My Pregnancy

Endometriosis

Endometriosis

Endometriosis is a disease characterized by the presence of tissue resembling endometrium (the lining of the uterus) outside the uterus. It causes a chronic inflammatory reaction that may result in the formation of scar tissue (adhesions, fibrosis) within the pelvis and other parts of the body.

 

Types of Endometriosis

Several lesion types have been described.

– Superficial endometriosis found mainly on the pelvic peritoneum

– Cystic ovarian endometriosis (endometrioma) found in the ovaries 

– Deep endometriosis found in the recto-vaginal septum, bladder, and bowel 

– In rare cases, endometriosis has also been found outside the pelvis

 

Endometriosis Symptoms

Symptoms associated with endometriosis vary, and include a combination of

– Painful periods 

– Chronic pelvic pain

– Pain during and/or after sexual intercourse 

– Painful bowel movements 

– Painful urination

– Fatigue

– Depression or anxiety

– Abdominal bloating and nausea

 

Prevention of Endometriosis

At present, there is no known way to prevent endometriosis. 

Enhanced awareness, followed by early diagnosis and management may slow or halt the natural progression of the disease and reduce the long-term burden of its symptoms, including possibly the risk of central nervous system pain sensitisation, but currently there is no cure.

 

Factors that May Increase the Risk of Endometriosis

Studies show that women are at higher risk for endometriosis if they:

– Have a mother, sister, or daughter with endometriosis (1)

– Started their periods at an early age (before age 11) (2)

– Have short monthly cycles (less than 27 days) (2)

– Have heavy menstrual periods that last more than 7 days (2)

– Are infertile (2)

Some studies suggest that having a lean body mass or low body fat may increase a woman’s risk for endometriosis. (4)

 

Factors that May Lower the Risk of Endometriosis

Studies also show that some factors may lower the risk for endometriosis, including:

– Pregnancy (3)

– Periods that started late in adolescence (5)

– Breastfeeding (6)

– Eating more fruit, especially citrus fruits (7)