Endometriosis: What is it? What are the symptoms of endometriosis in elderly women? Be a part of the 14IHNPUCG and learn from our professionals.
What
is endometriosis, exactly?
The disorder known as endometriosis
causes tissue that looks like uterine lining to develop outside of the uterus.
It may worsen pelvic pain and make getting pregnant more challenging. The onset
of endometriosis can occur during the first menstruation and continue past
menopause.
Endometriosis
causes tissue that resembles the uterine lining to proliferate outside of the
uterus. In the pelvic region and (sometimes) other sections of the body, this
results in swelling and the production of scar tissue.
Nobody knows what causes endometriosis.
There is no known technique to avoid endometriosis.
Although there is no cure, the symptoms can be treated with drugs or, in some
cases, surgery.
The
continuous inflammatory response it causes may cause the pelvis and other
regions of the body to form scar tissue (adhesions, fibrosis). There are many
distinct forms of lesions:
·
The
pelvic peritoneum is a typical site for superficial endometriosis.
·
Cystic
ovarian endometriosis, also known as endometrioma, was found in the ovaries.
·
Rarely,
deep endometriosis has been identified in the bladder, colon, and recto-vaginal
septum in addition to the pelvis.
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Older women with endometriosis
Endometriosis
is a gynaecological condition that affects millions of people worldwide and
causes excessive monthly bleeding, infertility, and ongoing pelvic pain.
Elderly women can develop endometriosis,
which is usually diagnosed in women of reproductive age.
Endometriosis is
a painful condition in which tissue that resembles the lining of the uterus grows in
other pelvic organs, such as the ovaries, fallopian tubes, and other pelvic
structures. The tissue responds to the hormonal changes of the menstrual cycle
in a manner similar to the tissue inside
the uterus, causing inflammation, pain, and the formation of scar tissue.
As women
get older and near menopause, their oestrogen levels
fall, which may result in a reduction of endometriosis
symptoms. However, some women may continue to experience endometriosis long
beyond menopause. Studies suggest that up to 5% of women over 60 may have
endometriosis.
One
reason why endometriosis
can still affect older women is the potential that the tissue has already
spread to other body parts, such as the intestines or bladder. In addition, Hormone Replacement
Treatment (HRT) may cause endometriosis
flare-ups in women who have already received a diagnosis.
Even
though the endometriosis
symptoms experienced by older women may be less severe than those
experienced by younger women, they can nonetheless be unpleasant and negatively
impact quality of life. Some of these symptoms include painful genitalia,
bloating, constipation, and pelvic pain.
Since
the symptoms
could be mistaken for those of other conditions that are common in this age
group, like irritable bowel syndrome or bladder infections, it can be
challenging to identify endometriosis in older women. A pelvic examination,
ultrasound, and MRI may be used to confirm a diagnosis. It could be necessary
to take a tissue sample.
Endometriosis
in older women may be treated surgically, hormonally, or
with painkillers.
The type of HRT may need to be altered or discontinued depending on how severe
the symptoms are. Surgery is a more invasive option that may not be suitable
for many people, but it may be required to remove the tissue and any formed
scar tissue.
The fact
is that endometriosis
can affect women of any age, even those who are older. Although the symptoms may not
be as severe, they can nonetheless have a negative impact on one's quality of
life and require medical care. If you or a loved one show signs of endometriosis,
talk to a medical
expert to decide the best course of action.
Treatment
There
are a number of endometriosis
care techniques that may be employed, depending on the severity of the symptoms
and whether pregnancy
is desired. The sickness has no known treatment.
Different
medications
can be used to treat endometriosis
and associated symptoms.
NSAIDs
(non-steroidal anti-inflammatory drugs) and analgesics (painkillers), such as
ibuprofen and naproxen, are often used to relieve pain.
Hormone-based
drugs like GnRH analogues and contraceptive (birth control) techniques can both
lessen pain. These strategies include
·
Prescription
drugs
·
IUDs
with hormones
·
Cervical
rings
·
The
implants
·
Patches
you can inject.
These
methods might not be suitable for those wanting to get pregnant.
Some
endometriosis patients who are having problems getting pregnant use fertility medications and
procedures.
Endometriosis-related
lesions, adhesions, and scar tissues can
occasionally be surgically removed. By using a tiny camera to observe inside
the body during laparoscopic
surgery, incisions can be kept to a minimum.
Discuss
your treatment
choices with a medical
expert. A treatment's effectiveness, side effects, long-term safety, cost, and
accessibility are all patient-specific.
Early diagnosis can
benefit from more knowledge. Early intervention can stop or slow the
progression of the disease and reduce its long-term implications.
In
addition to communicating with their doctor, patients may find further
information and emotional support in neighbourhood patient support groups.
Some treatments have
drawbacks, and endometriosis-related
symptoms might sometimes recur after treatment is over. The patient's
effectiveness, undesirable side effects, long-term safety, costs, and
accessibility all have an impact on the treatment option. The majority of
current hormone therapies disrupt ovulation, thus they are not advised for
endometriosis patients who want to get pregnant.
Surgery
is routinely performed to alleviate symptoms of pain
and increase pregnancy
rates, depending on the severity of the disease. In addition, lesions may recur
even after effective eradication due to abnormalities in
the pelvic floor muscles. For central sensitization, secondary abnormalities of
the pelvis, particularly the pelvic floor, and these diseases, some
people may benefit from physiotherapy and complementary therapies. Among the treatments for
infertility brought on by endometriosis include laparoscopic surgical removal
of the condition, ovarian stimulation with intrauterine insemination (IUI), and
in vitro fertilisation (IVF), though success rates vary.
Priorities and challenges
Because
the general public and the majority of front-line healthcare
workers frequently are not aware that painful and life-altering pelvic pain is
not usual, symptoms
are frequently normalised and stigmatised, which causes a significant delay in
diagnosis. Patients who potentially benefit from medical symptomatic
therapy are rarely provided therapies because primary healthcare
providers lack expertise about endometriosis.
Non-steroidal analgesics (painkillers), oral contraceptives, and
progestin-based contraceptives are frequently not administered to patients in a
timely way due to diagnostic
delays. Due to the limited capacity of health systems
in many countries, access to specialised surgery for
those who need it is inadequate. Furthermore, there aren't enough
multidisciplinary teams with the range of skills and resources necessary for
the early detection and effective treatment of endometriosis,
especially in low- and middle-income countries. Although screening and basic
management of endometriosis
should be handled by primary healthcare
practitioners, there is a lack of screening and trustworthy prediction tools
for patients and communities. Additionally, there are several knowledge gaps,
necessitating the development of non-invasive diagnostic
techniques as well as pregnancy-related medical therapies.
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Healthcare, Hospital Management, Nursing, and Patient Safety Conference,
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industry, and other stakeholders.
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