21 Nov Severe Endometriosis
Endometriosis is a chronic disease in which endometrial lining of the uterus proliferates and expands outside the uterus to other pelvic organs. This can damage the function of other organs—such as the ovaries, bladder, intestines, and appendix, and potentially cause permanent infertility. Surgery is usually the only effective treatment for controlling the organ damage in cases of severe endometriosis.
Stages of Endometriosis
- Stage 1: Minimal – small lesions or wounds and shallow endometrial implants in the ovary, with some, be inflammation in or around your pelvic cavity.
- Stage 2: Mild endometriosis involves light lesions and shallow implants on an ovary and the pelvic lining.
- Stage 3: Moderate endometriosis involves deep implants on your ovary and pelvic lining.
- Stage 4: Severe endometriosis involves deep implants on your pelvic lining and ovaries, and possibly on your fallopian tubes and bowels.
Presentation of Severe endometriosis
Severe pelvic pain may be the first indication of this condition. It can occur before, during, or following menstruation or during ovulation.
This is fairly common due to the pressure of increased water retention, which creates bladder pain and pressure. There may also be an increase in bladder infections, especially after intercourse, as well as more frequent and urgent urination.
Lowered Immune Defenses
These patients tend to have a weaker immune system, which can lead to common colds, allergies, and especially, bladder infections.
The patients report achy muscles and tension build up in the lower back and shoulder region during and following menstruation. The cause is not fully understood and may be multifactorial.
It can occur during ovulation when urinating or having a bowel movement, and during or following sexual intercourse.
This is common and caused by the imbalance in hormones.
Patients suffer from heavy or irregular bleeding – and the menstrual blood may appear dark, stringy or clotted.
Bowel Changes & Discomfort
Explosive diarrhea, which can have bloody streaks followed by periods of constipation are fairly common in severe endometriosis.
This can get severe and the abdominal area becomes so swollen that it is not possible to wear the same size clothing during menstruation.
40-percent of females who suffer from endometriosis also have trouble conceiving children. The risk is higher in severe endometriosis when endometrial tissue attaches itself to the ovaries and fallopian tubes, causing scarring and interfering with ovulation.
Treatment of Severe endometriosis
Surgery for severe endometriosis aims to reduce endometriosis-associated pain by removing all visible endometriosis and any associated adhesions. It focuses on the removal or destruction of endometrial implants. Based on the extent of disease, there may be a need to perform the removal or destruction of ovarian endometriosis (endometriomas), removal of adhesions
removal of deep rectovaginal and rectosigmoid endometriosis, removal of the uterus (hysterectomy), removal of one or both ovaries (oophorectomy), surgery of the bowel or bladder laparoscopic uterine nerve ablation (LUNA) or presacral neurectomy (PSN).