Endometriosis Symptoms And Treatments

What is Endometriosis?

Endometriosis is a condition when cells from the lining of the womb attach themselves to other parts and organs in the body. These cells act on the same hormones as the womb and build up, break down and bleed. In the womb these cells would be shed during the monthly cycle as part of a woman’s period, however, these other cells located in other parts of the body cannot escape and can cause inflammation, pain and scar tissue.

Around 1.5 million women in the UK are affected, it is a condition that can affect any woman of childbearing age.

Endometriosis Symptoms

Endometriosis symptoms usually causes the sufferer to experience abdominal and pelvic pain and discomfort. It can also cause painful bladder and bowel issues due to the formation of cells attaching to the bladder or bowel. The most recognised symptoms are:

  • Painful, heavy and/ or irregular periods
  • Pain during or after sex
  • Painful bowel movements
  • Fatigue
  • Fertility issues

Women may also experience painful bladder or urinations symptoms, suffer from bloating, constipation or diarrhoea (irritable bowel syndrome symptoms), back, leg, groin pain, and depression.

Why Might A Person With Endometriosis Suffer With Bladder Or Bowel Problems?

正常情况下在子宫内形成的细胞可以在膀胱或肠外形成,也可以在膀胱或肠壁内更深处形成。这些细胞会像在子宫里一样做出反应,导致血液被困在这些器官里。当发炎时,是被困的血液引起疼痛。肠受影响比膀胱更常见。疼痛会导致排尿困难或排便困难。如果你的膀胱受到影响,那么你可能会经历一个过度活跃的膀胱,在那里你有紧迫感或频率以及疼痛的感觉。如果你的肠道受到影响,你可能会出现腹泻和/或便秘以及不舒服的腹胀。

The NHS have created the following video about Endometriosis.

Endometriosis Treatments

There is currently no cure. The aim of Endometriosis treatments is to reduce the severity of the symptoms and the hormones that contribute to the issue. If it can be controlled then this will likely alleviate any associated bladder or bowel issues.

CONSERVATIVE TREATMENTS

Heat Relief

如果你的症状相对轻微,但仍然引起你的不适,那么你可能会找到一些缓解,在受影响的地方敷一个热水瓶或热水澡可以帮助减少收缩感,让你感觉更舒适。

TENS Machine

TENS stands for Transcutaneous Electrical Nerve Stimulator and uses electrodes that attach to the skin to send electrical pulses into the body, which can help to block the nerves that produce the pain messages. It is best to check with your GP to see whether the TENS machine is suitable for you as it is not recommended for all including those who suffer with certain heart conditions.

Gentle Exercise

Gentle exercises such as yoga and pilates can help to strengthen and support the pelvic area, which can help to reduce the pain. Exercise will also release endorphins which can elevate your mood and reduce pain.


MEDICINAL

Painkillers

It may be necessary to take oral painkillers to help reduce the pain. Simple paracetamol can help if you have mild pain. NSAID medications such as ibuprofen can help to reduce inflammation as well as pain. Not everyone can tolerate NSAIDS though and you shouldn’t take this medication without consulting your GP or if you have any other medical conditions such as kidney disease. Codeine is a stronger painkiller but can cause issues with constipation, which may unsettle your condition if your issue is on the bowel.

Antidepressants

Certain antidepressants such as tricyclic antidepressants can also act as a pain modifier by stopping or slowing the pain messages from your nerves to your brain.

Combined Oral Contraceptive Pill

‘The Pill’ contains a combination of oestrogen and progesterone and works by stopping ovulation. The hormones in the pill decrease the lining of the womb, which helps to lighten periods and reduce endometriosis symptoms.

Progestogens

含有孕激素的药物有助于减少生长和减少与之相关的炎症。这些治疗也可以阻止排卵和月经。Some treatments commonly used include

  • Mirena Coil – releases progestogens over 5 years and may not necessarily stop ovulation
  • Provera
  • Primolut
  • Duphaston
  • Depo-Provera – is administered as an injection rather than as an oral medication. The effects of the treatment can last up to a year

GnRH Analogues

GnRH Analogues are a modified form of a natural hormone called gonadotropin releasing hormone. This medication helps to reduce the amount of oestrogen in the body by putting it into a temporary menopausal state, which causes it to become inactive. Additional medication or HRT may be needed to prevent the side effects of oestrogen depletion.

Testosterone

Testosterone is a male hormone but a synthetic version of this can be used to suppress the production of oestrogen and progesterone, which again put the body into a temporary menopausal state to inhibit the growth.


SURGICAL

Laparoscopy

Laparoscopic surgery (keyhole surgery) may be used to cut out or laser off endometriosis as it grows. As endometriosis tend to recur, this procedure may need to be repeated several times. The same removal methods may be used if the bladder is affected.

Bowel Surgery

If your bowel has been affected then you may have surgery in the affected area. This surgery may be performed laparoscopically or as an open surgery depending on the extent of your condition/ The main options for bowel surgery include:

  • A resection – where the affected portion of bowel is removed and the two ends are joined back together
  • For smaller areas, a disc of the bowel may be removed and then the hole sewn back together
  • For small patches on the outside of the bowel they may shave these areas off but this may leave some endometrial tissue behind

Occasionally during a resection, the two ends of the bowel may not be able to be joined together straight away and you may need a temporary colostomy where a piece of your bowel is rerouted through your abdomen and you will need to wear a bag over the top to collect the faeces. After a few weeks or months, you will be able to have surgery to reverse the colostomy and rejoin your bowel.

Hysterectomy

这是一个相当大的手术,包括子宫的切除,卵巢也可以被切除或留下。只有在你没有开始或增加家庭成员的计划时才建议这种治疗,因为这是一个不可逆转的决定,可能会有某些并发症和副作用。

Oopherectomy

This is when either one or both ovaries are surgically removed. When the ovaries are removed this places the body into an instant and irreversible menopause. This surgery should only be considered as a last resort and if all other treatments have failed to control the endometriosis.

Further information and downloads can be found in thehelp & informationsection. Living with a bladder or bowel condition or caring for someone with a bladder and bowel condition can affect you emotionally and socially; sometimes it can help to speak to others who understand your situation.The Bladder & Bowel Community Forum今天24小时可用,将允许您与那些分享您的情况的人联系。今天就开始你自己的话题,或者只关注一个你感兴趣的话题。

THE INFORMATION ON THIS PAGE IS A GUIDE ONLY. IT IS IMPORTANT THAT YOU SPEAK TO YOUR GP OR A QUALIFIED HEALTH PROFESSIONAL BEFORE UNDERTAKING ANY TREATMENTS.