ChinaRose's
Endometriosis Awareness
Site

 

Merry Meet, my sisters, brothers, and your loved ones.
This site is dedicated to my fellow Endo-Sisters, their friends, family and significant others. In hope that this will help bring more awareness to this debilitating disease and avail to all who suffer from this disease, information, treatments and options so they can seek the proper care. Through my personal struggles with this disease, I've learned a few things; Women know their bodies, Doctors don't always have the answers & Life is too short to settle for less.
Knowledge is power! Educate & Empower yourself! ~ ChinaRose, rev. Sept.2008

 

~ WHAT IS ENDOMETRIOSIS? ~

 

Endometriosis is a disease which affects millions of women worldwide.  Although it attacks the reproductive system, it can spread throughout the body including the lungs and in very rare cases, the brain. It was once thought to be a "white working woman's disease," but current research shows that it can strike women of all ethnicity's and financial backgrounds in their child bearing years.

The endometriomas is the tissue that lines the inside tissue of the uterine cavity.  Endometriosis is a disease state in which some of this tissue has spread elsewhere, such as the ovaries, or elsewhere in the abdominal cavity. Endometriosis causes pain in some women and can also cause infertility.

 

~ WHAT DOES IT DO? ~

 

The magnitude of endometriosis pain depends in part on where it is and how much you have. A spot (focus) of endometriosis may stay small and relatively inactive for many years. However, even the tiniest implant can cause incapacitating pain if it irritates a nearby nerve. Some women with allot of disease may experience no pain.

Larger implants can become locally invasive as they respond to hormone stimulation. The tissue surrounding the implant can begin to break down and bleed. The body's natural reaction is to try to cover this raw area with scar tissue (also called adhesions). But if active endometriosis becomes trapped beneath adhesions, enormous pain and pressure can result.

A large walled-off area (frequently an ovary) can lose its central blood supply. Then degeneration and destruction of the localized blood can create a cystic mass called an endometriomas. An endometrioma can be quite small, like a BB. They can also grow very large, up to the size of a softball.

Invasion of nearby structures including the bowel, bladder and urethras can occur. Advanced endometriosis can result in pelvises frozen with adhesions. This means that organs designed to float freely within the pelvis are stuck together. Then, any movement of any one of those structures (such as ovarian movements during ovulation, movements during sexual intercourse, or moving material through the bowel) can result in enormous pain.

 

~ SYMPTOMS ~

 

Although many women with Endometriosis do not experience symptoms, those who do report varying degrees of pain, especially around the time of menstruation when endometrial tissue engorges. Sometimes the pain is felt throughout the pelvic region; other times it is felt in a specific area, for example near the rectum. Other common symptoms of Endometriosis include pain during intercourse, abnormal vaginal bleeding, and heavy menstrual flow.

This question has no universal answer. Some women with advanced-stages have had no pain, and some with minimal disease are incapacitated by pain. Pain is the most common symptom. And there are others. Of course, not every woman has every symptom, but these are the more common ones:

Severe Menstrual Cramps Pelvic Pain apart from Menses
Lower Backache Painful Intercourse
Painful Bowel Movements Constipation
Fatigue Pain with Exercise
Bloating Painful and Frequent Urination
Menstrual Diarrhea Frequent Yeast Infections
Painful Pelvic Exams Allergies
& Other AutoImmune Disorders
 

~ STAGES OF ENDOMETRIOSIS ~
Stages of endometriosis is determined by the sizes and amount of endometriosis found. Again, some women with advanced stages have had no pain, and some with minimal disease are incapacitated by pain.

Stage I - Minimal,  (1cm - 5cm) Stage II - Mild,   (6cm - 15cm)
Stage III - Moderate, (16cm - 40cm) Stage IV - Severe, (40+ cm)

 

~ WHAT IS THE CAUSE OF THIS DISEASE? ~
I've decided to only post theories, which through my research and studies,
have shown to be closer to the truth.

The simple answer is, They Don't Know! However, there are several theories:

  Sampson's Theory
The oldest and most widely taught theory is that menstrual blood sometimes flows backwards into the pelvis. That is, instead of draining out of the body through the vagina, the theory holds that the menstrual fluid backs up the fallopian tubes and drips into the pelvis, where it attaches to any surface and establishes a blood supply. If Sampson's theory is correct, endometriosis is not possible until a girl's first period occurs. (See Dr. Koh's Theory below, which challenges Sampson's theory)

Vascular Theory
This theory holds that the lining of the uterus (the endometrium) moves through the body via blood vessels. It reaches various tissues and then implants and survives.

Immune Deficiency
The body's immune system is in some way defective. A weak immune system may allow endometriosis to develop. Some women with endometriosis have also been found to have unexpectedly high levels of antibodies which attack cells of some of their own organs. Whereas a woman without endometriosis, the body has the ability to fight off the endo implants.

Dr. Koh's Theory - Clip Taken from article found at: http://www.reproductivecenter.com/radical.html
"...Recent studies have confirmed the following. Endometriosis, especially the deep variety, is not related to back flow. Many women have cells derived from the early development of the pelvic organs during embryonic life, which under certain stimulation will grow into endometriosis and deep endometriosis. Endometriosis and deep endometriosis do not react in the same way as uterine lining, nor do they contain estrogen or progesterone receptors in the same quantity. Therefore, hormone stimulation or deprivation has limited influence on the lesions. This means that in many cases, the use of GnRH agonists (Lupron, Synarel, Busarellin) or removal of the ovaries surgically has minimal impact on some endometriosis. Deep endometriosis proliferates and invades without needing estrogen influence most of the time. It has become clear that the treatment of endometriosis can only be effective by radical excision....."

 

~ DIAGNOSIS OF ENDOMETRIOSIS ~

 

The only way to be sure whether a women has Endometriosis is to perform a surgical procedure called laporoscopy, this allows the surgeon to look inside the abdominal cavity with a narrow scope. Sometimes suspicions of the disease is present based on the woman's history of very painful menstrual cycles, painful intercourse, painful urination, etc. or based on the physical examination of the woman or ultrasound findings. During the laporoscopy if disease is found the surgeon will either use laser or electro-scissors to excise the disease.

 

James E. Carter, M.D., F.A.C.O.G. Chronic Pelvic Pain Diagnosis and Management

Laparoscopy.com

OBGyn.net Laporoscopy and Hysteroscopy

University of Penn - Diagnosis & Treatment of Endometriosis

 ~ TREATMENTS ~

Adenomyosis & Hysterectomy by *moon*

Alternatives to Total Abdominal Hysterectomy by James E. Carter, M.D, PhD

American Society for Reproductive Medicine (Study on Danazol and other treatments)

CenterWatch - Clinical Trials on Endometriosis

EndometriosisPainTreatment.com Information on treatments for endometriosis

Endometriosis Treatment by Laporoscopy The treatment of endometriosis today is NOT hysterectomy.

Fertilitext GnRH Agonists -Lupron, Naferelin, Synarel, Goserelin, Zoladex

LUNA / Laparoscopic Utersacural Nerve Ablation

Lupron.com Endometriosis Lupron and You
(although my experience with Lupron has been horrific, I believe everyone should have all information available to them)

National Lupron Victims Network

Health.Philly.Com - Danazol description, use, and side-effects

NO MORE MENOPAUSE Interactive On-Line Book by Dr. Vikki Hufnagel, M.D.

Reproductive Specialty Center; Radical Endometriosis Surgery (MUST READ if considering Hysterectomy!)

Raloxifene for treatment of endometriosis An article by Ken Muse, MD, although findings
have not been proven to be an ineffective treatment for endo. at this date (12Jan.2001)

Resolve.Net Endometriosis - Current Concepts &Treatments 

**St. Charles Medical Center (Dr. David Redwine)**

WebMD.com - Non-Surgical Treatments for endometriosis

~ SUPPORT ~

Endometriosis Association - Support Group/Chapter Locations
Having support is absolutely vital!! Find a support group in your area!

ENDOMETRIOSIS SOURCEBOOK
by Mary Lou Ballweg & The Endometriosis Association
*A MUST HAVE!!

MENDO - Men & Endometriosis

OBGyn.Net - Endometriosis Forum

Witsendo - Endometriosis Mailing List

 

~ MORE INFORMATION: ~

American AutoImmune Related Disease Association, Inc.

Atlanta Reproductive Health Center - Overcoming Endometriosis

Andrew Cook, M.D. - Endometriosis & Pelvic Pain Information Center

CancerNet General information & stages of endometrial cancer

Endometriosis Institute

Endometriosis Research Center

Endometriosis.org - DES (Diethylstilboestrol)

EndoZone.Net

International Pelvic Pain Society - Great source for information & finding a Dr.

Mary Halm - How to fight with your HMO

MULTIPLE CHECMICAL SENSITIVITY- Heightened Senses Network

Ruth's Endometriosis & Dioxin Page

Surgical Photos of OB/Gyn Conditions

World Endometriosis Society

  Please take a moment ---> http://www.iGive.com is a non profit organization. They will donate $2.00 to the Endometriosis Research Center, just for you signing up, it costs nothing to you, but gains for us one step closer to a cure.
Your awareness & support will hopefully bring this debilitating disease to public light and a cure.
 

GO TO:


This site is updated regularily, check back for updated information and resources.
Please let me know if you find any broken links! ~Thank You!
Your comments & additional information are needed & welcomed.

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~ I've collected the information here by researching and asking a lot of questions.
This site is for information & educational purposes only. It is not intended to diagnose or treat your health
problems. You should consult a medical professional for proper diagnosis and treatment. ~