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At advanced stages, endometriosis may lead to the formation of adhesions and infertility, not to mention a considerable decline in quality of life. Therefore, proper and timely treatment can help a woman avoid many unpleasant symptoms and the development of various pathologies.
Causes of Endometriosis
Endometriosis is a condition in which tissue similar to the endometrium (the inner lining of the uterus) grows outside the uterine cavity.
The causes of endometriosis are not fully understood, but several hypotheses have been proposed:
•        Retrograde menstruation: one hypothesis suggests that menstrual blood containing endometrial cells flows backward through the fallopian tubes instead of leaving the body through the vagina. These cells may then implant and grow in the pelvic cavity, contributing to endometrial proliferation outside the uterus.


•        Genetic predisposition: studies have shown that endometriosis often runs in families and may be transmitted from mothers to daughters.


•        Transformation of other tissues: some studies indicate that tissues such as the peritoneum or the superficial layers of the bladder may transform into endometrial-like tissue.


•        Immune system dysfunction: some experts believe that a weakened immune system may play a role in the development of endometriosis.


All these factors can lead to uncontrolled endometrial growth outside the uterus and contribute to the onset and progression of endometriosis.
Symptoms
In this condition, endometrial cells begin to grow outside the uterus (on the ovaries, fallopian tubes, intestines, and other organs in the abdominal cavity). Therefore, the symptoms depend primarily on the localization of the endometriotic lesions.
The main signs include:
•        Moderate to severe lower abdominal pain during menstruation, sexual intercourse, or physical exertion,


•        Heavy menstrual bleeding,


•        Frequent fatigue,


•        Sleep disturbances,


•        Painful defecation (if the endometriosis affects the posterior intestinal wall),


•        Irregular menstrual cycle,


•        Difficulty conceiving.


Diagnosis
The diagnosis of endometriosis often takes several years, as many specialists still consider menstrual pain to be a normal physiological phenomenon.
To confirm the diagnosis of endometriosis, a woman must undergo the following examinations:
•        Gynecological examination,


•        Pelvic ultrasound on days 3–6 of the menstrual cycle,


•        Blood tests (complete blood count, biochemical profile, assessment of female and male hormones, inflammatory markers, etc.),


•        Coprogram,


•        CT or MRI,


•        Colonoscopy.


Treatment Methods
The physicians at Expert Clinics take endometriosis very seriously and do not treat it by inducing pregnancy or prescribing combined oral contraceptives (COCs), as many gynecologists do.
Our center applies a more modern, comprehensive, and in-depth approach.
The first step involves collecting the patient’s medical history, with special attention to genetic factors and the early years of menstruation.
The second stage is the prescription of individualized treatment based on all diagnostic results. The therapy includes improvement of detoxification phases, normalization of thyroid function, reduction of oxidative stress and glycation, correction of deficiencies, improvement of sleep and immunity, and elimination of inflammatory foci.
The third stage consists of lifestyle recommendations: dietary guidance (which foods to exclude or include), physical activity, and emotional balance.
Contrary to common belief, specialists at Expert Clinics have proven in practice that endometriosis can be successfully treated.
Prevention
There are no specific measures to prevent endometriosis. However, to avoid aggravating the disease, it is very important to have regular gynecological check-ups and to monitor the dynamics of the condition.