Endometriosis is the problem of one in 10 women

The incidence of endometriosis, which especially affects adult women in their 30s, is increasing. According to statistics, 176 million women in the world, one of every 10 women, have endometriosis, while this number is 1.5-2 million in our country. Acıbadem Taksim Hospital Gynecology and Obstetrics Specialist Assoc. Dr. Banu Kumbak Aygün points out that the importance of endometriosis, which causes infertility, intestinal obstruction or intra-abdominal adhesions, is increasing, as well as severe inguinal and menstrual pains.

Endometriosis, more commonly known as “chocolate cyst”, is defined as a benign but painful disease that occurs when the inner tissue of the uterus, called the endometrium, is located in different organs other than its normal location. Although the causes are not known exactly, it is more common in women of reproductive age because it is a problem related to the estrogen hormone. Acıbadem Taksim Hospital Gynecology and Obstetrics Specialist Assoc. Dr. Banu Kumbak Aygün says that women who have frequent menstruation, have long menstrual bleeding, do not have children, have a low fiber and fatty diet, consume a lot of alcohol, do not exercise, and consume heavy caffeine are at risk.

Forcing the woman in her daily life

Stating that endometriosis is a problem that seriously reduces the quality of life of women, Assoc. Dr. Banu Kumbak Aygün tells the following about possible complaints: “Severe abdominal and groin pains, severe pain in menstruation, not being able to go to work due to these reasons, concentration disorders, depression, fatigue, insomnia, use of intense painkillers, problems in sexual life due to pain during intercourse. is among the problems that cause trouble for them. At the same time, if the patient has infertility, there may be stress and tension in the treatment processes.”

Immune system relationship is questioned in new research

In women with genetic predisposition or immune system problems, environmental factors and some chemicals can trigger the emergence of the disease. Assoc. Dr. Banu Kumbak Aygün gives the following information on endometriosis risk factors: “The fact that this disease is more common in women with a family history of endometriosis suggests a genetic predisposition. However, the mode of genetic transmission has not been clearly revealed and studies are still continuing on which genes are passed on. The other most commented on relationship is between endometriosis and the immune system. The fact that immune system diseases and autoimmune diseases are more common in endometriosis patients suggests that endometriosis develops as a result of a factor that suppresses the immune system. Research on this is also ongoing.”

Endometriosis may be the cause of your severe pain and sexual reluctance

Associated with autoimmune diseases

Stating that the presence of endometriosis can pose a risk for different health problems in women, Assoc. Dr. Banu Kumbak Aygün said, “It is known that it is common with autoimmune diseases. In some patients, it is seen that rheumatic diseases, fibromyalgia and allergic diseases are also accompanied. On the other hand, research shows that some types of ovarian cancer are more common in women with endometriosis. ”

Time is lost from diagnosis to treatment

Assoc. Dr. Banu Kumbak Aygün states that the average time from the onset of complaints to diagnosis is about 7.5 years. Stating that the diagnosis is delayed especially in young women who are in adolescence or who have not been married yet, Assoc. Dr. Banu Kumbak Aygün, “Endometriosis is an estrogen-dependent disease that usually affects women of reproductive age. Although it is frequently seen in the 30s, it can also occur in adolescent and menopausal women, although it is rare. Stating that severe menstrual pains should not be considered as normal, especially in young girls, Assoc. Dr. Banu Kumbak Aygün says, “Endometriosis should be considered in women and young girls who do not respond to painkillers during their menstrual periods, or who cannot go to work due to pain during their menstruation, and whose social life is restricted, and they should consult a physician without delay.”

Symptoms can be confused with other diseases

Assoc. Dr. Banu Kumbak Aygün gives the following information about the symptoms of the disease: “The most common complaints and symptoms are menstrual pain, pain during sexual intercourse, constant groin and abdominal pain or discomfort, menstrual irregularity, infertility, constipation and bloating. Women and young girls with one or more of these problems should consult a doctor without delay. Since the disease can be confused with digestive system or gynecological diseases with similar characteristics, differential diagnosis should be made very well.”

Stating that especially young girls or unmarried women do not go to gynecologists because they are afraid, Assoc. Dr. Banu Kumbak Aygün points out that this situation causes the progression of endometriosis while it can be kept under control.

Laparoscopy for definitive diagnosis…

Stating that the definitive diagnosis of endometriosis will be made by laparoscopy, Assoc. Dr. Banu Kumbak Aygün gives the following information: “With laparoscopy, the abdomen is observed with a camera from the navel, and the presence of endometriosis foci in the peritoneum, ovaries, tubes and neighboring organs such as the intestine is investigated. On the other hand, observing chocolate cysts in ultrasonography is sufficient for diagnosis. Some blood tests may also be requested for diagnosis, ca 125 is one of them. However, the diagnosis is not made according to the blood test, rather it is a valuable method used in the follow-up of the treatment of the disease.

The treatment approach changes according to the expectation of the woman’s child.

Assoc. Dr. According to the information given by Banu Kumbak Aygün, endometriosis is treated with medication and surgery. If the woman diagnosed with endometriosis wants a child, drug treatment is not applied, and surgical treatment is applied in case of large chocolate cysts or problems in the tubes. Patients with this profile are followed up to have a child with assisted reproductive treatments. Assoc. Dr. Banu Kumbak Aygün said, “In these patients, pain complaints can be relieved with some hormonal drugs. Again, hormonal spirals, hormone pills and injections can be used in treatment. When these drugs are used in a controlled manner, serious problems are not encountered with their long-term use.

Excessive pain during menstruation may be a sign of endometriosis (chocolate cyst).

When surgery?

Assoc. Dr. Banu Kumbak Aygün continues her words as follows: “In surgical treatment, adhesions are opened, endometriosis foci are cleaned, chocolate cysts are removed if there are chocolate cysts in the ovaries, if there are obstructions in the surrounding intra-abdominal organs such as the intestines and urinary tract due to endometriosis, the affected area is removed and the obstructions are corrected.” Assoc. Dr. Banu Kumbak Aygün says, “If an endometrioma (chocolate cyst) is detected in a menopausal woman and there is pain in the groin and abdomen, surgical treatment should be sought, ultimately it may be necessary to remove the uterus and ovaries.”

Although it does not prevent the disease, its progression can be delayed

Assoc. Dr. According to the information given by Banu Kumbak Aygün, it is not possible to prevent endometriosis today, but its progress can be delayed with some precautions. Consuming fibrous food, reducing caffeine, alcohol, sugar, refined food consumption, consuming green vegetables, fruits and foods rich in antioxidants, exercising, breastfeeding, childbearing, use of birth control pills are among the measures that can delay the onset or progression of the disease.

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