A chronicle sexual
disease, the endometrioses is characterized by endometrial
tissue-internal lining of the uterus functioning
out of its place of origin, producing inflammatory
reaction in places where it plant itself.
The most common places of
endometrioses focus are the ovaries, fallopian tubes,
uterus, bladder and peritoneum- a membrane that
covers the entire abdominal cavity. Places less
usual like the intestines and the rectum, the vagina,
the vulva and the lungs amongst others, may receive
endometriotic implants as well.
It's estimated that around
20% to 40% of women aren't aware of onsets of endometrioses
for not showing any type of symptoms.
Several are the theories that
try to explain the occurrence of endometrioses,
but none of the postulated hypothesis had been totally
accepted by the medical community.
The symptoms of endometrioses
are quite variable and likely to depend on the place
of lesions and the stage which it is at, although
more often than not there's no relation between
the intensity of symptoms, amount of implants or
its growth pattern. It means that, for example,
a woman at advance stage-IV grade may show milder
symptoms than the initial stage-I grade.
Seemingly, usually is pain
the main symptom and generally progresses throughout
time, beginning, by rule, in the menstrual period
in form of intense cramps that might irradiates
to the back and thighs. In some women nagging pain
remains even so the menstrual cycle ended, remaining
so throughout the cycle, as variations of intensity
Quite common are the cases
of deep pain in the sexual relations, due
to endometriotic vaginal implants and outer-vaginal.
The diagnosis of endometrioses
undertakes a good chat with respects to the patient's
symptoms, alongside the gynecological exam to be
undergo preferably close to the menstrual cycle
and it's bound to be quite painful. On top of that,
a blood work up called Ca 125, which is an endometrioses
spotter. It's rather helpful such as when at lower
rates therefore exclude the likelihood of disease.
The pelvic ecography may show ovarian cists characteristics-
endometrioms and should be conducted preferably
Such triad- gynecological
exam, Ca 125, pelvic ecography- enables a diagnostic
in most of times.
Nonetheless, the sure way
diagnostic is the Laparoscopy, whereupon the direct
view of the implants besides allowing to classify
the stage of disease also ensures treating it, in
part at least, through the cauterization of observed
focus. As a key element, a biopsy of lesion would
confirm the diagnosis certainty.
The treatment would depend
on the stage of disease, age and desire for furthering.
The clinical approach for endometrioses treatment
tries to mimic a state of Pseudo menopause, Pseudo
gestation or chronicle ovulation through hormonal
replacement, i.e.., basically the idea is to make
that patients stop and remain without menstruating.
The surgical treatment may
be invasive or conservative. If patient already
has a steady offspring and no longer wishes to procreate,
the extirpation of uterus, ovaries and tubes seem
the best next option alongside the cauterization
of remnant focus. A more conservative treatment
includes the destruction of adherences-typical formation
of endometrioses and which usually modifies the
anatomy of skin. Further, resection of endometrioms,
the cauterization of implants and endometrial ablation-
extirpation solely of the endometrium through Hysteroscopy.