Facts i myths
Endometriosis is an incurable disease, you have to learn to live with it
It’s a myth! It is officially assumed that endometriosis is an incurable, chronic and progressive disease. However, it can be effectively treated and one can enjoy long years without recurrence. Effective treatment consists of the surgical removal of endometriosis lesions and the accompanying adhesions. But it is not enough. The cause of the disease should also be compensated. Therefore the immune system should be strengthened, what can be achieved with nutritional therapy. In the very aggressive course of the disease, treatment with hormonal therapy must be introduced.
Endometriosis can be cured with hormonal therapy
It’s a myth! Hormone therapy only puts aside or slows down the growth of the endometriosis lesions in the woman's body. When hormones are discontinued, these lesions become active again. We have many patients who, despite using hormonal therapy, have developed new endometrial cysts, which indicates the imperfection of this method of treatment. In addition, many women struggling with endometriosis also suffer from infertility. Hormonal therapy inhibits ovulation, preventing pregnancy. In the Miracolo Clinic we use hormones (despite their imperfections) only in a very aggressive course of the disease.
It is normal that I feel pain during menstrual bleeding
It’s a myth! It’s a myth! Ultrasound examination shows only endometrial cysts or endometrial tumors in the form of deep infiltrating endometriosis. However, most often endometriosis occurs in the form of superficial infiltrates on the peritoneum or organs of abdominal cavity, which can not be seen neither in ultrasound nor in magnetic resonance.
The doctor can assess whether I suffer from endometriosis on basis of an ultrasound examination
It’s a myth! Ultrasound examination shows only endometrial cysts or endometrial tumors in the form of deep infiltrating endometriosis. However, most often endometriosis occurs in the form of superficial infiltrates on the peritoneum or organs of abdominal cavity, which can not be seen neither in ultrasound nor in magnetic resonance.
Polish NFZ (Narodowy Fundusz Zdrowia, eng. National Health Found) refunds endometriosis surgeries.
Theoretically possible. In practice, unfortunately, it’s a myth! Polish NFZ refunds costs in the amount of PLN 2,500 when it comes to gynecological laparoscopy. Surgery of stage III or IV endometriosis, not to mention deep infiltrating endometriosis affecting bowel, requires several hours of thorough surgical treatment and often involves interdisciplinary assistance (with surgeons and urologists), use of anti-adhesive agents (PLN 500-1000) as well as laser or plasma knife (a cost of single use of plasma knife is PLN 2500 !!!). We would like to be able to offer effective treatment of endometriosis refunded by the NFZ, but unfortunately in the current situation this is not possible.
Some health systems in foreign countries refund the endometriosis surgeries performed abroad. It is worth asking the appropriate institutions in your country of residence for such possibility. The costs of the operation may also be partially covered by private or group insurance.
Endometriosis has no impact on the efficacy of in vitro (IVF)
It’s a myth! Endometriosis causes inflammation within woman's organism and creates a biochemical situation preventing pregnancy or difficulty in implanting the embryo in the uterus or maintenance of pregnancy. This applies to both natural conception and even more to in vitro. Just the mere presence of endometriosis reduces the quality of egg cells, causing ovulation disorders. Couples who have problems with natural conception decide too soon on assisted reproduction techniques (e.g. in vitro). This is a mistake as the removal of endometriosis leads to disappearance of inflammation which results in improval of fertility. This means that the chance of natural conception increases dramatically (depending on the condition of the fallopian tubes)!
Pregnancy cures endometriosis
It’s a myth! Due to the high level of estrogen during pregnancy, it is impossible to stop the growth of endometriosis lesions. However, during the pregnancy there is no ovulation and menstrual bleeding, which in some way prevents development of further lesions. But it is way too little to talk about cure. Breast feeding is also a protective activity as it lowers the level of estradiol. There are also no ovulations and menstrual bleedings. Accordingly, the final effect is similar to hormonal therapy.
Only mature women suffer from endometriosis
It’s a myth! Two-thirds of women with diagnosed endometriosis declared that the symptoms of the disease appeared even before the age of 20. We also happen to treat women with very advanced endometriosis. The problem lies in the late diagnosis. British statistics show that from the onset of the first symptoms until the proper diagnosis of endometriosis passes an average of 7.5 to 10 years!