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!

Wondering if you also have endometriosis?

The sooner you diagnose this disease, the more likely you are to cure it completely. It means not only a better quality of life due to the lack of menstrual ailments, but also a restoration of your natural fertility.