Endometriosis: What is it? What are the symptoms of endometriosis in elderly women? Be a part of the 12NHPSUCG and learn from our professionals.


 Endometriosis: What is it? What are the symptoms of endometriosis in elderly women? Be a part of the 12NHPSUCG and learn from our professionals.

What is it Endometriosis?

Endometriosis is a condition where tissue that resembles uterine lining grows outside of the uterus. It can make getting pregnant more difficult and result in severe pelvic pain. Endometriosis can develop during a person's first period and persist beyond menopause.

Tissue resembling the uterine lining grows outside the uterus as a result of endometriosis. This causes swelling and the formation of scar tissue in the pelvic area and (occasionally) other parts of the body.

Endometriosis has no recognised cause. Endometriosis cannot be prevented in any known way. There is no cure, although medications or, in certain situations, surgery can be used to address the symptoms.

The pelvis and other areas of the body may develop scar tissue (adhesions, fibrosis) as a result of the persistent inflammatory reaction it generates. Many different lesion types have been identified:

·         A common location for superficial endometriosis is the pelvic peritoneum.

·         Endometrioma (cystic ovarian endometriosis) discovered in the ovaries

·         Rarely, profound endometriosis has been discovered outside the pelvis, including the recto-vaginal septum, bladder, and colon.

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Endometriosis in elderly women

Millions of women throughout the world suffer with endometriosis, a gynacological illness that results in heavy monthly flow, infertility, and persistent pelvic pain. Endometriosis, which is frequently identified in women of reproductive age, can also afflict elderly women.

Endometriosis is an uncomfortable disorder in which tissue that resembles the uterus' lining grows in other organs of the pelvis, such as the ovaries, fallopian tubes, and other pelvic structures. Similar to the tissue inside the uterus, the tissue reacts to the hormonal fluctuations of the menstrual cycle, resulting in inflammation, discomfort, and the production of scar tissue.

Endometriosis symptoms may lessen as oestrogen levels fall in women as they age and approach menopause. Endometriosis, however, can still be an issue for certain women even beyond menopause. Up to 5% of women over 60 may have endometriosis, according to studies.

The possibility that the tissue has already moved to other body regions, such as the intestines or bladder, is one reason why endometriosis can continue to affect older women. In addition, women who have already been diagnosed with endometriosis may experience a flare-up due to hormonal replacement therapy (HRT).

Even though older women's endometriosis symptoms may be less severe than those of younger women, they can still be uncomfortable and have an adverse effect on quality of life. Pelvic pain, bloating, constipation, and painful genitalia are some of these symptoms.

It can be difficult to diagnose endometriosis in older women since the symptoms might be mistaken for those of other illnesses that are common in this age group, like irritable bowel syndrome or bladder infections. To confirm a diagnosis, a pelvic examination, ultrasound, and MRI may be utilised. A tissue biopsy may also be required.

Older women with endometriosis may undergo surgery, hormone treatment, or pain management. Depending on how severe the symptoms are, HRT may need to be changed or stopped. Surgery is a more invasive alternative that may not be appropriate for many people, but it may be necessary to remove the tissue and any scar tissue that has developed.

The bottom line is that endometriosis can impact women of all ages, even older women. Even if the symptoms are not as severe, they can nevertheless affect one's quality of life and necessitate medical attention. Consult a healthcare professional to determine the best course of action if you or a loved one exhibit endometriosis symptoms.

Treatment

Depending on the severity of the symptoms and whether pregnancy is wanted, several endometriosis management strategies might be used. There is no cure for the illness.

Endometriosis and its symptoms can be managed with a variety of drugs.

Pain is frequently treated with NSAIDs (non-steroidal anti-inflammatory medicines) and analgesics (painkillers), such as ibuprofen and naproxen.

Contraceptive (birth control) methods and hormone-based medications like GnRH analogues can both reduce pain. These techniques consist of

·         Medications

·         Hormonal IUDs

·         Vaginal rings

·         Implants

·         Injectable patches.

For those trying to get pregnant, these techniques might not be appropriate.

Some women with endometriosis who are having trouble becoming pregnant use fertility drugs and treatments.

Lesions, adhesions, and scar tissues caused by endometriosis can occasionally be removed surgically. Incisions can be kept small during laparoscopic surgery by employing a tiny camera to view inside the body.

With a healthcare professional, go over your treatment options. The effectiveness of a treatment depends on the patient, as do its adverse effects, long-term safety, cost, and accessibility.

Increasing awareness can aid in early diagnosis. Early intervention can lessen long-term effects and prevent or stop the disease's natural development.

People may receive further information and emotional support in nearby patient support groups in addition to speaking with their doctor.

Some therapies have negative effects, and endometriosis-related symptoms might occasionally return after therapy is finished. The choice of treatment is influenced by the patient's effectiveness, unfavourable side effects, long-term safety, expenses, and accessibility. Since most modern hormone treatments interfere with ovulation, they are not recommended for endometriosis patients who want to become pregnant.

Surgery frequently depends on the severity of the disease to reduce pain symptoms and boost pregnancy rates. In addition, anomalies in the pelvic floor muscles can cause chronic pelvic pain, and lesions may return even after effective eradication. Some individuals may benefit from physiotherapy and complementary therapies for central sensitization, secondary alterations of the pelvis, particularly the pelvic floor, and these conditions. Laparoscopic surgical excision of endometriosis, ovarian stimulation with intrauterine insemination (IUI), and in vitro fertilisation (IVF) are among the treatment options for infertility caused by endometriosis, however success rates vary. 

Priorities and difficulties

The general population and the majority of front-line healthcare professionals are frequently unaware that unpleasant and life-altering pelvic pain is not typical, which results in the normalisation and stigmatisation of symptoms as well as a large delay in diagnosis. Due to the lack of knowledge about endometriosis among primary healthcare practitioners, patients who could benefit from medical symptomatic therapy are not often given therapies. Delays in diagnosis frequently prevent patients from receiving non-steroidal analgesics (painkillers), oral contraceptives, and progestin-based contraceptives in a timely manner. Access to specialised surgery for people who require it is subpar because to the constrained capacity of health systems in many nations. Furthermore, and particularly in low- and middle-income nations, there aren't enough multidisciplinary teams equipped with the diverse set of abilities and tools required for the early identification and successful treatment of endometriosis. Although primary healthcare providers should be involved in endometriosis screening and basic management, there is a shortage of screening and reliable prediction tools for patients and communities. Additionally, there are a lot of knowledge gaps, and non-invasive diagnostic procedures as well as pregnancy-unavoidable medical treatments are needed.

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