Beth Israsel Deaconess Hospital - Plymouth

          

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Endometriosis

What is endometriosis? Endometriosis is a condition that affects women. It can cause pain in the pelvis and abdomen and may also cause infertility. The tissue is similar to the lining of the inside of the uterus however it is found outside it. The abnormally implanted tissue continues to react to hormonal changes during the menstrual cycle resulting in bleeding and scar formation.

What are the symptoms of endometriosis? Some women with endometriosis have no symptoms. But most have pain in the lower part of the belly that can occur:
? Before or during monthly periods
? Between monthly periods
? During or after sex
? When urinating or having a bowel movement (often during monthly periods)

Other symptoms of endometriosis can include:
? Trouble getting pregnant
? Growths on the ovaries that a doctor can feel during an exam

Who is Affected by Endometriosis? Women in their reproductive years, most women diagnosed with endometriosis are between the ages of 25 and 35. Endometriosis is more common in Caucasian women

Is there a test for endometriosis? No. But your doctor or nurse might suspect you have it by learning about your symptoms and doing an exam.

The only way to know for sure if you have endometriosis is for a doctor to do laparoscopic surgery to look for endometriosis tissue outside the uterus. It is a minimally invasive procedure, usually performed under general anesthesia. Patients are normally discharged within 24 hours of surgery. With surgery the abnormal tissue can be removed and further examined.

How is endometriosis treated? Endometriosis can be treated in different ways. The right treatment for you will depend on your symptoms and on whether you want to be able to get pregnant in the future.

Doctors can use medicines to treat endometriosis. These include:
?Pain medicines - There are medicines that can treat the pain caused by endometriosis. But these medicines do not make the endometriosis go away.
?Birth control medicines – Certain birth control medicines can help reduce pain symptoms. This treatment is not appropriate for women who are trying to get pregnant.
?Hormones that stop monthly periods – Most doctors do not recommend that women use this treatment for longer than 1 year, because it can have side effects. Also, this treatment is not appropriate for women who are trying to get pregnant.

Some women choose to have surgery to treat endometriosis. Different types of surgery can include:
?Laparoscopy – In this type of surgery, a doctor will make a small cut in the belly and put a tube with a camera inside the body. Then he or she can see and remove endometriosis tissue.
?Hysterectomy – A hysterectomy is surgery to remove a woman's uterus. Sometimes, the doctor will also remove the ovaries and tubes that connect the ovaries to the uterus (fallopian tubes). A woman cannot get pregnant after her uterus is removed.

BID-Plymouth
275 Sandwich Street
Plymouth, MA 02360
(508) 746-2000

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