Endometriosis - Medical Negligence Claims


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Endometriosis is a gynecological disorder in which endometrial lining tissue goes up through the fallopian tubes and settles on the ovaries, outside of the uterus or other pelvic tissues. In rare cases, it can spread to other non-pelvic areas. The tissue acts just like endometrial tissue in that it bleeds when a woman has her period, leading to extreme pain with periods, scar tissue and adhesions in the pelvis. There can be fertility issues associated with endometriosis.

Typical signs or symptoms of endometriosis include very painful periods that lasts throughout the period, pain with intercourse, excessive vaginal bleeding during periods or between periods, urinary or bowel pain, infertility, diarrhea, constipation, fatigue, nausea or bloating during periods. The severity of the pain doesn't necessarily indicate severe disease. Some with severe disease have very little pain. Endometriosis can get mixed up with irritable bowel syndrome, inflammatory bowel syndrome and ovarian cysts.

Endometriosis is believed to be caused by retrograde menstruation in which menstrual tissue travels up the fallopian tube and out of the tube, into the abdominal cavity. The displaced menstrual tissue sticks to pelvic structures and grow by themselves. When the woman has her period, the menstrual tissue outside of the uterus bleeds as well. The bleeding into the abdominal cavity is very painful and causes pain and cramping. The condition may also be caused by embryonic cells of the abdomen that spontaneously mature into endometrial cells.

Diagnosing endometriosis depends on understanding the symptoms and where your pain is. A pelvic exam may show cysts on the reproductive organs or scars behind the uterine area. Small areas of endometriosis may not be felt on exam. A vaginal ultrasound can show endometrial tissue in various areas of the pelvis. The best test is a laparoscopy, which shows endometrial tissue on the various extraneous tissues. The tissue can form cysts, often known as chocolate cysts because the fluid in the cysts is brown in color.

There is relatively good and effective treatment for endometriosis. It can be managed with surgery or with medications. The approach you use depends on how severe the problem is and whether or not you wish to become pregnant. Medications are almost always recommended first; surgery is recommended as a last resort.

Medications for endometriosis include nonsteroidal anti-inflammatory medications like naproxen or ibuprofen. Stronger mediations are required if the OTC medications don't work to control pain. Supplemental hormone therapy is sometimes effective in reducing or eliminating the cause of the pain. Birth control pills and related birth control items that use hormones can reduce the buildup of the uterine lining and the endometrial tissue. The pain can be controlled by controlling the hormonal buildup of endometrial tissue.

Gn-RH or gonadotropin releasing hormone agonists and antagonists are medications that block the release of pituitary and ovarian hormones. Menstruation is prevented and estrogen levels are diminished. Endometriosis is forced into remission; this treatment, however, can lead to hot flashes and other menopausal symptoms. The treatment causes a form of artificial menopause and relieves menstrual pain.

Danazol is another drug that blocks ovarian-stimulating hormones so that menstruation is blocked. The growth of the endometrial tissue is blocked and the pain is better. It does cause acne and facial hair as well. Depo-Provera is an injectable drug effective in blocking menstruation so that the endometrial tissue dries up just like endometriosis tissue. Side effects are weight gain, decreased bone production and low mood.

Aromatase inhibitors are drugs that reduce the pain of endometriosis. It blocks the conversion of androstenedione and testosterone into estrogen and blocks estrogen production. It reduces, therefore, the growth of endometrial tissue.

Conservative therapy for endometriosis can include surgery as well as the drug therapy as mentioned above. Doctors can remove endometrial tissue that can increase the chances of becoming pregnant. It also controls severe pain from the condition. Heat can be used to cauterize the tissue and destroy it. You may still need assisted reproductive technologies in order to become pregnant.

Severe cases of endometriosis require complete removal of the cervix and uterus. Sometimes the ovaries need to be removed to get rid of the pain of endometriosis. This is done when no pregnancy is desired.


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