Endometriosis

The endometrium is the inner lining of the womb in which an embryo (fertilised egg) is implanted and grows. When no egg is fertilised, the lining breaks down and is discharged as a period.

Endometriosis is a condition in which patches of endometrium occur in parts of your body other than your womb. Often this is your pelvis or lower abdomen (tummy), but it can also occur in the ovaries, fallopian tubes, cervix, vagina and areas of the pelvis.

Most women with endometriosis are diagnosed between the ages of 25 and 40

Symptoms vary from person to person with some people having no symptoms at all. However the most common symptom is painful periods. With each menstrual cycle, the patches of endometrium go through the same sequence of changes that affect the womb lining. This includes the monthly casting-off of blood, mucus and surface tissue. Because the blood and other material produced often cannot escape, it can build up, causing pressure and pain.

Other symptoms may include painful sexual intercourse, discomfort when urinating or bleeding from your bottom (rectum). Other symptoms are varied and depend on the location of this tissue.

 

Diagnosis and treatment

Treatment is usually started if the symptoms suggest endometriosis. Treatment for endometriosis is amined at easing the symptoms as there is no cure. Treatments can include pain killers, hormone treatments and surgery. However some people with mild symptoms decide not to take any treatment. In fact many cases of endometriosis get better without treatment. If initial treatment is not successful, then a laparoscopy may be arranged.

For a formal diagnosis to be made you have to be referred to a specialist for an examination called a laparoscopy. During a laparoscopy, a special narrow telescope (a laparoscope) is passed into your body so the specialist can view the endometrial tissue and occasionally take a small sample (a biopsy) for laboratory testing.

 

Help, information and support

  • If you have any concerns or questions about your health speak to your GP immediately.
  • Or you can speak to a doctor or nurse at your local Sandyford Clinic
  • The National Endometriosis Society provides information and support about the condition. More at: http://www.endometriosis-uk.org