Endometriosis is a disease of menstruation. It occurs when tissue that is very similar to the lining of the uterus, or endometrium, migrates outside of the womb, where the tissue is not supposed to be. The result is inflammation, as the tissue responds to the monthly fluctuations of a woman’s menstrual cycle. The disease affects an estimated 200 million women worldwide, and it takes many women years to get properly diagnosed.
Top rated fibroid doctors in New York City at the VIVA EVE team in Forest Hills can help you cope with the symptoms and decide on a plan of action. Call VIVA EVE fibroid clinic in NYC to learn about your treatment options.
This condition is especially common among women in their 30s and 40s and may make it harder to get pregnant
The uterine cells that grow outside the uterine wall are programmed to continue growing month to month — thickening, breaking down and bleeding in response to your hormones. Their growth outside the uterus can cause significant health problems.
NYC fibroid experts at VIVA EVE have found endometrial cells on ovaries, on the outer surface of the uterus, in the Fallopian tubes, in the bowels and on the membrane of the pelvic cavity. Occasionally, abnormal cells have even been found in the vagina, cervix, bladder and rarely, outside the pelvic cavity completely. Endometriosis is not the same as adenomyosis.
Who May Experience Endometriosis?
Most patients with endometriosios are young and are in the middle of their reproductive years. More than one million women are affected, but this may be a low count as many women don’t experience any symptoms and are unaware that they have the condition. Women who have issues with infertility often have accompanying endometrial issues. And just as fibroid causes are unknown, the endometriosis causes are up for debate as well.
Just like with fibroids, most patients with endometriosis don’t experience symptoms after menopause. There is some research that is of course up for debate that examined the connection between the body mass index and endometriosis. It even mentioned that confirmed earlier research on the connection between the body composition and endometriosis. Tall, thin women with a low body mass index and those with compromised immune systems may have a greater risk of developing this condition. Those who delay pregnancy, never give birth or experience early menses or late menopause may all be more likely to deal with this condition and its symptoms. Genetics may also play a role.
Symptoms to Note
Many of the symptoms mimic fibroid tumors. Similarly, while some women never know they have endometriosis, other women experience significant discomfort and pain along with other symptoms including:
- Pelvic pain that worsens during menstruation
- Bloody urine
- Pain in the low abdomen
- Pain or cramping during intercourse
- Diarrhea or constipation
- Lower back pain
- Excessive bleeding
- Chronic fatigue
Reaching an Accurate Diagnosis
Because endometrial tissue may form in nodules or lesions, a NYC fibroid specialist that is a member of the VIVA team can detect endometriosis with a physical exam after taking a medical history. If no nodules are present, a physical exam can’t be conclusive. Endometriosis is often mistaken for other disorders — including cysts, pelvic inflammatory disease or even irritable bowel syndrome.
Using imaging tests such as an ultrasound, your fibroid doctor rules out other possible conditions or diseases. An accurate diagnosis often requires direct inspection, often during minimally invasive laparoscopic surgery. Tissue biopsies of suspicious lesions usually confirm the diagnosis. Severe symptoms usually warrant confirmation to rule out other diseases, such as cancer.
Best Endometriosis and Fibroid Treatment
Medications and surgery may be used as endometriosis and fibroid treatment options. Your fibroid specialist provides you with symptom relief and, when necessary, fertility help. The best way to treat fibroids and endometriosis may include:
- Over-the-counter remedies
- Prescription nonsteroidal anti-inflammatory drugs
- Interruption of your normal hormone production through medications and hormone treatments, including oral contraceptive pills
- Aromatase inhibitors that interrupt estrogen formation, given with other medications due to their effects on your ovaries
- A synthetic drug (Danazol) that interrupts ovulation and the production of estrogen
- Surgical options, if your symptoms are severe enough — to remove fibroids, endometrial cells or your entire uterus, especially if you’re past child-bearing age
One of the leading causes of pelvic pain — a major concern regarding endometriosis — comes from the lesions and scar tissue that often form outside your uterus. This tissue causes pelvic organs and tissues to adhere to each other. When they break apart, scar tissue forms, resulting in urinary and bowel issues as these organs become compromised. Severe issues require surgery to remove lesions and scar tissue to free organs so they can perform their functions effectively again.
Whether you’re looking for natural treatment for endometriosis or believe surgery is the best treatment for your condition, the best fibroid surgeon at VIVA EVE in New York City offers state-of-the-art techniques to find the best treatment options that fit your needs. Recommendations for endometriosis treatment or surgery are made with your preferences and your particular circumstances in mind.