University College London Hospitals. General information about Endometriosis.
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Endometriosis UK. Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms. Endometriosis usually develops several years after the onset of menstruation menarche. Signs and symptoms of endometriosis may temporarily improve with pregnancy and may go away completely with menopause, unless you're taking estrogen.
During fertilization, the sperm and egg unite in one of the fallopian tubes to form a zygote. Then the zygote travels down the fallopian tube, where it becomes a morula. Once it reaches the uterus, the morula becomes a blastocyst. The blastocyst then burrows into the uterine wall — a process called implantation. The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant.
Endometriosis - Symptoms and causes - Mayo Clinic
For pregnancy to occur, an egg must be released from an ovary, travel through the neighboring fallopian tube, become fertilized by a sperm cell and attach itself to the uterine wall to begin development. Endometriosis may obstruct the tube and keep the egg and sperm from uniting.
But the condition also seems to affect fertility in less-direct ways, such as by damaging the sperm or egg. Even so, many with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise those with endometriosis not to delay having children because the condition may worsen with time. Ovarian cancer does occur at higher than expected rates in those with endometriosis. But the overall lifetime risk of ovarian cancer is low to begin with. Some studies suggest that endometriosis increases that risk, but it's still relatively low.
Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in those who have had endometriosis. Endometriosis care at Mayo Clinic.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Endometriosis Endometriosis occurs when bits of the tissue that lines the uterus endometrium grow on other pelvic organs, such as the ovaries or fallopian tubes. More Information Endometriosis care at Mayo Clinic 7 signs of endometriosis Coping with endometriosis pain.
Request an Appointment at Mayo Clinic. Theories about how endo starts. Fertilization and implantation During fertilization, the sperm and egg unite in one of the fallopian tubes to form a zygote. Infertility and endometriosis.
CT scan : A noninvasive diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images — often called slices — of the body to detect any abnormalities that may not show up on an ordinary X-ray. MRI scan : A noninvasive procedure that produces a two-dimensional view of an internal organ or structure. A staging, or classification, system for endometriosis has been developed by the American Society of Reproductive Medicine.
The stages are classified as follows:.
Facts about endometriosis
The stage of endometriosis is based on the location, amount, depth and size of the endometrial tissue. Specific criteria include:. The stage of the endometriosis does not necessarily reflect the level of pain experienced, risk of infertility or symptoms present. For example, it is possible for a woman in stage 1 to be in tremendous pain, while a woman in stage 4 may be asymptomatic.
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If symptoms are mild, health care providers generally agree that no further treatment, other than pain medication, is necessary. Pain medication: nonsteroidal anti-inflammatory drugs, such as ibuprofen or other over-the-counter analgesics. Oral contraceptives, with combined estrogen and progestin a synthetic form of progesterone hormones, to prevent ovulation and reduce menstrual flow.
Laparoscopy also used to help diagnose endometriosis : A minor surgical procedure in which a laparoscope, a thin tube with a lens and a light, is inserted into an incision in the abdominal wall; using the laparoscope to see into the pelvic area, the doctor can often remove the endometrial growths.
Laparotomy : A more extensive surgery to remove as much of the displaced endometrium as possible without damaging healthy tissue. Hysterectomy : Surgery to remove the uterus and possibly the ovaries. The Division of Minimally Invasive Gynecologic Surgery at Johns Hopkins provides women with minimally invasive options for conditions including endometriosis, fibroids and ovarian cysts.
Sometimes, a combination of therapies is used, such as conservative surgery laparoscopy or laparotomy , along with hormone therapy. Some women also benefit from alternative treatments used in conjunction with other medical and surgical therapies for the treatment of endometriosis. These include:. It is important to discuss any or all of these treatments thoroughly with your health care provider, as some may conflict with the effectiveness of others.
Health Home Conditions and Diseases. Patients with endometriosis have endometrial-type tissue outside of the uterus Endometriosis affects an estimated 2 to 10 percent of American women between the ages of 25 and Women with endometriosis are more likely to have infertility or difficulty getting pregnant Symptoms of endometriosis may include: excessive menstrual cramps, abnormal or heavy menstrual flow and pain during intercourse.
Impact of endometriosis on women’s lives: a qualitative study
Laparoscopy , a minimally invasive surgical procedure, can be used to definitively diagnose and treat endometriosis. Endometriosis Definition Endometriosis is a common gynecological condition affecting an estimated 2 to 10 percent of American women of childbearing age. Read more.
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