Endometriosis – The endometrium is a tissue that normally lines the inner mucous membrane of the uterus.
This tissue grows and thickens under the influence of hormones and is shed during menstruation every month.
Endometriosis is a common gynaecological complaint, when an endometrial tissue grows in body parts in the pelvic cavity other than the uterus such as ovaries, fallopian tubes, back of the uterus, intestines, rectum, bowel, vagina, urethra, and urinary bladder etc., it is termed as endometriosis.
It is a benign proliferation, non-cancerous overgrowth of tissue.
The misplaced endometrial tissue follows the menstrual cycle (grows, thickens and breaks down) due to hormonal changes in the body. As it has no way to exit your body, it becomes trapped and causes irritation and formation of scars and adhesions.
Endometriosis is a complex fertility issue that has been shown to cause up to 50% female infertility, as it can lead to blockage of the tubes and interference with ovarian function.
Possible causes or Risk Factors
The exact cause of endometriosis is unknown! Possible factors may include.
- Hormonal imbalance i.e., Too much oestrogen / too little progesterone
- Use of too much conventional meat
- Genetic factor (family tendencies such as mother or a sister)
- Immunologic defects – An abnormality in the immune system – Some believe this is an autoimmune disorder!
- Early puberty but late marriage
- Too late menopause
- Short menstrual cycles e.g., less than 27 days.
- Heavy and prolonged menses that last longer than seven days.
- Previous operations, inflammation, trauma.
- Women in age group of (25 – 40yrs) and those of higher socioeconomic class are more affected.
- Radiation and EMF’s
- Repeated courses of antibiotics
- Recurrent attacks of thrush
- A lot of oxidative stress
- Poor diets high in sugar.
- The blood vessels or tissue fluid system may move endometrial cells to other parts of the body.
- Exposure to environmental toxins – pesticides, herbicides, fertilizers, plastic, dioxin (found in bleach, feminine care products, napkins, paper towels, tissues, make-up removal pads, toilet paper, diapers, etc.
- Benign uterine fibroids
- Retrograde menses – backward Menstrual Flow through the fallopian tubes and into the abdominal cavity
- Endometrial cells may attach to scar tissue from a cut made during surgery such as a C-section.
- Never giving birth.
- Being underweight with low body mass index.
Common Symptoms of Endometriosis
- Severe dysmenorrhea too much pelvic pain around periods, which may start 5-7days before periods.
- Long or abnormal length of cycles
- Heavy menstrual periods with large clots.
- Spotting or bleeding in between periods.
- Dyspareunia (painful or difficult sexual intercourse).
- Bleeding after sexual contact
- Backache and legs pain, especially during menstrual periods.
- Rectal bleeding and pain while defecating during periods.
- Dysuria (difficult or painful urination).
- Fever, persistent fatigue, lack of energy, tiredness
- Stomach problems – indigestion, nausea, bloating, diarrhoea or constipation.
- Ovarian swelling or cysts
- Anxiety, depression
- Infertility – difficulty getting pregnant – For some people, endometriosis is first found during tests for infertility treatment.
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