Endometriosis is a disease of the female reproductive system, which can cause tissue from the inner lining of the uterine wall to grow outside the uterine cavity.
So, if a woman has endometriosis, the tissue also undergoes a process of thickening and shedding similar to the menstrual cycle. However, the blood eventually settles and cannot come out because it is located outside the uterus so it can irritate the surrounding tissue. This condition can cause complaints of pain which of course is very uncomfortable, and it turns out that it can also cause infertility .
If endometriosis causes abnormalities in the ovaries, it is called an endometrioma. The surrounding tissues can become irritated, eventually causing the pelvic tissues and organs to stick together.
Now find out, risk factors for endometriosis, so we can be vigilant;
Several factors increase a person's risk of endometriosis, namely:
- The risk increases if a family member has endometriosis
- Never gave birth
- Medical conditions that prevent menstrual blood from leaving the body
- Have a disorder of the immune system.
- Abnormalities in the uterus.
- Experiencing the first menstruation before the age of 12 years.
- The vagina, cervix, or uterus have an abnormal shape that can prevent menstruation.
These are the symptoms of Endometriosis to watch out for:
- Lower abdominal pain during menstruation (Dysmenorrhea) before and during menstruation
- Pelvic pain
- Heavy menstruation
- Bleeding between menstruation
- Pain during sex
- Pain during urination or bowel movements during menstruation
- Infertility
- Other symptoms like Diarrhoea, Bloating, Constipation, Nausea during menstruation
The symptoms that are felt are not related to the degree of severity of Endometriosis, for example, you can have mild Endometriosis with severe symptoms or vice versa.
This can be done by diagnosing:
- Complete medical interview
- Gynecological examination
- ultrasound
- MRIs
- Laparoscopy
- Laboratory : Ca. 125
Or if it turns out that there are actions that must be taken, don't worry at the hospital. We can handle EMC Tangerang properly by professional and experienced doctors and supported by sophisticated equipment.
Conservative, non-surgical :
- Non Steroid Anti Inflammatory.
- Hormone Therapy: Preparations such as Progesterone, Combined Hormones, GnRH, Aromatase Inhibitors
Fertility Handling
Like ovarian stimulation to from IVF.
operative
Cystectomy, Excision of Endometriosis and Fulguration, Adhesiolysis to Hysterectomy and Removal of one or both ovaries.
Also know that there is a differential diagnosis, namely:
- Pelvic Inflammatory Disease
- Irritable Bowel Syndrome (IBS) a condition that causes Diarrhea, Constipation and Abdominal Cramping Pain
Natural remedies can also be sought, such as acupuncture, compressing the stomach with warm water, drinking turmeric herbs, massaging the pelvic muscles, eating foods that contain omega 3 fatty acids. But if there is no change, you should immediately consult a doctor.
Immediately consult a doctor if you experience the following symptoms:
- Pain during menstruation.
- Pain interferes with daily activities.
- Pain during intercourse.
- Pain when urinating
- There is blood in the urine or difficulty controlling the flow of urine.
- Not getting pregnant after trying for 12 months.
For further information, please contact Ekha (0878 8989 0102) Lili (0877 8101 9595).
Article written by dr. Aries Joe, Sp.OG, DMAS (Obstetric Obstetrician, Tangerang EMC Hospital).