What is endometriosis
This chronic, painful condition is one of the most common
gynaecological complaints, affecting around two million women in
the UK. Jane Feinmann investigates its causes and cures
Endometriosis occurs because fragments of the endometrium, the
tissue that normally lines the womb, can migrate to other parts of
the pelvic area and even further afield. For a reason that doctors
dont fully understand, this tissue becomes implanted and starts
growing on other organs in some women. And once implanted, the
endometrial tissue continues to respond to the monthly menstrual
cycle,causing internal bleeding that has no outlet as well as pain
inflammation and the formation of scar tissue.
Recognising the symptoms
You should consider the possibility of endometriosis if you have
unusually heavy, painful periods or pain during or after sex, or
when having a bowel movement or passing urine. These symptoms can
be caused by a whole range of clinical problems, however, which
explains why it frequently takes several years before women with
endometriosis get a proper diagnosis.
The only way to diagnose endometriosis is by a laparoscopy, a minor
operation carried out by a hospital gynaecologist. A miniature
telescope is inserted into the pelvis through a small cut near the
navel, enabling the surgeon to see any endometrial implant. Your
doctor may also suggest that you are tested for the condition if
you are having fertility problems.
