Endometriosis - Medtick

Endometriosis

What is it?

The growth of endometrial-like tissue (the womb lining) outside the uterus (womb).

Royal College of Obstetricians and Gynaecologists. New NICE guideline on Endometriosis published. 2017. Available at: https://www.rcog.org.uk/en/about-us/nga/nga-news/nice-guideline-endometriosis (accessed August 2019)


During the menstrual cycle the endometrial (the lining of the womb) tissue thickens (just before a period) and the tissue  sheds (during a period).

  • In endometriosis the same endometrial tissue (the lining of the womb/uterus wall) is found outside uterus areas include:
    • Outside surface of the uterus
    • Pelvis and lower abdomen
    • Fallopian tubes
    • Spaces between the bladder uterus and rectum,
    • Wall of the rectum(anus)
    • bladder
    • Intestines
    • Appendix
    • Lungs
    • Arm
    • Thigh
    • Skin

Harvard Health publications

  • In endometriosis the same tissue can thicken (just like in the menstrual cycle) and can shed causing bloody symptoms and/or grow causing blood-filled cysts, these can rupture as well as causing long term inflammation, pain and adhesions (scar tissue formation).
  • Depending on the area of the tissue in the body it can cause a range of symptoms.
  • Endometrial tissue on the ovaries may form into large blood/fluid-filled cysts. These are called endometriomas.
  • The aim is to control oestrogen levels so the tissue does not swell excessively.

Cause

  • Unknown
  • Genetics – the condition tends to run in families, and affects people of certain ethnic groups more than others
  • Retrograde menstruation – when some of the womb lining flows up through the fallopian tubes and embeds itself on the organs of the pelvis, rather than leaving the body as a period, blockage of period and/or causes include:
    • Uterine fibroids
    • Uterine polyps
    • Retrograde uterus (also known as a tilted uterus) in which the uterus curves in a backward position at the cervix rather than forward
    • Congenital uterus malformations, including cryptomenorrhea (in which menstruation occurs but cannot be seen due to a congenital obstruction)
    • Asynchronous vaginal contractions, in which the vagina contracts abnormally and/or excessively during menstruation
  • Problem with the immune system, the body’s natural defence against illness and infection
  • Endometrial cells spreading through the body in the bloodstream or lymphatic system (a series of tubes and glands that form part of the immune system)

NHS Choices

  • Heavy menstrual flow
  • Short menstrual cycle (27 days or less)
  • Long periods (longer than seven days)
  • Early age (before the age of 12) of first menstruation
  • Dysmenorrhea (painful periods)
  • Close female relative with endometriosis (Mother, sister,daughter)
  • Being pregnant for the first time above the age of 30 years
  • Ethnicity: white skinned females
  • Females with abnormal uterus or fallopian tubes or any abnormality in that abdominal genital area.
  • Allergies
  • Obesity
  • Abdominal surgeries like a cesarean section (C-section) or hysterectomy can sometimes displace endometrial tissue. Any remaining tissues not destroyed by the immune system may implant themselves outside of the uterus, leading to endometriosis.
  • Exposure to toxins : Dioxins

Medication i.e.

Symptoms

(Some women have pain all the time, others during periods)

  • Abdominal pain and/or are constant violently vomiting or vomiting longer than two days (one day if a child)?
  • General discomfort (muscle weakness), uneasiness or ill feeling (malaise) and/or fatigue (tiredness)?
  • Lower abdomen (tummy), pelvis or lower back pain (can be longer than 6 months)?
  • Painful heavy periods?
  • Pain during sexual intercourse?
  • Bleeding between periods?
  • Uncomfortable urination (pain passing urine)?
  • Rectal bleeding (anus)?
  • Find passing stools difficult and constipated?
  • Diarrhoea?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait, phone for ambulance if have or develop:


This condition can lead to:

  • Fertility problems
  • Adhesions – “sticky” areas of endometriosis tissue that can join organs together
  • Ovarian cysts – fluid-filled cysts in the ovaries that can sometimes become very large and painful
  • Bladder and bowel complications
  • Fowlers Syndrome
  • Depression

NHS choices 


General tips

One can consider to help to ease symptoms:

  • Heat therapy: Warm baths and heat packs to abdominal regions
  • Physiotherapy (pelvic floor exercises)
  • Exercise regularly, ideally more than four hours per week
  • Tens machine
  • Reduce your alcohol intake to no more than one drink per day
  • Cut back on caffeine, ideally to no more than one caffeinated drink per day

This condition can have similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Endometriosis in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

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