- Assisted Reproduction
The endometriosis is defined as a disease characterized by the presence of endometrial tissue (I normally only found lining the inside of the uterus), outside of the uterine cavity. It most often affect the abdominal cavity (ovaries, fallopian, uterine ligaments, bladder, intestine) and more rarely navel or lungs. This is a very common benign disease (8- 10% women in the general population) chronic evolution, that can produce significant symptoms even in the presence of minimal lesions. It is a disease that can affect the quality of life of women who suffer, altering personal relationships, labor and reproductive sphere (can cause infertility in 45% of patients)
What are the symptoms?
Although sometimes women endometriosis no symptoms, concern is often painful periods (dysmenorrhea), painful intercourse (dyspareunia), most abundant rules, fertility problems the fatigue. If it affects the bladder or bowel may have pain with bowel or micturition.
What are the causes?
It is not known exactly what causes that produce the endometriosis. It is suggested that one of the causes may be that part of the menstrual flow is directed to the abdomen through the fallopian tubes, instead ejected outwards. Other research suggests a possible involvement of the immune or endocrine system, hereditary factors and even if you are investigating possible environmental factor, as exposure to chemicals that may contribute to disease development.
How is it diagnosed?
The diagnosis of endometriosis can be difficult and sometimes be necessary to resort to the practice of diagnostic tests. The gynecological examination sometimes allow palpation of endometriotic implants, the ultrasound gynecological can detect the presence of endometriotic ovarian cysts. The test offers greater accuracy in diagnosis is laparoscopy. Laparoscopy is a surgery performed under general anesthesia, allowing placement through the abdomen to small tubes (trócares), connected to an optical, review bodies and the presence of cysts or endometriotic implants.
What is the treatment?
The therapeutic approach endometriosis ranging from the use of progestins (progesterone derivatives), GnRH analogues, substances that act by preventing the production of certain hormones cause the cessation of menstruation, hormonal contraceptives to surgery, anti-inflammatory and analgesic through.