Overview

Endometriosis affects approximately five to ten percent of women and involves the growth of endometrial cells outside the uterus. Let’s explore the details:

  1. What Is Endometriosis?
    • Definition: Endometriosis occurs when uterine lining (endometrial cells) grows outside the uterus.
    • Locations: These cells can develop on the ovaries, fallopian tubes, and other abnormal sites.
    • Pain: Varies in intensity.
  2. Theories on Development:
    • Retrograde Menstruation: Menstrual blood flows backward into the pelvis, causing tissue to bleed and form cysts.
    • Coelomic Metaplasia: Peritoneal epithelium transforms into endometrial tissue.
  3. Symptoms of Endometriosis:
    • Pelvic Pain: Recurrent pain.
    • Menstrual Cramps: Painful periods.
    • Sexual Discomfort: Pain during intercourse.
    • Other Symptoms: Bowel issues, urinary urgency, nausea, fatigue, etc.
  4. Diagnosis and Treatment:
    • Laparoscopy: Confirms diagnosis and allows tissue removal.
    • Treatment Goals:
      • Pain Relief: Conservative management.
      • Infertility: Surgical removal of tissue.
      • Non-Surgical Options:
        • NSAIDs (anti-inflammatory drugs).
        • Lupron injections (temporary menopause).
        • Progesterone or progestins (inhibit endometrial growth).
      • Hysterectomy and Ovary Removal: For those not planning pregnancy.

Remember to seek medical advice if you experience endometriosis symptoms or have gynecologic concerns. Castaneda OBGYN offers compassionate care and expertise. Schedule your appointment today.