Endometriosis

Overview of Endometriosis

Endometriosis Meaning in Urdu

یہ ایک ایسی بیماری ہے جس میں عورت کے اعضائے مخصوصہ میں ایک خاص قسم کا ٹشو بڑھنا شروع ہو جاتا ہے۔ یہ بیماری کسی بھی عمر کی خواتین کو متاثر کر سکتی ہے اور یہ ایک لمبے عرصے کے لیے متاثر کرتی ہے۔ اس بیماری کا شکار خواتین کو حیض کے دوران تکلیف کا سامنا کرنا پڑتا ہے جب کہ حیض کا دورانیہ بھی بڑھ سکتا ہے۔ اس کے علاوہ جنسی تعلق کے دوران تکلیف بھی لاحق ہو سکتی ہے۔ اس کے ساتھ ساتھ یہ بیماری کئی خواتین میں بانجھ پن کی وجہ بھی بن سکتی ہے۔

Endometriosis  (ایک ایسی حالت جس کا نتیجہ بچہ دانی کے باہر اینڈومیٹریال ٹشو کی ظاہری شکل سے ہوتا ہے اور اس سے شرونی درد ہوتا ہے) is a painful disease in which the tissue that normally resides inside the uterus tends to grow outward. This disease affects the ovaries, fallopian tubes, and the tissue lineup of the pelvis.

During endometriosis, the tissue thickens and then bleeds during the menstrual cycle. But as this tissue is unable to leave the body it gets trapped. Endometriosis is a painful disease that causes severe irritation and allergy, especially during the menstrual cycle.

Signs and Symptoms of Endometriosis

Some of the common signs and symptoms of endometriosis are as follows:

Types of Endometriosis

Causes of Endometriosis

Although the correct reason why the tissue ends up reaching the other parts of the body is still unknown yet the researchers have some idea that it might run in the family. Endometriosis is a disease that occurs in those females that have an irregular menstrual cycle. As well as it can also be due to dioxin. Dioxin is an industrial chemical and it can cause endometriosis.

Some other explanations of endometriosis involve:

  • Surgical scar implementation
  • Transformation of peritoneal cells
  • Retrograde menstruation
  • Weak immune system
  • Embryonic cell transformation
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Risk Factors of Endometriosis

A female who is dealing with endometriosis can suffer from the following risk factors or complications:

  • Inability to give birth forever
  • Having a menstrual cycle at an early stage of life
  • Menopause in the later stages of life
  • Short menstrual cycle for less than 27 days
  • An irregular menstrual cycle that lasts longer than 7 days
  • Higher than normal levels of estrogen in the body
  • Low body mass index
  • A family member either a mother, aunt, or grandmother with endometriosis
  • A previous medical condition that involves restriction in the passage of blood through the body
  • Reproductive system disorders

Complications of Endometriosis

Endometriosis can cause a range of complications, including:

  • Chronic pelvic pain: Endometriosis can cause severe pain in the lower abdomen, pelvis, and lower back. This pain can be constant or intermittent and can be debilitating, affecting daily activities and quality of life.
  • Infertility: Endometriosis can interfere with a woman's ability to conceive by affecting the ovaries, fallopian tubes, and uterus. This condition can make it harder for the egg to be fertilized or implant in the uterus, resulting in infertility.
  • Adhesions: Endometriosis can cause adhesions, which are bands of scar tissue that can stick organs together, leading to pain and discomfort.
  • Ovarian cysts: Endometriosis can cause the formation of cysts on the ovaries, which can be painful and affect fertility.
  • Bowel and bladder problems: Endometriosis can affect the bowel and bladder, causing pain during bowel movements, constipation, diarrhea, and painful urination.
  • Fatigue and depression: Chronic pain and other symptoms of endometriosis can lead to fatigue and depression, affecting a woman's mental health and well-being.

It is important to note that the severity of endometriosis symptoms and complications can vary from person to person. If you are experiencing any of these symptoms or suspect you may have endometriosis, it is important to speak with your gynecologist for a proper diagnosis and treatment.

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Prevention

Although there is no exact preventive measure that can reduce the chances of endometriosis. Yet there are some ways in which one can prevent this disease to some extent.

Control Your Estrogen Levels

The doctors might prescribe you a hormone therapy that can control and lower the levels of estrogen hormones in your body.

Exercise

Physical activity is a great way to cater to the hormonal imbalance in your body. Make sure to engage yourself in any aerobic exercise for at least 30 minutes a day.

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Diagnosis

The doctor might ask you questions about your menstrual routine. He or she might also ask queries regarding the area and intensity of the pain. The doctor might also recommend the following tests for the diagnosis of endometriosis.

Pelvic Exam

The doctor will assess the areas of pelvic to check out for any abnormalities.

Ultrasound

With the help of high-frequency sound waves, a body image is created. It is often recommended to get a clear picture of the workings and situation of the reproductive tract.

MRI Scan

MRI uses both radio waves and magnetic fields to create a detailed picture of the organs and tissues. It is also important for the surgical planning and assessment of the size and location of the tissue outgrowth.

Laparoscopy

The surgeon will assess the inside of the abdomen with the help of a tiny incision.

Treatment of Endometriosis | When to Consult a Doctor

There are two types of treatments for endometriosis. One is surgery and the other is medication. Your gynecologist will analyze the situation and will recommend the treatment accordingly.

Pain Medication

This method involves over-the-counter medications. These medicines are:

  • NSAIDs
  • Ibuprofen
  • Naproxen sodium

In case the female is not trying to get pregnant then the doctor might recommend you to take pain relievers.

Hormone Therapy

Your doctor might also recommend you undertake hormone therapy. The hormonal balance that occurs during the menstrual cycle can lead the tissue to overgrow. Hormone therapy can lead to slow growth of this tissue and this also eases the pain.

Conservative Surgery

If the female is aiming to get pregnant then surgery is the right option. Conservative surgery is a method that involves the removal of tissue outgrowth.

Fertility Treatment

The doctor might also recommend the female visit a fertility specialist if she is trying to conceive.

Hysterectomy with the Removal of Ovaries

It is the surgical removal of the uterus and cervix. Nowadays doctors avoid this method because it causes menopause at an early stage of life. Early menopause can lead to severe cardiac issues as well as metabolic conditions and even early death.