Endometriosis occurs when the endometrial cells of the area lining the inner cavity of the uterus settle outside the uterus. Although it is usually seen in the pelvis, where the internal genital organs of the woman are located, it can rarely form in different parts of the body.
The most common forms of endometriosis are superficial peritoneal endometriosis and the endometrioma seen in the ovary. It can occur in the peritoneum lining areas such as the back of the uterus, the bowel, the bladder and the side walls of the pelvis.
Endometriosis that settles inside the ovary in the form of a cyst is also known as the chocolate cyst. In the area affected by endometriosis, bleeding occurs every month just as it does in the endometrium inside the uterus.
This bleeding, which is far smaller in amount, and the cell accumulation and fibrosis (hard scar tissue rich in nerves) that develop in response to it, are an effective factor in the formation of the pain linked to endometriosis.
How Is Endometriosis Treated?
The treatment of endometriosis must be determined according to the needs of the patient. For this reason the treatment of endometriosis is accepted as one of the most individualised treatments in medicine.
If the patient has pain because of endometriosis, treatments that reduce the pain are applied; for the patient who has difficulty becoming pregnant, a treatment programme aimed at achieving pregnancy is applied. In a patient who experiences both problems, the method by which both can be corrected in the most optimal way is adopted.
The first step in the treatment of endometriosis is to organise the patient’s lifestyle. Care should be taken to follow a balanced diet, regular exercise, relaxation exercises and a lifestyle away from stress.
One of the important points in nutrition is that in bowel endometriosis, in situations that affect daily life very negatively such as severe abdominal bloating and pain during defecation, the patient’s diet must be organised with foods that will have less effect on the bowel.
In patients who have pain, the first choice is drug treatment. Chocolate cysts can be followed with drug treatment regardless of their size. In patients who cannot become pregnant, the use of drug treatment is generally not preferred.
This is because many of the drug treatments used, while suppressing endometriosis, at the same time automatically prevent the patient from becoming pregnant. Accordingly, the drug treatment applied in endometriosis can become a factor that delays pregnancy.
In patients who cannot become pregnant, factors such as the patient’s age, the state of the ovarian reserve, the duration of infertility and whether she has had children before are assessed, and assisted reproduction techniques such as insemination or IVF can be used. The patient is operated on, the endometriosis lesions are removed, the adhesions are opened and the patient is enabled to regain her normal anatomy. Successful surgery can also increase the patient’s chance of becoming pregnant naturally, through normal sexual intercourse.
Endometriosis Is a Chronic Disease
Endometriosis is a chronic disease that may never disappear completely. With a surgical procedure the endometriosis tissue that can be seen can be removed entirely. In these hormonally active women endometriosis can of course develop again.
Therefore, in the period after surgery, treatment suppressing endometriosis should be continued for 6 months to 1 year. The reason is that as long as oestrogen levels remain high in a woman of reproductive capacity, the process of endometriosis formation and the disease itself can continue.
In surgical treatment, organ-preserving procedures are performed in the young age group. The idea that endometriosis will not be seen after the menopause or will end completely is not correct. In some patients endometriosis can appear after the menopause as well. After the menopause the risk of endometriosis decreases, but it does not fall to zero.
Endometriosis (Chocolate Cyst) you can visit my site https://cikolatakisti.info/ for more detailed information.