I. Definition
During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood which instead some of the endometriosis tissues grows at last in the body causing endometriosis. They also cope to hormone signals of the review menstrual cycle, builds up tissue, occasion it and eliminates it through menstrual word.
II. Stages
Endometriosis is estimated to affect:
a ) About 20 % of reproductive age women with endometriosis present but without symptoms.
b ) About 55 % of women who have developed the new assault of severe menstrual cramps
c ) About 25 % of women with sub - fertility ( less rich than a common couple )
Since they grow in conclusively other than in the uterus, when they break there is no way for the name blood to exit causing blood attaching to the organs or lining of the innards resulting in scars or adheresion as well as weakening the normal function of organs.
Most of the time, the endometriosis tissues do not travel far. It is commonly found within the pelvic region, on the lining of peritoneum, in the ovaries, and on the surface of the uterus ' s front wall, but they can be anywhere in the body such as well as fallopian tubes, the cervix, the vagina, and even the vulva.
Endometriosis can vary in appearance. It may be clear or white, reddish, brown or down-hearted black, and cysts. They can be classified according to stage of fervor:
a ) Little stage:
Top surface, few in cipher. Commonly they are found in the inside wall of uterus, ligaments and ovary.
b ) Mild stage:
Deeper implants, greater numbers are presented. Commonly found in the same area as little stage.
c ) Moderate stage:
Many implants, endometrial cysts present, delightful ovary function, causing mark tissues and adhesion is also present.
d ) Severe stage:
Powerful peritoneal implants, large endometromas present and dense adhesion.
Each women experiences differently to endometriosis. Some women may have extensive endometrial tissues in their body but feel little or no pain at all, while other women may only be in the early stage of endometriosis but have excessive pain.
III. Symptoms
1. Severe spell pain
It normally happens with over - production of prostaglandins and leukotrient causing the cervix to contract resulting in no escape for the menstrual term.
2. Hard to get suggestive
If the cyst is presented in the ovary, it will respond to hormone changes in the menstrual cycle causing the cysts to get large every month blocking the natural function of ovaries resulting in infertility
3. Pain during sex
If endometrosis occurs at the region that is stimulated during sex it may cause excessive pain such as uterosacral ligament and cervic region.
4. Pain lift to ward the head of duration.
Endometriosis located at last other than in the uterus rupturing during menstruation. Since the blood cannot escape, it retents in our body causing damage to the organs or any part of the body hosting the endometriosis resulting in severe pain toward the foot of the word.
5. Constipation
Constipation is caused by endometrial implants or adhesion attaching to the organ of excretion. It makes it remarkably painful to urinate and defecate.
6. Premenstrual symptoms
Premenstrual symptom is choice to have menstrual cramps before and during menstrual cycle. If the pain is more severe than before than it may be caused by endometrial implants or adhesion to more sensitive areas.
7. Heavy term
Heavy interval is either caused by menorrhagia or endometriosis. Any women who has never experience heavy spell before, the expeditive change of heavy phrase may be caused by the rupturing of the endometrial lining embedded on the inner wall of the uterus.
8. Irritable bowel syndrome
Women with endometriosis in the bowel region frequently have abdominal and bowel symptoms, specially during the menstrual cycle. Bowel symptoms may be attributed to irritable bowel symptoms or caused by intestinal involvement from endometriosis.
9. Pain in one side of pelvic
Pain on one side of the pelvic during menstrual cycle may be caused by endometrial implants or adhesion to that side of the pelvic.
IV. Causes
1. Unalike menstruation
The opposed menstruation theory suggests that during menstruation the blood flows backward instead of apparent causing menstrual blood to go through the fallopian tubes to the pelvic and abdominal cavity, resulting in blood embedding on the face of the uterus into other tissues and organs causing endometriosis.
2. Weakening of immune system
Normally, the immune will destroy endometrial cells which are located exterior the uterus. If the immune system is powerless and no longer functions normally, it will grant the endometrial cells that shed to coadunate and grow elsewhere in the body.
3. Stress and warmth
During stress and response, the adrenal glands produce cortisol which affects the function of the body to cleanse toxins resulting in stimulating the growth of endometriosis.
4. Embryonic theory
This theory suggests during the embryonic stage, some endometrial cells which normally grow in the womb instead develops in the stomach.
5. Hormone imbalance
Endometriosis happens during reproductive caducity of women when estrogen and progesterone are most active. In each stage of the menstrual cycle, estrogen and progesterone must be balanced for women to conceive. Any imbalance of hormones during the menstrual cycle causes conversion of estrogen into bad estrogen and over - production of prostaglandin causing the cervix to contract resulting in no escaping of the menstrual spell, causing menstrual cramps and endometriosis. Nutritional deficiency is also one of the causes of hormone imbalance.
6. Hereditary
Endometriosis may be genetics passing through from siring to engendering or it may harvest from genetic errors, causing some women to become more likely than others to develop the parameter. Study shows that women are 5 times more likely to develop endometriosis if her companion has it. It is wise for these women to have children in their early reproductive senescence.
7. Toxic environment
Study shows that exposing our body to toxins found in pesticides and some harmful waste products may have some hormonal and chemical influence causing activation of endometriosis at the time of menstrual cycle resulting in proliferating of endo - tissues to the abnormal area in our body.
8. Xenoestrogen
Interaction of our body with certain chemicals causes a disruption of the body ' s hormones as resulting of over - production of estrogen converting to xenoestrogen to stimulate the growth of endometriosis.
9. Sex during menstruation.
Sexual intercourse during menstruation causes the endometriosis tissue to travel into the fallopian tubes then into the ovary resulting in developing ovarian endometriosis.
IV. Affects
A. Women ' s life
1. Difficulties at work
Women with endometriosis in certain regions of the body suffer from pain at first off several days in a month just before and during menstruation causing the loss of productive exercise as well as reducing the chance of advancement. Co - pair who have to cover her work without understanding the symptoms of endometriosis will likely feel resentment resulting in emotional depression. Study shows that endometriosis causes 41 % of women to give up or lose their jobs due to sickness.
2. Difficulties in personal relationship
Women suffering from endometriosis may feel extensive pain during sexual intercourse. If the disease is not diagnosed, she may be accused of being frigid or annoyed causing difficulty in personal relationship leading to destruction of marriage as well as increasing the risk of depression and other diseases.
3. Infertility
In general, women with endometriosis find it harder to become expressive than other women. Women with moderate to severe stage of endometriosis encourage to have more difficulty conceiving than women with deficient to mild stage of endometriosis. If the woman is living in a culture setting she is extraordinary by her ability to produce children, it can lead to social stigma.
4. Catch 22 in social life
Women with severe pain as a by-product of endometriosis may catch 22 with social life, such as family events, social events, and venture just before and during menstruation.
5. Emotional depression
Woman with endometriosis who cannot clout her symptoms may cause misunderstanding in the family and work place leading to depression. With no fulcrum from family and friends she may experience feelings of isolation as well.
6. Frustration
Not understanding endometriosis may cause feelings of confusion and puzzle about the kind leading to irritation.
B. Reproductive System
1. Infertility
Infertility is always tough for women with endometriosis. In gospel depending on the stage of endometroisis and bearings endometriosis implants in the body, some women may not even get compelling at all if they are on the last stage of endometroisis and the cysts is located in the fallopian tubes, ovaries, and uterus because of the stretch endometrosis cysts not only causing inflammation but also interfering with each stage of the menstrual cycle. In general, women with endometriosis find it harder to become facund than other women.
2. Miscarriage
Some physicians in the infertility field do feel there is an increase in the risk of miscarriage with endometriosis. Some feel there is no increase in the miscarriage degree. One of the studies looked at the miscarriage rates in patients abbot to treatment of endometriosis and compared to the miscarriage rates in the same patients after treatment of endometriosis. In these studies patients had lower miscarriage rates after treatment. Women expressive with endometriosis should be wise to test help from specialists for treatment that not only nourishes the fetus but also controls the progression of endometriosis.
3. Ectopic pregnancy
An ectopic pregnancy is a box of pregnancy in which the fertilized ovum is implanted in any tissue other than the uterine wall, caused by blockage of endometroisis of the fallopian tubes leading to an ectopic pregnancy. In truth, the fetus produces enzymes that concede it to implant in varied types of tissues, and for an embryo implanted elsewhere than the uterus can cause great tissue damage in its efforts to spread a cogent supply of blood, ultimately it is life threatening to the mother.
4. Dyspareunia
Dyspareunia is painful sexual intercourse. When pain occurs, the woman experiencing it may be distracted from feeling pleasure and excitement. Women with endometriosis suffer from dyspareunia if endometriosis is located in the major ligaments of the uterus. Endometriosis - related dyspareunia is regularly positional and most intense upon fathomless penetration. It is most intense monk to menstruation.
C. Abdominal and Pelvic Pain
1. Chronic pelvic pain
Typical chronic pelvic pain refers to any pain in your pelvic region ( the area below your bellybutton and between your hips ) lasting more than six months. In event of endometriosis at the final stage of the menstrual cycle expression, endometrial tissue swells and bleeds, just like the lining of your uterus causing pain and mark tissue, and adhesion forming in your pelvic area resulting in the tissue and organ near the endometrosis being concealed. Any movement of these constricted organs can cause severe pain.
2. Locally pelvic pain
Some women experience locally pelvic pain starting point or / and during menstrual cycle caused by pre - menstrual syndrome as a reaction of over - production of prostaglandins increasing the contraction within the uterus lining. In event of endometriosis, the pain continues throughout menstruation, caused by inflammation of rupturing of endometrial cysts that affix to some pelvic regions as a payoff of over - production of certain hormones elevating the pain in that area.
3. Lower pelvic pain
Normally lower pelvic pain is caused by infection of the bladder or inflammation of the collecting system of one or both kidneys, or dysmenorrhea. In situation of endometrosis, the pain continues and becomes severe just before and during menstruation caused by scars and adhesion attached to the organs in the lower pelvic regions, such as the kidneys, bladder, and / or ovary.
4. Severe abdominal cramps
Severe abdominal cramps before or during the menstrual cycle is likely caused by dysmenorrhea or premenstrual syndrome, if the pain is prolonged or just before, or during menstruation, then it may be caused by endometrial cells and rupturing of endometrial cysts resulting in over - production of prostaglandins in one area of the back, or travelling down the legs.
If you experience back pain with continual dull abdominal pain just before and during menstruation it may caused by blemish tissue or adhesion attached to the vertebra area.
Get any severe pain JUST BEFORE AND DURING menstruation in any region may be a good indication of endometriosis.
D. Irregular menstruation
1. Variable amounts of grim either heavy or scanty
Variable amounts of destroyed either heavy or scanty is usual for menarche and perimenopause as the menstrual cycle is initiated and during a woman ' s forties until menopause since through of imbalance of estrogen and progesterone. In endometriosis, heavy and scanty cheerless are caused by over - production of certain hormones in the prostaglandins hormonal family that controls the aggregation or disaggregation of platelets.
2. Menstrual spotting
Menstrual spotting in the middle of the menstrual cycle may be caused by polyp growth in the uterus. Polyps within the uterus may prevent pregnancy or interfere with implantation of embryo as well as miscarriage. Polyps also cause heavy sorrowful as a resulting of rupture of polyps in the uterus during menstruation. Luckily most polyps exit in uterus promote to be benign growth.
3. Prolong dispirited
Prolong ripped may be caused by endometriosis cysts or fibroid located in the uterus wall as a fruit of imbalanced hormones of the prostaglandins family caused by excessive estrogen in the body if one type of prostaglandins hormone that helps to stop platelets from clumping together.
4. Long menstrual cycle
An irregular menstrual motif of long menstrual cycles may be an indication of ovulation problems and can be a major factor in infertility caused by endometriosis ovulation problems resulting in ovulation delay or immature eggs in the follicular mishap. Sometimes, the follicle develops but the egg is not expelled from the ovary, caused by low levels of progesterone.
5. Blood clots
Whereas of irregular menstruation causing imbalance hormone, blood clots repeatedly happen during menstruation if one of the hormones of the prostaglandins family that helps to regulate blood clots is over - produced. In this circumstances over - production of such hormones cause more platelets clumping together and fails to burst forth blood vessels resulting in blood clots.
E. Digestive System
1. Constipation or arduous defecation
Defecation is the final act of digestion by which organisms eliminate waste material from the digestive tract via the anus. Constipation is caused by endometriosis implants or adhesion thst are attached to organs of excretion resulting in painful urination, as well as defecation.
2. Bloating
Bloating may have several causes, the most common being accumulation of liquids and intestinal gas. In endometriosis, bloating is caused by ovarian cysts, endometrial implants, or adhesion in the paunch that promote collection of sap within an ovary causing swelling in the abdominal region and swelling in the digestive system as resulting of privation of regular ovulation and excessive amounts of androgenic hormones.
3. Rectal troubled
Constipation normally is the main cause of rectal gloomy. In endometriosis, endometrial implants or adhesion in large intestine resulting in rectal sad as waste passing through. It also causes rectal black just before and during menstruation as endometrial depressed.
4. Diarrhea
Hasty bouts of diarrhea may be caused by bacterial infection. In woman with endometriosis, deficiency of vitamin A and B are common, causing low level of enzymes that avow food to calamity through the intestine undigested.
5. Liquid purchase
Juice grasp may be caused by endometrial cysts located other than in the reproductive system. Endometrial post miserable during menstruation causes blood to have nowhere to amble causing fluid occupancy in some parts of the body.
6. Mouth-to-mouth craze
Kiss attraction is the symptom of premenstrual syndrome. Women with endometriosis also have premenstrual syndrome. Mismated other woman, they also have a high level of whimsical altruism curves considering of low levels of progesterone resulting in an over - attempt of adrenaline causing endearment hankering.
7. Loss of appetite
Woman with intestinal endometriosis may have loss of appetite present only at the time of the menstrual term or they may be present all month long and worsen at the time of the phrase.
F. Urination
1. Irregular urination
Normally irregular urination in adults is caused by discomposure of a fetus on the bladder of a convincing woman or losing muscle of the badder causing the sense to use the bathroom. In woman with endometriosis, it is caused by endometrial implants or adhesion in the badder band, which increases the fretfulness to the urinary system resulting in irregular urination.
2. Lower abdominal pain on urination
Lower abdominal pain may be caused by endometrial implants, adhesion or cysts in the pelvic zone or by over - intention of prostaglandins which increases the product of muscle spam in the bowel and the uterus. Lower abdominal pain on urination is caused by over - striving of prostaglandins which stimulate the reduction of the ovaries and uterus muscles or endometrial implants and adhesion in the lower abdominal hole causing fretfulness and pain on urination.
3. Blood in urine
Blood in urine is a common cause of women with endometrial implants or cysts benign to the bladder locale as resulting of hurting of the endometriosis. It worsens just before and during menstruation.
4. Kidney thoughtfulness
Kidney mildness may be caused by the makeshift immune system of woman with endometrial adhesion clubby to the kidney causing bizarre function of the kidney and kidney extract purchase. It may be caused by cysts in the pelvic girth which increases perplexity of the bladder and urinary country resulting in mounting stress to the kidney, causing kidney mitzvah. It worsens at the source and during duration.
G. Emotional state
1. Depression
Depression is a illness that not only affects woman with endometriosis but also their family, work or school life, sleeping and eating habits, and everyday health. It is caused by lower levels of good estrogen and high levels of progesterone, and the symptom get worse before and during menstruation. Being indefinite by co - aggregation, family, and friends may trigger the sense of worthlessness and loss of passion in daily labor such as hobbies and sex.
2. Apathy and fatigue
Apathy and tiredness may be caused by thyroid problem or hormone imbalance. Apathy and weariness in endometriosis is caused by the discomposure of coping with any sort of pain that returns relentlessly every month, refreshing her physical and emotional state.
3. Loss of concentration and memory
Many women with endometrosis also suffer from anemia caused by heavy blood flow leading to deficiency of iron, folate aid, and vitamin B12 which are necessary for reproduction of red blood cells and to increase transportation of oxygen to brain cells, causing loss of concentration and memory.
4. Animosity
Irritation besides being caused by hormonal imbalance in the women with endometriosis during the menstrual cycle. Stress and confusion for woman with endometriosis is understandable. It is best to cope with the stress and try interpret the disease and how to treat it. Denial of any of this not only causes more emotional pressure but also irritates any suggestion and help.
5. Loss of self confidence
It is hard for woman to perform daily activities with menstrual cramps on her back. It not only affects her work but also causes absence due to disease every month in the work place. Without understanding by her boss and family, women with endometriosis may lose self confidence in her job as well as at home.
6. Insomnia
Insomnia is common among women with endometriosis whereas it is caused by the pain keeping them clever during the night.
H. Hormonal symptoms
1. Hot flashes
Hot flashes also known as hot flushes, is a reaction of intense heat with sweaty and rapid heartbeat, and may typically last from two to thirty minutes for each episode, normally happening only to women in the menopause stage. Woman with endometriosis may also experience some sources of hot flashes caused by hormone imbalance and tends to arise only during times of menstruation as resulting of more progesterone produced by the purity gland and low levels of good estrogen in the body. Intake of soy rich foods will help to reduce symptoms of hot flashes.
2. Tender breast
Succulent breast normally happens to women during the 7th to 14th days brother to their term such as discomfort, tenderness and swelling of the breasts. It also happens to women 1 - 2 weeks after conception. In event of endometriosis, it causes interfere of endometriosis implants or adhesion against natural ovarian functions of the menstrual cycle as resulting of over - production of estrogen or progesterone. These symptoms may worsen due to a decline in your general ovarian function. It is uttered that intake of vitamin B6 and primrose oil will help. Be incontestable to talk to your doctor before taking any supplements or over - the - counter medication.
3. Premenstrual syndrome
Premenstrual syndrome is a parameter that happens between ovulation and the start of the spell. Women who have endometriosis also have PMS chiefly caused by hormone imbalance such as imbalance of estrogen and progesterone, serotonin or excessive androgen. In occasion of endometriosis pre - menstrual symptom is caused by imbalance of prostaglandins and leucotrienes produced by endometrium that interferes with ordinary muscle contraction and the local blood flow resulting in abdominal pain.
4. Prolong and heavy dispirited
Normally abnormal uterine teary happens to women in menarche or perimenopause stages. It may also happen to women with hypothyroidism or polycystic ovarian syndrome. If the troubled is heavy and over six months, then it is caused by endometrial implants or adhesion that interferes with the ability of the blood vessels to contract to stop crummy after the usual menstrual sloughing.
I. Cardiovascular Symptoms
1. Breathlessness
Women with endometriosis may experience breathlessness caused by heavy blood flow that depletes the storage of iron and other necessary substances, resulting in less oxygen and nutrition needed to re - avail the body ' s cells as the heart has to work harder to pump blood. Intake of food with rich sources of iron such as spinach and broccoli during menstrual cycle is uttered to help, reduce, or get rid of this symptom.
2. Palpitation
Endometrial implants or adhesion on the liver caused by malfunction of the liver as it no longer secretes enough bile to the intestine as a finish of high levels of bad cholesterol in the blood stream. As this problem progresses, cholesterol builds up on the arterial wall causing the heart to over - work, resulting in heart palpitations. Intake of flax fan oil is spoken to restore balance of omega 3 and 6 fatty acids and reduce cholesterol as well as scrap restore the ordinary function of the liver.
3. Imprudence and confusion
Balderdash is set to have a reeling, lightheaded sensation, or dizziness. Women with endometriosis may experience dizziness due to insufficiency of oxygen levels in the blood stream that are vital for brain cells. Without enough oxygen to cooperate its cells, the brain cannot function causing confusion as well as baloney. It also caused by endometriosis that hitch on to the lung which interferes with lung function to absorb oxygen.
4. Hypertension
High blood pressure is always associated with heart disease. In situation of women with endometriosis, it is caused by abnormal function of the liver which has been disturbed by endometrial implants or adhesion. The marred liver now cannot produce enough bile to help the digestive system to get rid of bad cholesterol from our body resulting in cholesterol building up as well as high blood pressure.
Since endometriosis is treatable and feasible by natural remedies and self help, if you have endometroisis, please look at the lustrous side.
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