Endometriosis is a very painful syndrome in which the tissue that lines the uterus, known as the endometrium, grows in other places in the abdomen, such as the ovaries, bladder or bowel. The month of March is dedicated to raising awareness of the disease through the Yellow March campaign.
The intensity and frequency of symptoms of endometriosis can vary from month to month and from woman to woman, so diagnosis can be quite difficult. However, if you think you have the problem, It is very important to consult a gynecologist to start treatment.
Depending on where the tissue grows in the uterus, there are different types of endometriosis:
1. Intestinal endometriosis
This type of endometriosis occurs when tissue from the uterus grows inside the intestine and in these cases the most specific symptoms are:
Constipation with very strong cramps;
Blood in stool;
Pain that worsens during defecation;
Sensation of very swollen belly;
Persistent pain in the rectum.
Often, patients may begin by suspecting a bowel disease, such as irritable bowel syndrome, Crohn’s syndrome, or colitis, and upon further evaluation discover that it is endometriosis.
2. Endometriosis in the ovaries
Ovarian endometriosis, also known as endometrioma, is characterized by the growth of the endometrium around the ovaries and in these cases the symptoms are almost always the most generic, such as severe pain in the pelvic region , excessive menstrual bleeding and pain during intercourse.
The diagnosis made by a gynecologist is very important to identify where the tissue is growing and if the ovaries are affected.
To do this, the doctor usually performs a laparoscopy under general anesthesia, during which he inserts a thin tube with a camera at the end through an incision in the skin and examines the organs inside the cavity. abdominal.
3. Endometriosis in the bladder
In case of endometriosis appearing in the bladder, the most specific symptoms are:
Pelvic pain that gets worse when urinating
Presence of pus or blood in the urine;
Severe pain during intimate contact;
Frequent need to urinate and feeling of a full bladder.
Some women may only experience one or two of these more specific symptoms, so in some cases, bladder endometriosis can take time to be correctly identified. Usually, the first diagnosis is a urinary tract infection.
How to confirm the diagnosis
Usually, the gynecologist can only suspect endometriosis by evaluating the symptoms described by the woman. However, it is necessary to do a pelvic ultrasound to confirm the diagnosis and rule out other options such as ovarian cysts, for example. (With portal information your health)