Intense pain during menstruation could be a sign of ‘endometriosis’

Gynecology and obstetrics specialist Dr. Tuğçe Demir, who states that endometriosis is a benign disease that affects one in 10 women of childbearing age, said: “Endometriosis is an estrogen-dependent disease. In fact, there is endometrial tissue in the uterine wall. The presence of this endometrial tissue in places other than the uterine wall is reminiscent of endometriosis. In this case, inflammation occurs in those endometrial foci every month during menstruation. This inflammation causes severe pain in 60-70% of patients. After a while, the patient complains of chronic pelvic pain. When our patient comes to us, there is no problem with the complete urinalysis, ultrasound examination and nerve findings, but he talks about increased pain, especially during menstruation.

“Some women show no symptoms”

Dr Demir said the appearance of this tissue in the ovaries, which is normally only in the uterus, thickens after menstruation and allows the baby to settle, and is removed from the body during menstruation and regenerated in the ovaries , causing period-like bleeding and a chocolate cyst called chocolate because it is seen in the ovary with bleeding that looks like dark brown. Note that these cysts do not cause any symptoms in some women, they are seen with surgery or ultrasound, and unlike the functional cysts seen during menstruation, these chocolate cysts do not shrink or disappear. Demir stated that while the exact cause is not known, chocolate cysts cause problems that affect quality of life. Dr. Dr. Demir said very enlarged cysts can cause serious problems, such as rupturing the cyst wall.

“The disease can return after surgical treatment”

Pointing out that treatment options may vary as estrogen levels vary from person to person, Demir said: “Each patient responds differently to treatment in terms of treatment options as it is an estrogen dependent disease and everyone’s estrogen pattern is different. can sometimes be answered with long-term, short-term painkillers and anergic treatment, in complicated cases, long-term treatments can sometimes come to the fore.

Dr. Dr. Demir said, “Although endometriosis is a disease that affects a person’s daily life and reduces the comfort of life, we should not forget that it can be controlled with medicines and surgery. We certainly want to request an examination from us with the awareness of endometriosis along with the gynecological examination.

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