Endometriosis is a condition characterised by the process in which the inner lining of the uterus thickens during the menstrual cycle and is shed through menstrual bleeding also occurring outside the uterus. Endometrial tissue located outside the uterus responds to the menstrual cycle; in other words, it thickens, sheds and bleeds each month in response to hormonal changes. However, this shed tissue cannot be expelled from other areas of the body, which may lead to inflammation, pain and other problems. If the ovaries are also involved in this process, cysts called endometriomas may develop.<\/p>\n
Endometriosis is a condition that generally affects women of reproductive age and may be associated with various risk factors.<\/p>\n
Women of Reproductive Age<\/strong><\/p>\n Endometriosis is generally seen in women between the ages of 15 and 49. It affects approximately 10\u201317% of women of reproductive age.<\/p>\n Women with Chronic Pelvic Pain<\/strong><\/p>\n Endometriosis may be identified in 35\u201360% of women who experience chronic pelvic pain. Pelvic pain may be a symptom of endometriosis.<\/p>\n Family History<\/strong><\/p>\n Women with a history of endometriosis in a first-degree relative, such as their mother or sister, have an increased risk of developing the condition. Genetic factors may play a role in the development of endometriosis.<\/p>\n Structural Abnormalities of the Uterus<\/strong><\/p>\n Structural abnormalities of the uterus may increase the risk of endometriosis. For example, congenital uterine anomalies or abnormal uterine shapes may affect this risk.<\/p>\n Age at First Menstruation and Age at Menopause<\/strong><\/p>\n The onset of menstruation at an early age, during adolescence, and the onset of menopause at a later age may increase the risk of endometriosis. A longer lifetime exposure to menstrual cycles may affect the risk of endometriosis due to hormonal changes.<\/p>\n Menstrual Cycles<\/strong><\/p>\n Short menstrual cycles and heavy menstrual bleeding are factors that may increase the risk of endometriosis. More frequent and heavier menstrual periods may affect hormone levels.<\/p>\n Race and Ethnic Origin<\/strong><\/p>\n The risk of endometriosis may be slightly higher among White and Asian women. Race and ethnic origin are associated with genetic predisposition and environmental factors.<\/p>\n Alcohol and Caffeine Consumption<\/strong><\/p>\n High levels of alcohol and caffeine consumption may increase the risk of endometriosis. These substances are thought to affect hormonal balance.<\/p>\n Environmental Exposure<\/strong><\/p>\n It has been suggested that exposure to environmental toxins such as polychlorinated biphenyls and dioxins may increase the risk of endometriosis. These chemicals are thought to have adverse effects on the hormonal system.<\/p>\n Pain<\/strong><\/p>\n Menstrual Cramps (Dysmenorrhoea)<\/strong><\/p>\n Severe cramps caused by uterine contractions during the menstrual cycle.<\/p>\n Chronic Pelvic Pain<\/strong><\/p>\n Persistent pelvic pain that also occurs outside menstrual periods.<\/p>\n Lower Back and Abdominal Pain<\/strong><\/p>\n Pain experienced particularly during or around the time of menstruation.<\/p>\n Pain During Sexual Intercourse<\/strong><\/p>\n Deep pain experienced during and\/or after sexual intercourse, known as dyspareunia.<\/p>\n Digestive Problems<\/strong><\/p>\n Bowel Pain<\/strong><\/p>\n Pain during bowel movements, particularly during menstruation.<\/p>\n Digestive Problems<\/strong><\/p>\n Digestive symptoms such as diarrhoea, constipation, bloating and nausea.<\/p>\n Bleeding or Spotting Outside the Menstrual Period<\/strong><\/p>\n Bleeding or spotting that occurs outside the menstrual cycle.<\/p>\n Infertility<\/strong><\/p>\n Endometriosis may affect the likelihood of pregnancy and may cause infertility. It has been found to cause infertility in approximately 30\u201340% of women.<\/p>\n Swellings<\/strong><\/p>\n Painful swellings may develop in areas affected by endometriosis at surgical incision sites.<\/p>\n Deep endometriosis is a more advanced form of endometriosis, and the severity of pain increases as the disease infiltrates more deeply. Symptoms may include deep pain during sexual intercourse, pain radiating to the rectum, pain during urination and blood in the urine.<\/p>\n Deep Pain During Sexual Intercourse<\/strong><\/p>\n Deeper and more severe pain during sexual intercourse.<\/p>\n Pain Radiating to the Rectum<\/strong><\/p>\n Pain that spreads to the anal or rectal region.<\/p>\n Pain During Urination<\/strong><\/p>\n Pain or discomfort while urinating.<\/p>\n Blood in the Urine<\/strong><\/p>\n The presence of blood in the urine while urinating, known as haematuria.<\/p>\n Pain Involving Internal Organs<\/strong><\/p>\n Deep endometriosis may place pressure on organs, causing pain and discomfort.<\/p>\n Fatigue and General Discomfort<\/strong><\/p>\n Chronic pain and other symptoms may cause fatigue and a general feeling of discomfort.<\/p>\n Endometriosis occurs during the reproductive years, and patients may present with groin or pelvic pain, including dysmenorrhoea and dyspareunia, infertility or difficulty becoming pregnant and\/or ovarian cysts. After the patient\u2019s symptoms have been discussed and evaluated, an examination is performed based on the preliminary diagnosis.<\/p>\n Examination<\/strong><\/p>\n During the examination, ovarian cysts or nodular, lump-like structures may be felt behind the uterus. This examination may be painful. Endometriosis tissue located on the peritoneum cannot be detected by palpation.<\/p>\n Evaluation of Symptoms<\/strong><\/p>\n Endometriosis commonly presents with the following complaints:<\/p>\n The patient\u2019s medical history is obtained and her symptoms are evaluated in consideration of these complaints.<\/p>\n Pelvic Examination<\/strong><\/p>\n Cysts or nodular, lump-like structures may be felt behind the uterus or around the ovaries. However, endometriosis tissue located on the peritoneum usually cannot be felt during the examination, and the examination may be painful.<\/p>\n Imaging Methods<\/strong><\/p>\n Following the examination, ultrasonography may be performed to detect and confirm ovarian cysts caused by endometriosis. Magnetic resonance imaging is another imaging method that shows the internal structures of the body and the relationship between organs and lesions.<\/p>\n Medical Treatment<\/strong><\/p>\n If the patient has signs and symptoms even though no chocolate cyst is detected during ultrasonography, medical treatment may be administered.<\/p>\n Oral contraceptive pills may help reduce pain throughout the menstrual cycle. Gonadotropin-releasing hormone agonists block the menstrual cycle and reduce oestrogen levels by creating a temporary menopausal state. If the pain improves with hormonal medication, the patient may have probable endometriosis.<\/p>\n Laparoscopy<\/strong><\/p>\n A definitive diagnosis is established through laparoscopy, which is a minimally invasive surgical technique. Surgery is the only way to confirm the presence of endometriosis. A small tissue sample is taken and examined under a microscope through pathological evaluation to establish a definitive diagnosis.<\/p>\n Although there is no definitive cure for endometriosis, treatments aim to reduce symptoms and improve quality of life. The appropriate type of treatment depends on the patient\u2019s age, her desire to become pregnant, the extent of the disease and the severity of her symptoms.<\/p>\n Treatment may involve medical treatment, surgical treatment or a combination of both. If the patient wishes to have children, ovarian reserve and the patient\u2019s age are particularly important.<\/p>\n Pain-Relieving Medication<\/strong><\/p>\n These medications may reduce pain caused by endometriosis.<\/p>\n Hormonal Treatment<\/strong><\/p>\n Hormonal treatment is used to relieve the symptoms of endometriosis and generally includes the following methods:<\/p>\n Oral Contraceptive Pills<\/strong><\/p>\n Combined oral contraceptive pills:<\/strong>\u00a0These may reduce pain by regulating the menstrual cycle and controlling hormone levels. They are frequently used as a first-line treatment to manage pain and control bleeding in women with endometriosis.<\/p>\n Progesterone-Containing Medications<\/strong><\/p>\n Progesterone tablets or injections:<\/strong>\u00a0These may reduce the growth of endometriosis tissue by blocking the effects of oestrogen.<\/p>\n Hormonal Intrauterine Device<\/strong><\/p>\n Levonorgestrel-containing intrauterine device:<\/strong>\u00a0This hormone-releasing device is placed inside the uterus and may reduce menstrual bleeding and relieve symptoms. However, it may not be sufficiently effective in some patients, and symptoms of endometriosis may continue.<\/p>\n GnRH Agonists<\/strong><\/p>\n Gonadotropin-releasing hormone agonists:<\/strong>\u00a0These temporarily stop the menstrual cycle and reduce oestrogen levels, causing endometriosis tissue to shrink. However, long-term use may cause adverse effects such as osteoporosis.<\/p>\n Danazol<\/strong><\/p>\n Danazol:<\/strong>\u00a0This is an androgen that inhibits oestrogen production and may relieve the symptoms of endometriosis. Possible adverse effects include weight gain and changes in the voice.<\/p>\n Surgical treatment is performed:<\/p>\n Worsening Pain<\/strong><\/p>\n Chronic Pain<\/strong><\/p>\n If endometriosis is left untreated, symptoms such as severe pelvic pain, back pain and abdominal pain before and during menstrual periods may continue and worsen over time.<\/p>\n Pain During Sexual Intercourse<\/strong><\/p>\n Pain during sexual intercourse, known as dyspareunia, may become more severe and may adversely affect sexual life.<\/p>\n Infertility<\/strong><\/p>\n Fertility Problems<\/strong><\/p>\n Endometriosis may cause infertility in approximately 30\u201340% of women. If left untreated, involvement of the ovaries and changes in pelvic anatomy may reduce the likelihood of pregnancy.<\/p>\n Digestive and Urinary Problems<\/strong><\/p>\n Digestive Problems<\/strong><\/p>\n Digestive symptoms such as diarrhoea, constipation, bloating and nausea may continue or worsen.<\/p>\n Urinary Problems<\/strong><\/p>\n Symptoms such as pain during urination or blood in the urine may become more severe.<\/p>\n Psychological and Social Effects<\/strong><\/p>\n Quality of Life<\/strong><\/p>\n Persistent pain and discomfort may lead to psychological stress, anxiety, depression and social isolation.<\/p>\n Daily Life<\/strong><\/p>\n Pain and other symptoms may adversely affect daily activities and overall quality of life, resulting in loss of productivity and restrictions in social life.<\/p>\n Possible Complications<\/strong><\/p>\n Ovarian Cysts<\/strong><\/p>\n Endometriosis may cause cysts such as chocolate cysts or endometriomas. These cysts may grow and place pressure on other organs, resulting in pain and complications.<\/p>\n Adhesions Between Organs<\/strong><\/p>\n Endometriosis may cause adhesions between organs, which may lead to pain and impaired organ function.<\/p>\n More Serious Conditions<\/strong><\/p>\n Organ Damage<\/strong><\/p>\n Long-term endometriosis may damage organs and make surgical intervention more complex.<\/p>\n Cancer Risk<\/strong><\/p>\n Although rare, endometriosis may increase the risk of cancer involving the inner lining of the uterus and other pelvic organs.<\/p>\n Endometriosis is a condition in which the inner lining of the uterus, known as the endometrium, which thickens and is shed through bleeding every month, is located in areas outside the uterus. This causes tissue outside the uterus to behave like the endometrium by thickening, shedding and bleeding.<\/p>\n The exact cause of endometriosis is not fully understood. However, the most widely accepted theory is that menstrual blood flows backwards through the fallopian tubes into the abdominal cavity each month and that inflammation and adhesions develop because the body\u2019s mechanisms are unable to clear this tissue.<\/p>\n Endometriosis is most commonly seen in the ovaries, bowel and the anterior, posterior and lateral regions of the uterus. Endometriosis tissue may also occur on the peritoneum and at surgical incision sites.<\/p>\n Endometriosis may present with various symptoms:<\/p>\n Yes. Endometriosis may cause infertility by impairing egg quality, causing adhesions within the abdominal cavity and disrupting the structure and function of the fallopian tubes.<\/p>\n Chocolate cysts do not develop in every patient with endometriosis. Chocolate cysts are present in approximately one to five out of every ten women with endometriosis, corresponding to 17\u201350%. Therefore, even if you have endometriosis, you may not have a chocolate cyst in your ovaries.<\/p>\n There is no permanent cure for endometriosis. However, medical and surgical treatments may be used to relieve symptoms and improve quality of life.<\/p>\n \n","protected":false},"excerpt":{"rendered":" Endometriosis is a condition characterised by the process in which the inner lining of the uterus thickens during the menstrual cycle and is shed through menstrual bleeding also occurring outside the uterus. Endometrial tissue located outside the uterus responds to the menstrual cycle; in other words, it thickens, sheds and bleeds each month in response to hormonal changes.<\/p>\n","protected":false},"author":1,"featured_media":987512352,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[919],"tags":[2948,2952,2959,2964,2961,2953,2949,2963,2951,2966,2955,2950,2958,2947,2957,2962,2960,2954,2965,2956],"dipi_cpt_category":[],"class_list":["post-987512351","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-causes-of-endometriosis-in-women","tag-chocolate-cyst-symptoms-and-treatment","tag-chocolate-cyst-treatment-ankara","tag-chronic-pelvic-pain-treatment-ankara","tag-deep-endometriosis-treatment-in-ankara","tag-deep-infiltrating-endometriosis-symptoms","tag-endometriosis-and-chronic-pelvic-pain","tag-endometriosis-and-infertility-specialist-ankara","tag-endometriosis-and-infertility-treatment","tag-endometriosis-diagnosis-and-treatment-ankara","tag-endometriosis-diagnosis-with-ultrasound-and-laparoscopy","tag-endometriosis-pain-during-sexual-intercourse","tag-endometriosis-specialist-in-ankara","tag-endometriosis-symptoms-and-treatment","tag-endometriosis-treatment-in-ankara","tag-gynaecologist-for-endometriosis-ankara","tag-laparoscopic-endometriosis-surgery-ankara","tag-laparoscopic-surgery-for-endometriosis","tag-ovarian-endometrioma-surgery-ankara","tag-treatment-options-for-severe-endometriosis-pain"],"_links":{"self":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512351","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/comments?post=987512351"}],"version-history":[{"count":1,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512351\/revisions"}],"predecessor-version":[{"id":987512354,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/posts\/987512351\/revisions\/987512354"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media\/987512352"}],"wp:attachment":[{"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/media?parent=987512351"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/categories?post=987512351"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/tags?post=987512351"},{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.drsadimankiykac.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=987512351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Risk Factors<\/h3>\n
Symptoms of Endometriosis (Chocolate Cyst)<\/h2>\n
Symptoms of Deep Endometriosis<\/h3>\n
How Is Endometriosis Diagnosed?<\/h3>\n
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Treatment of Endometriosis (Chocolate Cyst)<\/h3>\n
If Pregnancy Is Not Desired<\/h3>\n
Surgical Treatment<\/h3>\n
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What Happens If Endometriosis (Chocolate Cyst) Is Left Untreated?<\/h2>\n
Frequently Asked Questions About Endometriosis<\/h2>\n
What Is Endometriosis?<\/h3>\n
What Causes Endometriosis?<\/h3>\n
Where Does Endometriosis Occur?<\/h3>\n
What Symptoms Can Endometriosis Cause?<\/h3>\n
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Does Endometriosis Cause Infertility?<\/h3>\n
Does Every Woman with Endometriosis Develop a Chocolate Cyst?<\/h3>\n
How Is Endometriosis Treated?<\/h3>\n
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