Why does endometriosis cause pain?
There are several forms of endometriosis. They all share a common feature, which is pain!
- Peritoneal endometriosis - the outbeaks on the peritoneum grow during menstrual cycle and bleed during menstruation analogously to uterine endometrium, which create a wound. Peritoenum is highly innerved, so bleeding and wounds in such area cause abdominal pain. Irritation of the peritoneum can also cause nausea and vomiting.
- Ovarian endometriosis in form of endometrial cyst. The endometrial cys is padded with endometrial lesions that grow during the cycle and bleed during menstruation increasing the volume of the cyst. It is always accompanied by adhesions. The ovarian coating is innerved, so the increase of ovary's volumen cause pain which can be evem exacerbated due to existing adhesions.
- Deep Infiltrating Endometriosis. Endometriosis infiltrating the bladder causes pain and bleeding from the bladder during menstruation. The situation is analogous when it comes to affected intestine, which often cause constipation or diarrhea, discomfort during defecation and annoying back ache usually radiating to the lower limbs.
- Adenomyosis or uterine endometriosis. This form of endometriosis grows inside the muscle of the uterus. Its bleeding intensifies abdominal pains and painful uterus contractions during the menstruation.
Excerbation of the symptoms
The severity of symptoms varies and does not always correlate with the degreee of endometriosis development. It is strictly dependent on the locations of the disease's lesions. About 20% of women suffering with endometriosis does not feel pain symptoms at all. Often the only symptom is infertility. The majority of women simply experience painful menstruaton with intensified pain lasting for 1-2 days and remedied with the use of painkillers. Unfortunately, there are also those whose pain is unbearable, and the ailments persist almost throughout the entire cycle.
Larger lesions can be recognized with the use of ultrasound and magnetic resonance imaging. Small changes can only be seen with a camera in laparoscopic surgery. Unfortunately, this invasive diagnosis is in many cases postponed for many years due to different reasons.
In order to meet patients expectations, Miracolo Clinic introduced 2 types of minimal diagnostic procedures. One of them is a minilaparoscopy with 3-mm abdominal incisions. The second is TVL - transvaginal laparoscopy offering excellent image quality and precission in detecting endometrial lesions. Transvaginal laparoscopy leaves no scarring on the abdomen. What is more, the procedurecan be performed without anesthetic. See our offer of minimally invasive diagnostic TVL.
In most women careful removal of all possible disease lesions and adhesions leads to significant improvement of the symptoms or often disappear completely.