Endometriosis

Endometriosis

 

La endometriosis It is a disorder that occurs when the tissue that normally lines the inside of the uterus (endometrium) grows outside the uterus. Endometriosis can develop outside the uterus, in the ovaries and tubes, and even in the bladder or intestines. He endometrial tissue It can irritate the structures it touches and therefore cause pain in the affected areas.

Symptoms of endometriosis:

Symptoms include:

  • Dysmenorrhea or menstrual pain, usually in the abdomen, lower back or areas of the pelvis
  • Infertility
  • Heavy periods and bleeding between periods
  • Painful menstrual cramps
  • Dyspareunia or pain with sexual intercourse
  • Some women they have no symptoms. To have trouble getting pregnant It may be the first sign.

 Endometriosis Treatment

There is currently no cure for endometriosis, but there are treatments for pain caused by endometriosis and infertility treatment derived from this condition.

  • The treatments for pain caused by endometriosis fall into three general categories: analgesics, hormonal therapy or surgical treatment.

  • The infertility treatments They can be diverse according to the medical assessment attending to each particular case. In most cases, doctors will recommend laparoscopy to remove or vaporize growths as a way to improve fertility in women with endometriosis mild or minimal Although there are studies that show an increase in the pregnancy rate after this type of surgery, the success rate is not clear. Although there are studies that show an increase in the pregnancy rate after this type of surgery, the success rate is not clear.

+ Frequently asked questions about endometriosis

How can I know if I have endometriosis?

Many women with endometriosis suffer pelvic or abdominal pain, particularly with menstrual bleeding or having sex. Some women have no symptoms. Endometriosis may decrease the chances of getting pregnant. The only way to know for sure if you have endometriosis is through a surgical procedure called laparoscopy.

What are the causes of endometriosis?

Today, the cause of endometriosis is still unknown. However, possible causes can be highlighted:

  • Some specialists argue that a part of the menstruation runs through the tubes and falls into the abdomen instead of being expelled outwards. However, this occurs in many women who do not develop endometriosis.

  • Another cause may be a possible immunity defect responsible for cleaning microbes and abnormal cells in the abdomen. The defenses are of lower quality and this would prevent them from recognizing the endometrial cells as foreign (usually only inside the uterus) and leaving them free passage for planting in the internal organs.

  • On the other hand, there is the hereditary component that can condition the possibility of developing this disease.

Can endometriosis cause infertility?

If you have endometriosis, it may be more difficult to get pregnant. Between 30% and 50% of women with endometriosis may experience infertility. Endometriosis can influence fertility in several ways:

  • Distorts the anatomy of the pelvis
  • Leaves scars on the fallopian tubes
  • It causes inflammation in the structures of the pelvis, disrupts the functioning of the immune system
  • Change the hormonal environment of the ovules
  • It damages the implantation of pregnancy
  • Alters the quality of the ovule.

Knowing that endometriosis is progressive and that, in turn, age is a determining factor for female infertility, it is indicated to preserve fertility, that is, vitrify oocytes in order to try a pregnancy later, with a diagnosis of mild or moderate endometriosis , before the disease progresses. For this, the age should be less than 35 years. In severe cases you can try, as long as you can access the ovaries in the ovarian puncture.

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