Endometriosis

What is Endometriosis?

Endometriosis is a medical condition characterized by the presence of cells resembling the uterine lining in areas outside the uterus. The lesions associated with endometriosis release inflammatory factors, leading to pain and the formation of adhesions in affected regions. Symptoms of endometriosis may range from acute to chronic pain, and in some cases, it can also contribute to infertility. Additionally, individuals with endometriosis often experience cramping pain due to a related condition called adenomyosis.

Endometrial tissue can grow on the:

• Fallopian tubes
• Ligaments around the uterus (

  Did you know?

  The uterosacral ligaments are thick bands of connective tissue that help support your uterus. They travel from the base of your uterus to your lower spine.

  uterosacral ligaments)
• Lining of the pelvic cavity
• Ovaries
• Outside surface of the uterus
• Space between the uterus and the rectum or bladder

How do you get Endometriosis?

The

• Have a mother, sister, or daughter with endometriosis
• Started your period at an early age (before age 11)
• Have short monthly cycles (less than 27 days)
• Have heavy menstrual periods that last more than 7 days

Symptoms of Endometriosis and when to see a doctor

Common symptoms of endometriosis can include:

• Painful and/or heavy periods
• Pain with sex
• Pain with urination or bowel movements
• Difficulty becoming pregnant
• GI symptoms like bloating. constipation, or diarrhea

If you are experiencing any of these symptoms, it's important to schedule an appointment with your provider. Early diagnosis and intervention can help manage the condition more effectively. Keep a record of your symptoms, including their frequency, intensity, and any patterns you observe throughout your menstrual cycle, as this information can assist your provider in making an accurate diagnosis.

What do expect during your Endometriosis appointment at Tia

An endometriosis visit is a consultation based visit that can be conducted virtually or in-person at the Tia Clinic and is usually focused on a thorough review of current concerns, medical, family, medication, and pregnancy history and discussion or risk factors. In-person visits may include a pelvic exam or physical. It is difficult to diagnosis endometriosis via ultrasound but one may be ordered to rule out other common causes of pain and bleeding. In some cases a referral for additional imaging like an MRI or follow up with a specialist may be recommended.

Potential treatment plans for Endometriosis

For those with disruptive symptoms like heavy bleeding and pain, treatment may include:

Pain Medications:

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help relieve pain associated with endometriosis.

Hormonal Therapies:

• Birth control pills: Hormonal contraceptives can regulate the menstrual cycle, reducing pain and slowing the growth of endometrial tissue.
• Progestin therapy: Progestin-only contraceptives or progestin-releasing intrauterine devices (IUDs) can be used to control symptoms.
• GnRH agonists: These drugs temporarily induce a menopausal state, reducing estrogen levels and slowing the growth of endometrial tissue.

Surgery:

• Laparoscopy: A minimally invasive surgical procedure to remove or ablate endometrial tissue. This is often done to both diagnose and treat endometriosis.
• Laparotomy: In severe cases, open abdominal surgery may be necessary, especially if there are large cysts or extensive adhesions.

Fertility Treatment:

If fertility is a concern, assisted reproductive technologies (ART) such as in vitro fertilization (IVF) may be considered and recommended by a Tia provider.

Pain Management:

For women not seeking pregnancy, pain management strategies such as physical therapy, acupuncture, and nerve blocks may be helpful.

Complementary Therapies:

Some individuals find relief from symptoms through complementary approaches like dietary changes, exercise, and stress reduction techniques.