Cascade Valley Hospital & Clinics

Summer 2005


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Just for Her: Reducing Pain of Endometriosis

By Ellyn Thoreen, ARNP
Cascade Valley Arlington Women's Health
Other symptoms of endometriosis:
  • Extremely painful menstrual cramps, often increasing over time
  • Intestinal pain
  • Pain during or after intercourse
  • Painful bowel movements or urination, espeically during menstrual periods
  • Heavy periods
  • Spotting or bleeding between periods

Endometriosis is one of the most common gynecological diseases, affecting an estimated one in 10 women of childbearing age. The disease often causes severe abdominal or pelvic pain and infertility, and can develop in any menstruating woman.

Cause and Symptoms

Researchers continue to explore the role of genetics, the immune system, hormones and even environmental factors in the development of the disease, but a definite cause remains unclear. Endometriosis occurs when endomentrium, the tissue that lines the uterus, grows outside of the uterus, such as on the ovaries, fallopian tubes, pelvic tissues, bowels or bladder.

Just like the normal endometrila tissue, each month the endometrium outside the uterus thickens, breaks down and bleeds. however, instead of exiting the body through the vagina as menstrual bleeding, the tissue outside the uterus bleeds and becomes trapped and irritates surrounding tissue. This may lead to the growth of cysts, scarring and adhesions, which can cause pain and infertility.

Treatment Options

Any woman who thinks she may have endometriosis should visit her health care practitioner to discuss her symptoms and undergo a eplvic exam. Your practitioner may then request additional tests, such as an ultrasound, to rule out other possible concerns. Sometimes lapaoscopic surgery is necessary to confirm th diagnosis by inspecting the pelvic region for endometriosis lesions.

Pain medication, hormone therapy and surgery may be used to treat endometriosis. hormones, such as birth control pills, help regulate the growth of endometrium by reducing or regulating the menstrual flow. Laparascopy can be used to remove the endometrial tissue from outside the uterus and has been shown to reduce pain and improve fertility. Consult your health care provider for more information.

Disclaimer: This information is provided for educational purposes only. It should not replace a visit with your health care professional. Call your doctor if you need more information or have additional questions.

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