As it is outside of the uterine cavity, the blood produced cannot be naturally drained, which causes many problems. Cysts or adhesions grow around the endometriosis lesion causing severe pain. Today it affects 1 in every 10 women of childbearing age.
The uterine tissue can “nest” almost anywhere around the body, for example on the heart muscle or on the spleen, and most commonly they appear on the ovaries, fallopian tubes, bladder or intestine. Rarely do they occur in further parts of the body such as the lungs or the brain.
The most common symptom that women present with is long-term severe pain, most often in the lower abdomen, with the pain being more severe during more menstruation. If the endometriosis lesions are present in the cervix or the vagina, the woman may experience pain during intercourse. If some lesions grow on the bladder, blood may be present in the urine.
Infertility is commonly linked with endometriosis. According to research literature, 25-40% of women who are infertile have endometriosis, and 30-50% of women with endometriosis are infertile. However, this is highly dependent on where the endometriosis lesions are located, and whether cysts or adhesions have already formed. The age and general health condition of the patient also plays an important role.
Appropriate treatment is decided after a thorough examination by a physician, who assesses the patient's condition and stage of disease. Treatment options include surgical or hormonal methods. Doctors most often initiate treatment by surgically removing the endometriosis lesions and then implement hormonal therapy to prevent the disease from spreading. Hormonal contraception can be used as a form of hormonal therapy, which reduces the hormonal stimuli of the lesions and simultaneously reduces pain.
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