Endometriosis Awareness

Endometrio­sis impacts about 10 per­cent of women glob­al­ly. March is Endometrio­sis Aware­ness Month and a time to bring atten­tion to this often painful condition.

Dr. Deb­o­rah Woodard, a gyne­col­o­gist with Quin­cy Med­ical Group (QMG), explained, Endometrio­sis is a com­mon con­di­tion that results from endome­tri­al glands (the lin­ing of the uterus) that occur out­side the uter­ine cav­i­ty. It is an estro­gen-depen­dent inflam­ma­to­ry dis­ease and is found most­ly in the pelvis and some­times involves oth­er organs.”

Symp­toms of endometrio­sis vary from patient to patient and depend on the sever­i­ty of the con­di­tion. Dr. Woodard said the most com­mon symp­toms include:

  • Pelvic pain
  • Pain with periods
  • Pain with sex
  • Heavy men­stru­al bleeding
  • Infer­til­i­ty
  • Ovar­i­an mass

Oth­er symp­toms can include abnor­mal uter­ine bleed­ing, low back pain, bow­el and blad­der dys­func­tion, and abdom­i­nal pain.

If you are expe­ri­enc­ing any of these symp­toms, Dr. Woodard said your first step should be to talk to your OB/GYN. There are treat­ment options to help you.

Ini­tial treat­ment might include non­s­teroidal anti-inflam­ma­to­ry drugs and hor­mon­al con­tra­cep­tives because these are low risk and pro­vide relief in many women,” she explained. Addi­tion­al­ly we can try injectable Gonadotropin-releas­ing hor­mone analogs or oral antag­o­nists such as Lupron and Orilissa.”

If ini­tial treat­ment is not suc­cess­ful, Dr. Woodard said there are sur­gi­cal options available.

Con­ser­v­a­tive surgery with diag­nos­tic laparoscopy for diag­no­sis and resec­tion of endometrio­sis is an option. This is usu­al­ly fol­lowed by hor­mon­al sup­pres­sion to pre­vent a recur­rence,” she said. Defin­i­tive treat­ment with hys­terec­to­my after com­ple­tion of child­bear­ing can be done as well.”

The QMG Women’s Health team has sev­en physi­cians to care for you. To sched­ule an appoint­ment, call (217) 222‑6550, ext. 3437.

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