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Endometriosis Facts: Symptoms, Complications and Treatment.

Diagnosis
To diagnose endometriosis and other conditions that can cause pelvic pain, your doctor will ask you to describe your symptoms, including where and when your pain.

Tests to check the physical signs of endometriosis include:
To diagnose endometriosis and other conditions that can cause pelvic pain, your doctor will ask you to describe your symptoms, including where and when your pain.

Tests to check the physical signs of endometriosis include:

Pelvic examination. Gynaecological Examination During a pelvic exam, the physician feels for abnormal pelvic areas such as cysts in the reproductive organs or scars behind the uterus. Often you can not feel small areas of endometriosis unless they have caused the formation of a cyst.

Ultrasound This test uses high-frequency sound waves to create images from inside your body. Acquire images, a so-called device, a transducer inserted against the abdomen or pushed into the vagina (transvaginal ultrasound). Both types of ultrasound can be used to get the best view of your reproductive system. The ultrasound will be your doctor if you have endometriosis, but can identify cysts associated with endometriosis (endometriosis).

Magnetic resonance (magnetic resonance). An MRI is a test that uses a magnetic field and radio waves to create detailed images of organs and tissues of the body. For some women, an aid to MRI with surgical planning will give your surgeon more detailed information about the location and size of the endometrial implants.

Laparoscopy. In some cases, the doctor may refer a surgeon to a procedure (laparoscopy) that the surgeon can see in the abdomen. While you are under general anesthetic, the surgeon makes a small incision near the belly button and a thin viewing instrument (laparoscope) is inserted for signs of endometrial tissue outside the uterus.

A laparoscopy can provide information about the location, extent and size of implants providing endometrium to determine the best treatment options. The surgeon can remove a tissue sample (biopsy) to perform multiple tests. Often with the right surgical planning, the surgeon can fully treat endometriosis during laparoscopy, so you simply need surgery.

Treatment
Treatment for endometriosis usually involves medication or surgery. The approach that you and your doctor choose will depend on the severity of the signs and symptoms and your trying to get pregnant.

Doctors generally recommend conservative treatment by opting for surgery if the initial treatment fails.

Painkiller
Your doctor may advise you in the calming pains, such as anti-inflammatory drugs (NSAIDs), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) to relieve the pain of cramping rules

If it turns out that the maximum dose of these medications does not help completely, you may need to take a different approach to try to control the signs and symptoms.

Hormone therapy
Supplementary hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes the endometrial implants to thicken, break and bleed. Hormonal drugs can slow the growth of endometrial tissue and prevent new implants of endometrial tissue.

Hormone therapy is not a permanent solution to endometriosis. You may experience a return of symptoms after cessation of treatment.

Therapies for the treatment of endometriosis include:

  • Hormonal Contraceptives Birth control pills, patches and vaginal rings control the hormones responsible for the accumulation of endometrial tissue each month. Most women have a lighter, shorter menstrual flow when using a hormonal contraceptive. The use of hormonal contraceptives, particularly duration cycle regimens, may reduce or eliminate pain in some women.
  • Gonadotropin-releasing hormone agonists and antagonists (Gn-RH). These drugs block the production of hormones that stimulate the ovaries, lower estrogen levels and prevent menstruation. As a result, the endometrial tissue shrinks. As these drugs create an artificial menopause, starting from a low dose of estrogen or progestin with agonists and antagonists of GnRH can reduce the side effects of menopause, such as hot flashes, vaginal dryness, and bone loss. Your period and the possibility of becoming pregnant will return if you stop taking the medication.
  • Therapy a variety of progestagen therapies, including an intrauterine device (Mirena), the contraceptive implant, contraceptive injection (Depo-Provera) or oral contraceptive progestin can interrupt periods and growth of endometrial implants, the progestin can relieve the signs and symptoms of endometriosis,
  • Aromatase Inhibitors Aromatase inhibitors are a class of drugs that reduce the amount of estrogen in the body. Your doctor may recommend an aromatase inhibitor along with a combined progestin or hormonal contraceptive to treat endometriosis.

Conservative surgery for endometriosis
If you have endometriosis and are trying to get pregnant to remove surgery endometriosis implants, while preserving the uterus and ovaries (conservative surgery) can increase your chances of success. If you suffer from severe pain due to endometriosis, you may also benefit from surgery, but endometriosis and pain may recur.

The physician may, in large cases, perform this procedure laparoscopically or more rarely by conventional abdominal surgery. Even in the most severe cases of endometriosis, most women can be treated with laparoscopic surgery.

In laparoscopic surgery, the surgeon performs an instrument thin display (laparoscope) through a small incision near the umbilicus and inserts the tools to remove small incision by another endometrial tissue. After surgery, your doctor may recommend taking hormonal drugs for pain relief.

fertility treatment
Women with endometriosis may have problems with conception. If you have difficulty getting pregnant, your doctor may recommend fertility treatment under the supervision of a fertility specialist. Fertility treatment ranges from stimulation to the ovaries to produce more ovules for in vitro fertilization. The right treatment for you depends on your personal situation.

Hysterectomy with extirpation of the ovaries
Surgery to remove the uterus (hysterectomy) and ovaries (oophorectomy) was once considered the most effective treatment for endometriosis. However, endometriosis experts are moving away from this approach, focusing instead on the careful and careful removal of all endometrial tissue.

Removal of the ovaries leads to menopause. The lack of hormones produced in the ovaries can improve endometriosis pain for some women, but for others, endometriosis continues to cause symptoms after surgery. Early menopause also includes the risk of cardiovascular disease (cardiovascular disease), certain metabolic conditions and premature death.

Even if the ovaries remain in place, a hysterectomy can affect your health in the long term, especially if you are under 35 years of age.

Finding a doctor you feel comfortable with is crucial to the treatment and treatment of endometriosis. Before starting a treatment, to be sure you know all of your options and the possible outcomes.

Lifestyle and home remedies
If the pain persists or if you are looking for a treatment that works for some time, you can try home remedies to relieve the discomfort.

  • Hot baths and a hotplate can help relax the pelvic floor muscles and reduce pain and cramps.
  • NSAIDs such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) can help relieve painful menstrual cramps.
  • Regular exercise can help to improve the symptoms.

Alternative medicine
Some women report pain relief from endometriosis after acupuncture treatment. However, research in this or another alternative treatment for endometriosis is poor. If you are interested in continuing this therapy in the hope that you can help, ask your doctor to recommend a reputed acupuncturist. Check with the insurance company to see if the costs are covered.

Coping and support
If you have endometriosis or its complications, you might consider joining a support group for women with endometriosis or fertility problems. Sometimes it just helps to talk to other women who can relate to your feelings and experiences. If you can not find a support group in your community, look for an online support group.

Preparation for your consultation
Your first appointment is probably with your doctor or gynaecologist. If you are looking for infertility treatment, you can contact a doctor who specializes in reproductive hormones that optimize fertility (reproductive endocrinologist).

As consultations can be short and it can be difficult to remember everything you want to discuss, it is a good idea to prepare before the consultation.

What can you do?

  • Make a list of the symptoms you are experiencing. Include all symptoms, even if they are not considered related.
  • Make a list of all medications, herbs or vitamin supplements you are taking. Include the frequency with which you take them and the doses.
  • Ask a family member or close friend to accompany you wherever possible. You can get a lot of information during the visit and it can be difficult to remember everything.
  • Take a notebook or electronic device with you. Use it to record important information during your visit.
  • Prepare a list of questions to ask the doctor. First, make a list of your most important questions, so make sure you address those issues.

For endometriosis, some basic questions to the doctor are:

  • How is an endometriosis diagnosed?
  • Which medicines are available for the treatment of endometriosis? Are there medicines that can improve my symptoms?
  • What side effects can I expect from drug use?
  • Under what circumstances do you recommend surgery?
  • Will I take any medication before or after surgery?
  • Does endometriosis affect my ability to get pregnant?
  • Can treatment with endometriosis improve my fertility?
  • Can you recommend an alternative treatment that you can try?

Make sure you understand everything the doctor tells you. Do not hesitate to ask your doctor to repeat information or make inquiries to clarify it.

What you can expect from your doctor
Some of the possible questions that the doctor might ask are:

  • How often do you have these symptoms?
  • How long do you have these symptoms?
  • How heavy are your symptoms?
  • Are your symptoms related to your menstrual cycle?
  • Is there something that improves your symptoms?
  • Is there something that makes your symptoms worse?

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