • Mild- II
  • Moderate- III and
  • Severe-IV

taking into account factors such as the size and location of lesions as well as the presence of scarring or adhesions. Endometriosis specialists will also take into consideration a person's medical history, physical examination results, and imaging tests when determining what stage they are at.

How is Endometriosis diagnosed?

Diagnosing this condition can be difficult because its symptoms vary from person to person, and can even mimic other conditions. But there are several ways doctors may diagnose endometriosis.

The first step for diagnosing endometriosis is usually a pelvic exam, during which a doctor will feel for any unusual growths or mass on the female reproductive organs. The doctor may also order imaging tests such as an ultrasound or MRI scan to get a better look at any potential growths in the pelvis area.

The most common way for endometriosis to be identified is through laparoscopy or hysteroscopy - both minimally invasive procedures that involve inserting a tiny camera into the abdomen or uterus so that doctors can inspect any potential lesions. If any are found then they may take tissue samples for further examination under a microscope.

How is Endometriosis treated?

Depending on an individual's particular needs and medical history, treatment might involve medications like hormonal contraceptives or nonsteroidal anti-inflammatory drugs (NSAIDs). Surgery may also be recommended if other treatments are not successful in relieving endometriosis symptoms.

What are the complications of Endometriosis?

The most common symptom associated with endometriosis is pelvic pain which can range from mild to severe. Painful menstrual cramps are especially prevalent in those affected by this condition as well as pain during intercourse and bowel movements. Other symptoms include fatigue, irregular bleeding between periods, pain during sex, frequent urination, bloating or constipation during menses, infertility and nausea.

Complications caused by endometriosis can be both physical and psychological. Physically, this can also cause issues with fertility due to damaged ovaries and Fallopian tubes, as well as difficulty getting pregnant. Women dealing with endometriosis may also struggle with low self-esteem due to feelings of hopelessness or helplessness associated with the condition.

When should I seek medical care for Endometriosis?

Women often wonder when the right time to seek medical care is for their endometriosis symptoms. Understanding the potential signs and symptoms of endometriosis can help you make an informed decision about when to get medical advice.

Common signs of endometriosis include pelvic pain during menstruation, painful sex, lower backache, abdominal bloating or tenderness, fatigue, heavy menstrual bleeding, and difficulty getting pregnant. If a person experiences any of these symptoms or suspect that they may have endometriosis it’s important to speak with a qualified medical professional as soon as possible. Early diagnosis is key in order to start treatment before the condition progresses further. The medical professional may recommend medications or surgery depending on the severity of the case.

Key points

The key points regarding endometriosis include understanding how it develops, recognizing its symptoms, and knowing how to treat it effectively. It’s important for those affected by endometriosis to understand that their symptoms may vary from month to month as well as over time depending on hormonal changes or other factors like stress or diet.

Sources

  1. Signorile, P. and A. Baldi (2010) “Endometriosis: new concepts in the pathogenesis. “The International Journal of Biochemistry & Cell Biology. DOI: 10.1016/j.biocel.2010.03.008
  2. Johnson, N.P., and L. Hummelshol (2013) Consensus on current management of endometriosis”. Human Reproduction. DOI: 10.1093/humrep/det050

Here are some other resources about this condition:

In 2017, the National Institute for Health and Care Excellence (NICE) published a guideline which provided information about assessment and management of Endometriosis. Please access this information in the link below:

We seek to provide relevant and up-to-date information to allow those with Endometriosis to make informed decisions as it pertains to the condition. Whilst we provide these links and references to external resources, we have no control over what they produce on these third-party sites and thus are not responsible for the content and cannot confirm the completeness of any of the information from any other site. Thus,  we claim no liability for any damages or injuries of any kind arising from such content or information. Please remember to seek the expert opinion of a medical practitioner for medical advice.

The contents of this website such as text, graphics, images, and other material contained on the website (“Content”) are for informational purposes only and do not constitute medical advice; the Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. In the event of a medical emergency, call a doctor or 511 for ambulance immediately. This website does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Reliance on any information provided by this website is solely at your own risk. The Site and the Content are provided on an “as is” basis. Copyright © 2020 Barbados Association of Endometriosis and PCOS.
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