Globally, March is the month recognised for Endometriosis awareness bringing with it significant knowledge on this condition. As a result, advocacy for improved research and health services for all those affected can continue to transpire along with a decrease in stigma. This awareness month was initiated back in 1993 through the Endometriosis Association by means of localized fundraisers, marches, and informative events, which nowadays are acknowledged on a multinational basis.
What is Endometriosis?
Endometriosis affects the body by growing tissue ( a group of cells ) outside of the uterus. That tissue then connects to other organs and tissues situated in the pelvic area which include the fallopian tubes, bladder, ovaries, and even the bowels. This tissue that has matured on these internal organs can also break down and bleed during a menstrual cycle as it acts comparatively to endometrial tissue that is found in the actual uterus. As a consequence, since this tissue is external to the uterus it does not have a place to go and thus inflammation, pain and scarring can arise which can later result in painful periods and/or infertility. Unfortunately, it can also have an impact on urination and bowel movements along with nausea and chronic pain.
The recurrent symptoms that are usually documented alter from one person to another, however the main ones include:
Very painful cramps associated with the menstrual cycle
Pain during or after sexual intercourse
Heavy or irregular periods
Feeling exhausted
Bleeding or spotting in between periods
Studies have shown that symptoms can at times improve when menopause occurs, but there are also cases where the symptoms prevail. This disease impacts women from any ethnic group and can originate from a women’s first period (menarche) through menopause. It’s affects can be seen on any age but usually age groups between 25 and 40 are more likely. Additionally, it is more common in people who have not yet had children and those with a family history of Endometriosis. That being said, an early onset of menstruation and having a period of more than 7 days can all escalate the risk factors.
how can it be diagnosed?
Considering the fact that its symptoms are relatively resemblant to other conditions, the final diagnosis can sometimes be more demanding to conclude. Nevertheless, thanks to scientific advancement through the years, various tests and exams are now available in the healthcare system to assist in this diagnosis. These can include:
Laparoscopy – This is a surgical approach in which a thin, well – lighted instrument called a laparoscope is inserted through an incision in the abdomen to observe the presence of any endometrial tissue which is not in the uterus
Pelvic Exam – Pelvic exams are performed so that a professional healthcare provider can feel for irregularities or growths which may suggest Endometriosis
Biopsy – A biopsy which can be done during a laparoscopy comprises of taking a very small tissue sample, which is then submitted for examination under a microscope so to confirm any presence of endometrial tissue
Imaging Tests – These tests can be MRI’s ( Magnetic resonance imaging), ultrasounds, and other imaging exams which can ultimately detect endometriosis growth
Despite the fact that many alternatives for testing is available, the diagnosis can still necessitate other examinations and consultations. Thereby, if any doubt or suspicion is at place, it is always best to check so that early detection is plausible.
progress of treatment
Throughout the years, science has progressed and has since made consequential discoveries in the treatment of Endometriosis. These resulted in various alternatives that one may take for controlling this condition, and eventually enhance the overall quality of life. Some of these options are:
Medications for pain management: Nonsteroidal anti – inflammatory drugs (NSAID’s) along with other analgesics can immensely help with pain relief
Hormonal Therapy – This option deals with diminishing the production of Oestrogen (hormone) in the body, therefore decelerating the rate in which endometrial tissue grows
Surgery – During this surgical procedure, the endometrial tissue can be removed and even destroyed through certain approaches such as ablations and excisions
life with endometriosis
Living with such a condition could sometimes make life more of a challenge as one can suffer both physically and mentally. This could also hinder daily life activities and can have an effect on established relationships. But this condition should not be the answer for someone to not experience life sufficiently. A well-constructed support system should be at place for anyone who is diagnosed. This support could be instituted through family members, friends, healthcare professionals and most importantly through other people undergoing the condition.
Self – care can also be a key point in this management as it can balance out the person’s life. Daily walks, yoga, and meditating can all have outstanding results as they all manage stress and better the overall health. It is prominent that one comprehends that to manage Endometriosis will involve several approaches prior to finding the one that works best. Thus, creating a treatment plan with your healthcare providers and working through one’s preferences can ultimately have the outcome of leading a fulfilling life!
Written by Deborah Ellul
