Whereas endometriosis is a typical situation, affecting as many as one in each 10 American ladies, it’s advanced and infrequently misunderstood. Endometriosis happens when tissue very similar to the tissue that usually strains the uterus — referred to as the endometrium — begins to develop elsewhere within the physique. These growths could trigger ache, scarring, and, in some cases, infertility.
One research exhibits it will probably take as much as seven years for a girl to get a analysis of endometriosis as a result of signs could mimic different frequent circumstances, akin to irritable bowel syndrome or pelvic inflammatory illness. And misconceptions in regards to the illness, together with the 5 myths beneath, could maintain some ladies from in search of assist. Speak to your well being care crew in the event you’re involved about painful durations or different doable symptoms of endometriosis, akin to long-lasting ache in your decrease again or pelvis.
5 myths — and the info — about endometriosis
Fable 1: The signs are only a heavy interval. Ladies with endometriosis generally assume that their signs are a traditional a part of menstruation, and after they do search assist they’re generally dismissed as overreacting to regular menstrual signs. However the truth is, one thing way more critical is happening than interval cramps. One idea is that the ache happens as a result of even when endometrium-like tissue is exterior the uterus, it continues to answer hormonal indicators and produce chemical substances that trigger irritation and ache.
Through the course of the menstrual cycle, this endometrium-like tissue thickens and ultimately bleeds. However in contrast to endometrial tissue within the uterus, which is ready to drain by way of the vagina every month, blood from displaced tissue has nowhere to go. As an alternative, it swimming pools close to the affected organs and tissues, irritating and inflaming them. The result’s ache, and generally the event of scar tissue that may type an internet, fusing organs collectively. This may occasionally result in ache with motion or sexual exercise.
Fable 2: Endometriosis solely impacts the pelvic area. The most typical areas for endometriosis growths to happen are inside the pelvis, akin to on the outer floor of the uterus, the bladder, and the fallopian tubes. However endometriosis could happen wherever within the physique. Not often, endometrium-like tissue has been discovered within the lungs, for instance.
Fable 3: Endometriosis is at all times painful. Not everybody with endometriosis experiences ache. It’s not unusual for a girl to be taught she has endometriosis solely after she begins investigating why she is having problem getting pregnant. Endometriosis is the main reason behind infertility in america. Having the situation additionally will increase the chance of miscarriage and different issues in being pregnant. Nevertheless, the excellent news is that the overwhelming majority of ladies with endometriosis are in the end capable of have a toddler.
Fable 4: Endometriosis could be prevented. There’s no clearly understood trigger for endometriosis, so at this level there isn’t a recognized method to forestall it. Sure steps to assist decrease estrogen ranges within the physique can scale back your danger, in keeping with the US Workplace of Ladies’s Well being. Estrogen can gas the expansion of endometriosis and amplify signs. You’ll be able to scale back your estrogen ranges by selecting a lower-estrogen contraception technique, dropping pounds if you’re obese, and getting common train.
Fable 5: Endometriosis at all times improves after menopause. Though endometriosis signs happen most frequently throughout menstruation, for some ladies they final effectively after month-to-month cycles finish. Even after a girl goes by way of menopause, the ovaries proceed to provide small quantities of estrogen. Endometriosis growths could proceed to answer the hormone, inflicting ache. So, whereas signs of endometriosis enhance in many ladies, menopause doesn’t convey reduction to all. Some ladies who’ve gone by way of menopause could go for surgical procedures to take away endometriosis implants or adhesions, and even hysterectomy and oophorectomy (eradicating the ovaries). Nevertheless, these procedures aren’t at all times profitable in controlling ache. Hormonal therapies, too, seem like much less efficient in ladies after menopause.
For details about treating endometriosis ache, see this post from the Harvard Well being Weblog.