Demystifying endometriosis: A closer look

Written in association with: Miss Ghada Salman
Published:
Edited by: Kate Forristal

In her latest online article, Miss Ghada Salman gives us her insights into endometriosis. Endometriosis, in essence, is a condition characterised by the growth of endometrial-like tissue, typically found lining the inside of the uterus, in areas outside the uterus such as the ovaries and pelvis. This tissue, similar to that within the womb, undergoes monthly bleeding, leading to inflammation and the formation of scar tissue.

What are the common symptoms of endometriosis, and how do they impact an individual's life?

Symptoms of endometriosis vary widely but may encompass painful periods, chronic pelvic pain, pain during intercourse, irregular vaginal bleeding, subfertility, and other discomforts. The diagnosis of endometriosis can be delayed, often taking seven to eight years from the onset of symptoms, as the vague nature of symptoms may be attributed to other health conditions.

 

How does endometriosis affect an individual's overall well-being, including fertility and sexual health?

Endometriosis is a chronic condition with a profound impact on various aspects of an individual's life, including fertility, sexual health, and overall well-being. Hormonal imbalances associated with endometriosis contribute to fertility issues, with approximately 50% of individuals experiencing female infertility also having endometriosis.

 

What is the process for diagnosing endometriosis, and why is early detection crucial?

Diagnosing endometriosis involves raising awareness of the condition and its symptoms. Those experiencing symptoms should consult a healthcare professional, who may conduct an initial examination and investigations. These investigations may include ultrasound, MRI scans, or diagnostic laparoscopy for a closer look at pelvic organs.

 

 What are the prevailing myths about endometriosis, and how can increased awareness dispel these misconceptions?

Common myths about endometriosis include its rarity and the misconception that it only affects individuals over 30. Endometriosis is prevalent, affecting one in 10 reproductive-age women, and can begin at any age. The cause remains unknown, but familial tendencies and theories such as retrograde menstruation are considered.

 

Is there a cure for endometriosis, and what are the available treatments?

While there is no definitive cure for endometriosis, various treatments can alleviate symptoms. Painkillers, hormonal treatments, and surgical interventions are among the options, tailored to individual needs. Severe cases may require keyhole surgery or more extensive operations, depending on the extent of tissue growth.

 

How has the understanding of endometriosis evolved in recent years, and what challenges remain in the healthcare industry?

In recent years, there has been a positive shift in understanding endometriosis within the healthcare industry and society. Increased awareness through social media and online information has empowered both healthcare professionals and patients. However, there is still a need for more medical evidence and ongoing research into treatment options.

 

What steps can be taken to improve care for patients with endometriosis, both in terms of medical support and public awareness?

 To improve care for patients with endometriosis, increased awareness is crucial. Initiatives such as informative posters in public spaces, GP surgeries, and schools can aid in early detection. Incorporating discussions about endometriosis in school education programs and promoting awareness among teenagers with painful periods can lead to early diagnosis and intervention, ultimately enhancing the quality of life for those affected by this condition.

 

Miss Ghada Salman is a respected consultant gynaecologist. You can schedule an appointment with Miss Salman on her Top Doctors profile.

By Miss Ghada Salman
Obstetrics & gynaecology

Miss Ghada Salman is a well respected and highly experienced consultant gynaecologist who specialises in early pregnancy and women's health. She also possesses a high degree of expertise in pelvic pain, fibroids, ovarian cysts, heavy periods and endoscopic surgery. She currently practises at The London Clinic and The Portland Hospital but is also part of London International Patient Services (LIPS).

Miss Salman, who is an also an expert when it comes to abnormal bleeding, menstrual disorders, hysteroscopy, myomectomy, hysterectomy, and cervical smear testing, successfully completed a MBChB in 2001, which she followed up with the completion of advanced training in gynaecology and early pregnancy, which she obtained in the UK, from the Royal College of Obstetricians and Gynaecologists.

Miss Salman is a current member of the British Society for Gynaecological Imaging and has nationally and internationally published and presented her research on topics such as early pregnancy and ultrasound scanning. Notably, she is the author of a substantial number of scientific chapters in the field of obstetrics and gynaecology.

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