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Endometriosis is actually a condition in which tissue just like the endometrium (the brand new tissue you to lines the within of the uterus or uterus) can be found outside the womb. Endometriosis most often happens in the reduced abdomen otherwise hips, however it can seem anywhere in the body.
As much as ten% away from reproductive-aged women possess endometriosis. Endometriosis is visible in several–32% of females which have procedures to possess pelvic problems, along with around 50% of women that have functions to have sterility. Endometriosis is barely used in girls before they start the months, however it is found in to half of younger girls and you will youngsters which have pelvic pain and painful periods. Endometriosis might be identified considering clinical attacks and you will radiology imaging results, but could just be verified thru surgery.
One to theory out of endometriosis source is called coelomic metaplasia, in which structure in the human body outside of the womb normally undergo changes to be cells you to line the newest uterus. This is a common need to possess endometriosis during the uncommon internet such as for example the brand new thumb or knee. Several other it is possible to need having endometriosis in the metropolitan areas from the fresh womb is the fact tissue regarding lining of the womb traveling due to blood vessels or the systema lymphaticum, and therefore getting most other distant body organs otherwise human body portion.
Endometriosis may also spread during functions. Such as for instance, a woman that have endometriosis you to goes through good cesarean area could unknowingly has actually endometriosis enhancement on abdominal incision with the intention that she grows endometriosis on the scar throughout the businesses.
Endometriosis is more common in the event the a relative also offers the condition, generally there may also be family genes you to dictate endometriosis.
Whenever a female which have endometriosis possess their several months, this lady has bleeding out of both tissues and you may muscle for the womb, and get from the structure and tissues away from uterus. Whenever bloodstream touches these types of almost every other body organs when you look at the instinct, it may cause swelling and irrititation, doing pain. Scar tissue can also build from the endometriosis and you will subscribe the pain sensation.
Ranging from 20 and you may forty% of women which have infertility will have endometriosis. Endometriosis probably impairs fertility in 2 means: very first, of the ultimately causing distortion of the fallopian tubes so they try not able to get this new eggs just after ovulation, and you can next, by simply making inflammation that will adversely change the function of the newest ovary, egg, fallopian tubes or womb.
Soreness is considered the most preferred manifestation of endometriosis. Female having endometriosis can experience pelvic or all the way down intestinal aches, soreness having menses (dysmenorrhea), soreness having intercourse (dyspareunia) and you may discomfort throughout the bowel motions (dyschezia). Episodes are going to be constant otherwise “cyclical,” which means it worsen before and in the several months, immediately after which increase. Feminine possess ongoing pelvic otherwise straight down intestinal soreness also. Almost every other observable symptoms include infertility, intestinal and you can kidney attacks (bloating, constipation, bloodstream about pee, or pain with urination), and possibly unusual vaginal bleeding.
Some medical professionals can get clean out suspected endometriosis considering a great female’s attacks or physical examination conclusions to find out if it boost instead of proceeding to businesses. Earliest or program ultrasound can be skip evidence of endometriosis. Imaging which have cutting-edge pelvic ultrasound and you may MRI specialization standards getting endometriosis is oftentimes necessary to safely information the latest the amount and you will wedding from situation. But not, so you’re able to formally establish a diagnosis regarding endometriosis, a physician need certainly to perform laparoscopy (minimally invasive surgery in which good dera through the stomach option) to visualize and biopsy guessed endometriosis sores. Endometriosis sores can differ in appearance. “Endometrioma” ‘s the name to possess endometriosis contained in this an ovary, that’s will nicknamed “delicious chocolate tumefaction” due to the fact matter inside cyst trГ¤ffa heta asiatiska kvinnor ends up delicious chocolate syrup.
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