2Endometriosis is defined as when normal endometrial mucosa, including stromaand glands, leave the uterus and travel to other locations other than the uterusand implant themselves. Areas such as, but not limited to, is the peritoneal cavity,colon, bladder, urethra, breasts and even the lungs.The most common place thishappens is in the pelvic region in such places as the ovaries, fallopian tubes,vagina, cervix, or uterosacral ligaments and present with severe pelvic pain,painful menses, as well as infertility. The exact cause is unknown and the mostcommon and agreed upon reason this happens is backflow of the menses throughthe fallopian tubes as well as genetic predisposition, impairment with the immunesystem, estrogen imbalance, and previous surgeries of the abdomen.
3While the number varies due to inability to accurately track how many suffer fromendometriosis, there are many different numbers but the average from myresearch seems to be between 5 and 15%.There has been a link to genetics in thefirst-degree family members, but consensus is more study must be done.Whileendometriosis does not discriminate on race, studies have shown that whitewomen are more prone that African American women to have the disease.Women between the ages of 25-30 that are more fertile seem to have thiscondition confined to the pelvic region, while women aged 35-40 have higherincidents of endometriosis occurring outside of the pelvic region, affecting otherorgans and areas.
4Endometriosis has been found to affect, again numbers vary,anywhere from 35-50% of females that are sub fertile or infertile which tend to be predisposed toendometriosis.Many studies have found that those adolescent that start theirmenarche at an early age tend to also be at a higher risk of developing thedisease, as well as those women that have shorter menstrual cycles and heavybleeding.As we mentioned before those that have a first degree relative are athigher risk.Caffeine, diet, and obesity have been discussed as possiblecontributing factors in the development of endometriosis, but there is no concretedata to support this.Fun fact. Smoking has been shown to reduce the risk ofendometriosis.
5As stated before, the exact cause is unknown, but is most commonly attributed toblood carrying the tissue flowing backwards instead of out the uterus and throughthe vagina.Once the tissue implants on its surface, the body still recognizes it dueto the proteins it carries, as a normal response, but when the body tries to shed,its internal bleeding starts, sometimes causing cysts which in turn causes aninflammatory response.Once this occurs lesions and scarring occur, which causesthe patient to have severe pain with menses along with heavy bleeding, pelvicpain, pain with bowel movement, dysuria, and nausea, vomiting and bloating.
6Symptoms are usually not present when patient is not in her cycle, unless it’s aprogressed stage.Studies have shown that the best time to examine the patient