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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