Pathophysiology of Endometriosis:
Endometriosis is the presence of endometrial tissue outside of the uterine cavity, most commonly surrounding the ovaries and fallopian tubes.
Diagnosis:
- Biopsy or laparoscopy
- Magnetic resonance imaging (MRI)
- Ultrascopy
- Pelvic Examination
Classification:
- Minimal – few superficial implants
- Mild – more and slightly deeper implants
- Moderate – many deep implants and small tumours on ovaries
- Severe – many deep implants and large tumours on ovaries
Significance:
- Untreated endometriosis may lead to
- Infertility
- Cancer
Contraindications:
Pregnancy – oral contraceptives.
Check for symptoms:
- Common symptoms include cyclic midline pain, infertility, inter menstrual bleeding
- Based on location of implant symptoms vary specifically
- Large intestine – pain during defecation, diarrhoea / constipation, rectal bleeding during menses
- Bladder – dysuria, hematuria, pain during urination
- Ovarian – cyst rupture results in abdominal pain
- Extra pelvic structures – abdominal pain
Prescription contains:
Non Steroidal Anti-Inflammatory Drugs
Drugs to suppress ovarian function.
Counseling on side effects:
Combination estrogen/progestin oral contraceptives:
Ethinyl estradiol -Abdominal swelling, breast tenderness, increased appetite, bleeding, deep venous thrombosis
Progestins:
Levonorgestrel – Irregular uterine bleeding, weight gain
Medroxyprogesterone – bleeding, depression, weight gain
Norethindrone acetate – Irregular uterine bleeding, emotional lability, depression, weight gain
Androgens:
Danazol – Weight gain, acne, lowering of the voice, hirsutism, edema, muscle cramps, breakthrough bleeding
GnRH agonists:
Leuprolide – allergic reactions, bone demineralization.
Risk factors:
- Genetic predisposition
- Aging
- environmental toxins(dioxin)
Counseling on diet, exercise, lifestyle management:
- Adequate rest, regular exercise, low-fat diet, nutritional supplements such as ω3 fatty acids, flax seeds, magnesium, vitamin E, zinc.
Conservative surgery:
Conservative surgery is for women who want to get pregnant or experience severe pain and for whom hormonal treatments aren’t working.
The goal of conservative surgery is to remove or destroy endometrial growths without damaging the reproductive organs.
Laparoscopy, a minimally invasive surgery, is used to both visualize and diagnose, endometriosis. It is also used to remove the endometrial tissue.
For knowing more about other topics click here.
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