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 climactically in the body causing endometriosis. They also act to hormone signals of the fish wrapper menstrual cycle, builds up tissue, turn it and eliminates it through menstrual name.
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 charge of severe menstrual cramps
c ) About 25 % of women with sub - fertility ( less fertile than a usual couple )
Since they grow in fundamentally other than in the uterus, when they break there is no way for the title blood to exit causing blood attaching to the organs or lining of the tummy resulting in scars or adheresion as well as weakening the ordinary 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 exterior 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 passion:
a ) Limited stage:
Top surface, few in cipher. Commonly they are found in the inside wall of uterus, ligaments and ovary.
b ) Mild stage:
Innumerable implants, greater numbers are presented. Commonly found in the same area as deficient stage.
c ) Moderate stage:
Many implants, endometrial cysts present, elegant ovary function, causing discolouration tissues and adhesion is also present.
d ) Severe stage:
Close 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 title pain
It normally happens with over - production of prostaglandins and leukotrient causing the cervix to contract resulting in no escape for the menstrual duration.
2. Hard to get forceful
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 ordinary 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 hoist to ward the stump of spell.
Endometriosis located ultimately 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 extent of the interval.
5. Constipation
Constipation is caused by endometrial implants or adhesion attaching to the organ of excretion. It makes it excessively painful to urinate and defecate.
6. Premenstrual symptoms
Premenstrual symptom is unique 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 title is either caused by menorrhagia or endometriosis. Any women who has never experience heavy interval before, the keen change of heavy expression 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. Corresponding menstruation
The unrelated menstruation theory suggests that during menstruation the blood flows backward instead of external causing menstrual blood to go through the fallopian tubes to the pelvic and abdominal cavity, resulting in blood embedding on the guise 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 frontage the uterus. If the immune system is sluggish and no longer functions normally, it will acquiesce the endometrial cells that shed to tack on and grow elsewhere in the body.
3. Stress and sensation
During stress and passion, 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 belly.
5. Hormone imbalance
Endometriosis happens during reproductive agedness 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 term, 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 procreation to generation or it may execution from genetic errors, causing some women to become more likely than others to develop the affection. Study shows that women are 5 times more likely to develop endometriosis if her buddy has it. It is wise for these women to have children in their early reproductive age.
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 early several days in a month just before and during menstruation causing the loss of productive labor as well as reducing the chance of advancement. Co - side 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 malady.
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 on edge 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 expressing than other women. Women with moderate to severe stage of endometriosis doctor to have more difficulty conceiving than women with little to mild stage of endometriosis. If the woman is living in a culture longitude she is characteristic by her ability to produce children, it can lead to social stigma.
4. Mountain in social life
Women with severe pain as a event of endometriosis may rub with social life, such as family events, social events, and progress just before and during menstruation.
5. Emotional depression
Woman with endometriosis who cannot regulation her symptoms may cause misunderstanding in the family and work place leading to depression. With no shore from family and friends she may experience feelings of isolation as well.
6. Frustration
Not understanding endometriosis may cause feelings of confusion and bind about the essence leading to irritation.
B. Reproductive System
1. Infertility
Infertility is always difficult for women with endometriosis. In reality depending on the stage of endometroisis and locality 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 due to of the far-off 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 weighty 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 ratio. 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 symbolic with endometriosis should be wise to explore 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 dispute 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 detail, the fetus produces enzymes that acquiesce it to implant in varied types of tissues, and then an embryo implanted elsewhere than the uterus can cause great tissue damage in its efforts to stretch a striking supply of blood, somewhere it is life threatening to the titanic.
4. Dyspareunia
Dyspareunia is painful sexual intercourse. When pain occurs, the woman experiencing it may be distracted from tactility pleasure and excitement. Women with endometriosis suffer from dyspareunia if endometriosis is located in the major ligaments of the uterus. Endometriosis - related dyspareunia is generally positional and most intense upon far penetration. It is most intense abbot 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 plight of endometriosis at the final stage of the menstrual cycle title, endometrial tissue swells and bleeds, just like the lining of your uterus causing pain and blotch tissue, and adhesion forming in your pelvic area resulting in the tissue and organ near the endometrosis being latent. Any movement of these constricted organs can cause severe pain.
2. Locally pelvic pain
Some women experience locally pelvic pain day one or / and during menstrual cycle caused by pre - menstrual syndrome as a aftereffect of over - production of prostaglandins increasing the contraction within the uterus lining. In occasion of endometriosis, the pain continues throughout menstruation, caused by inflammation of rupturing of endometrial cysts that pair to some pelvic regions as a termination 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 event 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 cicatrix tissue or adhesion attached to the vertebra area.
Summon up 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 heavy-hearted either heavy or scanty
Variable amounts of troubled either heavy or scanty is normal for menarche and perimenopause as the menstrual cycle is initiated and during a woman ' s forties until menopause hence because of imbalance of estrogen and progesterone. In endometriosis, heavy and scanty mournful 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 black as a resulting of rupture of polyps in the uterus during menstruation. Luckily most polyps exit in uterus nurse to be benign growth.
3. Prolong bleak
Prolong downcast may be caused by endometriosis cysts or fibroid located in the uterus wall as a execution 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 decoration 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 catastrophe. Sometimes, the follicle develops but the egg is not expelled from the ovary, caused by low levels of progesterone.
5. Blood clots
Since of irregular menstruation causing imbalance hormone, blood clots oftentimes happen during menstruation if one of the hormones of the prostaglandins family that helps to regulate blood clots is over - produced. In this position over - production of such hormones cause more platelets clumping together and fails to swell blood vessels resulting in blood clots.
E. Digestive System
1. Constipation or tough 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 liquid within an ovary causing swelling in the abdominal region and swelling in the digestive system as resulting of absence of regular ovulation and excessive amounts of androgenic hormones.
3. Rectal melancholy
Constipation normally is the main cause of rectal mournful. In endometriosis, endometrial implants or adhesion in large intestine resulting in rectal dismal as waste passing through. It also causes rectal dreary just before and during menstruation as endometrial troubled.
4. Diarrhea
Brief 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 let on food to fact through the intestine undigested.
5. Sap ownership
Serum dominance may be caused by endometrial cysts located other than in the reproductive system. Endometrial support gloomy during menstruation causes blood to have nowhere to break causing serum control in some parts of the body.
6. Kissy face frenzy
Muzzle wish is the symptom of premenstrual syndrome. Women with endometriosis also have premenstrual syndrome. Changed other woman, they also have a high level of queer fellow-feeling curves thanks to of low levels of progesterone resulting in an over - stretch of adrenaline causing kissy face predilection.
7. Loss of appetite
Woman with intestinal endometriosis may have loss of appetite present only at the time of the menstrual name 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 load of a fetus on the bladder of a significant woman or losing muscle of the badder causing the sensitivity to use the bathroom. In woman with endometriosis, it is caused by endometrial implants or adhesion in the badder sash, which increases the foreboding 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 cestuses or by over - enterprise of prostaglandins which increases the essay of muscle spam in the bowel and the uterus. Lower abdominal pain on urination is caused by over - effort of prostaglandins which stimulate the shortening of the ovaries and uterus muscles or endometrial implants and adhesion in the lower abdominal void causing vexation and pain on urination.
3. Blood in urine
Blood in urine is a common cause of women with endometrial implants or cysts solicitous to the bladder place as resulting of long-faced of the endometriosis. It worsens just before and during menstruation.
4. Kidney sweetness
Kidney charity may be caused by the spindly immune system of woman with endometrial adhesion comradely to the kidney causing quaint function of the kidney and kidney serum purchase. It may be caused by cysts in the pelvic girth which increases vexation of the bladder and urinary sphere resulting in mounting disquiet to the kidney, causing kidney mildness. It worsens at the inauguration and during expression.
G. Emotional state
1. Depression
Depression is a ailment that not only affects woman with endometriosis but also their family, work or guide life, sleeping and eating habits, and stock 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 dim by co - duo, family, and friends may trigger the sensitivity of worthlessness and loss of case in daily bustle such as hobbies and sex.
2. Apathy and enervate
Apathy and fatigue may be caused by thyroid problem or hormone imbalance. Apathy and fatigue in endometriosis is caused by the anxiety of coping with any sort of pain that returns relentlessly every month, exotic 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. Infuriation
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 understand 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 malady 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 seeing it is caused by the pain keeping them brilliant during the night.
H. Hormonal symptoms
1. Hot flashes
Hot flashes also known as hot flushes, is a excitation of intense heat with sizzling and rapid heartbeat, and may typically last from two to thirty minutes for each event, 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 eventuate 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. Delicate breast
Young breast normally happens to women during the 7th to 14th days monk to their interval such as discomfort, tenderness and swelling of the breasts. It also happens to women 1 - 2 weeks after conception. In occasion of endometriosis, it causes interfere of endometriosis implants or adhesion against normal 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 average ovarian function. It is oral that intake of vitamin B6 and primrose oil will help. Be clear to talk to your doctor before taking any supplements or over - the - counter medication.
3. Premenstrual syndrome
Premenstrual syndrome is a attribute that happens between ovulation and the start of the title. 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 typical muscle contraction and the local blood flow resulting in abdominal pain.
4. Prolong and heavy unhappy
Normally abnormal uterine saddened happens to women in menarche or perimenopause stages. It may also happen to women with hypothyroidism or polycystic ovarian syndrome. If the bleak 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 saddened after the natural 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 - subsidize 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 vocal 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 reaction 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 devotee oil is oral to restore balance of omega 3 and 6 fatty acids and reduce cholesterol as well as organ restore the regular function of the liver.
3. Poppycock and confusion
Gas is certain 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 propagandize its cells, the brain cannot function causing confusion as well as silliness. It also caused by endometriosis that assemble to the lung which interferes with lung function to absorb oxygen.
4. Hypertension
High blood pressure is always associated with heart disease. In occasion of women with endometriosis, it is caused by abnormal function of the liver which has been sore by endometrial implants or adhesion. The hit 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 irradiated side.
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