View Full Version : Endometriosis


MoonChild
10-06-02, 08:12 PM
From http://www.endometriosisassn.org/index.html :

What is Endometriosis?
Endometriosis is a painful, chronic disease that affects 5 1/2 million women and girls in the USA and Canada, and millions more worldwide. It occurs when tissue like that which lines the uterus (tissue called the endometrium) is found outside the uterus -- usually in the abdomen on the ovaries, fallopian tubes, and ligaments that support the uterus; the area between the vagina and rectum; the outer surface of the uterus; and the lining of the pelvic cavity. Other sites for these endometrial growths may include the bladder, bowel, vagina, cervix, vulva, and in abdominal surgical scars. Less commonly they are found in the lung, arm, thigh, and other locations.

This misplaced tissue develops into growths or lesions which respond to the menstrual cycle in the same way that the tissue of the uterine lining does: each month the tissue builds up, breaks down, and sheds. Menstrual blood flows from the uterus and out of the body through the vagina, but the blood and tissue shed from endometrial growths has no way of leaving the body. This results in internal bleeding, breakdown of the blood and tissue from the lesions, and inflammation -- and can cause pain, infertility, scar tissue formation, adhesions, and bowel problems.

What are the Symptoms of Endometriosis?

Pain before and during periods
Pain with sex
Infertility
Fatigue
Painful urination during periods
Painful bowel movements during periods
Other Gastrointestinal upsets such as diarrhea, constipation, nausea.

Treatment Options

Although there is no cure for endometriosis, a variety of treatment options exist. Goals may include: relieving/reducing pain symptoms, shrinking or slowing endometrial growths, preserving or restoring fertility, and preventing/delaying recurrence of the disease.

PAIN MEDICATION: Over-the-counter pain relievers may include aspirin and acetaminophen, as well prostaglandin inhibitors such as ibuprofen, naproxen sodium, indomethecin, and tolfenamic acid. In some cases, prescription drugs may be required.

HORMONAL THERAPY: Hormonal treatment aims to stop ovulation for as long as possible and may include: oral contraceptives, progesterone drugs, a testosterone derivative (danazol), and GnRH agonists (gonadotropin releasing hormone drugs). Side effects may be a problem for some women.

SURGERY: Conservative surgery seeks to remove or destroy the growths, relieve pain, and may allow pregnancy to occur in some cases. Conservative surgery can involve laparoscopy (outpatient surgery in which the surgeon can view the inside of the abdomen through a tiny lighted tube that is inserted through one or more tiny abdominal incisions. Also referred to as "belly-button" surgery.) or laparotomy (more extensive procedure, full incision, longer recovery period). Hormonal therapy may be prescribed along with conservative surgery. Radical surgery, which may be necessary in severe cases, involves hysterectomy, removal of all growths, and removal of ovaries

Bimzoori
11-06-02, 05:35 PM
Interesting MoonChild..I never heard of it before..

can Endometriotic patients get pregnant without recieving any treatment??

MoonChild
11-06-02, 06:58 PM
Originally posted by Bimzoori
can Endometriotic patients get pregnant without recieving any treatment??

I believe that it is very difficult. I have a friend with endometriosis who could only have children with fertility treatments.

X-press
11-06-02, 11:05 PM
Interesting topic MoonChild,

Is it difficult to detect these endometrial growths, especially if they are located in other area than the uterus? If they are located in the lung and not detect on time, can someone die as a concequence of this?

FaHaD
12-06-02, 04:56 PM
endometriosis can cause abortion and infertility.. thus it has to be treated.
i found in the net a study which shows the association between endometriosis and infertility
Pituitary-ovarian dysfunction and endometriosis. (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10711830&dopt=Abstract)

FaHaD
30-07-03, 11:49 PM
very informative topic

Najah
31-07-03, 02:33 AM
mm new information to me.
I have a question:

SURGERY: Conservative surgery seeks to remove or destroy the growths, relieve pain, and may allow pregnancy to occur in some cases. Conservative surgery can involve laparoscopy (outpatient surgery in which the surgeon can view the inside of the abdomen through a tiny lighted tube that is inserted through one or more tiny abdominal incisions. Also referred to as "belly-button" surgery.) or laparotomy (more extensive procedure, full incision, longer recovery period). Hormonal therapy may be prescribed along with conservative surgery. Radical surgery, which may be necessary in severe cases, involves hysterectomy, removal of all growths, and removal of ovaries

If they do this surgery will it be forever cure! I mean will those tissues regrow again or?!

MoonChild
31-07-03, 07:10 AM
Originally posted by Najah
If they do this surgery will it be forever cure! I mean will those tissues regrow again or?!

hmmm good question. Obviously any organs removed can't grow back, but if they just remove the growth I think that maybe they can grow back over time. I will look it up and get back to you :)

FaHaD
03-08-03, 11:29 AM
i think i got an answer to your question najah.

surgery for endometriosis are of three types.

1- conservative surgery
when reproductive potential is retained. it can be done in many ways in many techniques but the recurrence rate is 19% and is similar for all techniques (Revelli, 1995).
Recurrent endometriosis: a review of biological and clinical aspects (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=96107725)

2-semiconservative surgery , when reproductive ability is eliminated but ovarian function is retained.

patients who undergo hysterectomy with ovarian conservation have a 6fold higher rate of recurrence compared to women who undergo oophorectomy(removal of ovaries)


3- radical surgery when the uterus and ovaries are removed. recurrent rate is 15%.
check
Redwine DB: Endometriosis persisting after castration: clinical characteristics and results of surgical management. Obstet Gynecol 1994 Mar; 83(3): 405-13
here (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=94173530)

Najah
04-08-03, 12:02 AM
Thanks alot Doc..

FaHaD
04-08-03, 01:14 PM
you are most welcome ;)