Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside...

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Endometriosis

Transcript of Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside...

Page 1: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

EndometriosisEndometriosis

Page 2: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

What is Endometriosis?What is Endometriosis?

The development of a lesion of uterine lining tissue outside the uterus.

This tissue can be found on the outside of the uterus, fallopian tubes, ovaries, the bowels or any other abdominal organ but rarely spread to other parts of the body.

Endometriosis is not always dangerous.

The development of a lesion of uterine lining tissue outside the uterus.

This tissue can be found on the outside of the uterus, fallopian tubes, ovaries, the bowels or any other abdominal organ but rarely spread to other parts of the body.

Endometriosis is not always dangerous.

Page 3: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.
Page 4: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

CausesCauses

The Ovaries produce a stimulating hormone that aids in the growth of the uterine lining. This hormone migrates out of the uterus. It does not shed like the lining of the uterus. As a result the hormone grows and can lead to endometriosis.

The Ovaries produce a stimulating hormone that aids in the growth of the uterine lining. This hormone migrates out of the uterus. It does not shed like the lining of the uterus. As a result the hormone grows and can lead to endometriosis.

Page 5: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Signs and SymptomsSigns and Symptoms

Abnormal BleedingAfter SexIn between periodsBlood in urine or stool

PainLower back Lower AbdomenVaginaAnus

Trouble getting pregnant

Abnormal BleedingAfter SexIn between periodsBlood in urine or stool

PainLower back Lower AbdomenVaginaAnus

Trouble getting pregnant

Page 6: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

How is it Diagnosed?How is it Diagnosed?TestsUltrasound CT ScanMRI

TestsUltrasound CT ScanMRI

Page 7: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

TreatmentTreatmentTreatment of Endometriosis often depends on

the severity of that individuals case and if the plan on becoming pregnant.

Many are prescribed hormone therapy to lower the body’s amount of estrogen which will help shrink the growths caused by endometriosis.

If the patient wishes to become pregnant, surgery, hormone therapy and infertility treatment may be necessary.

Treatment of Endometriosis often depends on the severity of that individuals case and if the plan on becoming pregnant.

Many are prescribed hormone therapy to lower the body’s amount of estrogen which will help shrink the growths caused by endometriosis.

If the patient wishes to become pregnant, surgery, hormone therapy and infertility treatment may be necessary.

Page 8: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

FertilityFertility

Endometriosis does not always cause fertility but it decreases your chances of becoming pregnant.

40% of women with endometriosis are effected by infertility.

Infertility in women with endometriosis is not caused by the disease itself but by other complications from the disease.

Endometriosis does not always cause fertility but it decreases your chances of becoming pregnant.

40% of women with endometriosis are effected by infertility.

Infertility in women with endometriosis is not caused by the disease itself but by other complications from the disease.

Page 9: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Who is at risk?Who is at risk?

Anyone who has a history of endometriosis in their family.

Women between puberty and menopause

Women with very high levels of Estrogen.

Women with abnormal menstruation cycles.

Anyone who has a history of endometriosis in their family.

Women between puberty and menopause

Women with very high levels of Estrogen.

Women with abnormal menstruation cycles.

Page 10: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Retroversion of the UterusRetroversion of the Uterus

Page 11: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

What is Retroversion of the Uterus?

What is Retroversion of the Uterus?

Often called “Tipped Uterus”When the top of the uterus tips

backwards toward the spine or instead of forwards toward the bladder.

Often called “Tipped Uterus”When the top of the uterus tips

backwards toward the spine or instead of forwards toward the bladder.

Page 12: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.
Page 13: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

CausesCausesIs usually genetic and normal.Can be caused by:EndometriosisPelvic SurgeryPelvic AdhesionsPelvic Inflammatory DiseaseLabor of ChildbirthScar Tissue

Is usually genetic and normal.Can be caused by:EndometriosisPelvic SurgeryPelvic AdhesionsPelvic Inflammatory DiseaseLabor of ChildbirthScar Tissue

Page 14: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Signs and SymptomsSigns and Symptoms

There are not usually symptoms from a retroverted uterus. Rarely it

can cause a mild discomfort or lower back pain.

There are not usually symptoms from a retroverted uterus. Rarely it

can cause a mild discomfort or lower back pain.

Page 15: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

How is it DiagnosedHow is it Diagnosed

During a Pelvic ExamUltrasound

During a Pelvic ExamUltrasound

Page 16: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

TreatmentTreatment

A Retroverted Uterus does not usually need treatment.

Treatment may be needed for underlying problems causing a retroverted uterus or problems caused by a retroverted uterus.

A Retroverted Uterus does not usually need treatment.

Treatment may be needed for underlying problems causing a retroverted uterus or problems caused by a retroverted uterus.

Page 17: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

FertilityFertility

A Tipped Uterus does not affect fertility.

It usually corrects itself during the 10th or 12th week of pregnancy.

A Tipped Uterus does not affect fertility.

It usually corrects itself during the 10th or 12th week of pregnancy.

Page 18: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Who is at risk?Who is at risk?

Occurs in 20% of all women.It is more likely to occur in women who

have also hadEndometriosisChildrenPelvic AdhesionsSurgeryScar Tissue

Occurs in 20% of all women.It is more likely to occur in women who

have also hadEndometriosisChildrenPelvic AdhesionsSurgeryScar Tissue

Page 19: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Polycystic Ovary Syndrome

Polycystic Ovary Syndrome

Page 20: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

What is Polycystic Ovary Syndrome?

What is Polycystic Ovary Syndrome?

A hormonal disease characterized by enlarged ovaries covered in small cysts.

Caused by unbalanced hormones

A hormonal disease characterized by enlarged ovaries covered in small cysts.

Caused by unbalanced hormones

Page 21: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.
Page 22: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

CausesCauses

Genetics may play a factorHormone ChangesHigh Androgen LevelsHigh InsulinHigh Blood Sugar

Genetics may play a factorHormone ChangesHigh Androgen LevelsHigh InsulinHigh Blood Sugar

Page 23: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Signs and SymptomsSigns and SymptomsSymptoms appear gradually and can include: Acne Depression Heavy vaginal bleeding Mood Swings Few or no menstrual periods Weight gain Hair loss Lower back pain Breathing problems while sleeping

Symptoms appear gradually and can include: Acne Depression Heavy vaginal bleeding Mood Swings Few or no menstrual periods Weight gain Hair loss Lower back pain Breathing problems while sleeping

Page 24: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

How is it Diagnosed?How is it Diagnosed?

There are no specific tests for polycystic ovarian syndrome. The doctor will evaluate signs and symptoms and rule out other disorders to be able to diagnose it.

Tests the doctor will do may include:Blood tests - to measure hormone levelsPelvic UltrasoundPhysical ExamMedical History Review

There are no specific tests for polycystic ovarian syndrome. The doctor will evaluate signs and symptoms and rule out other disorders to be able to diagnose it.

Tests the doctor will do may include:Blood tests - to measure hormone levelsPelvic UltrasoundPhysical ExamMedical History Review

Page 25: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

TreatmentTreatment

Regular ExerciseEat a healthy dietMedications to regulate hormones

Regular ExerciseEat a healthy dietMedications to regulate hormones

Page 26: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

FertilityFertility

Polycystic Ovarian syndrome causes the ovaries to stop releasing eggs which will cause infertility.

PCOS can cause:Repeat MiscarriagesGestational DiabetesUterine Cancer

Polycystic Ovarian syndrome causes the ovaries to stop releasing eggs which will cause infertility.

PCOS can cause:Repeat MiscarriagesGestational DiabetesUterine Cancer

Page 27: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Who is at risk?Who is at risk?

Women with a family history of polycystic ovarian syndrome.

Women who use the seizure medicine valporate

People with a family history of diabetes.

Women with a family history of polycystic ovarian syndrome.

Women who use the seizure medicine valporate

People with a family history of diabetes.

Page 28: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Cervical ErosionCervical Erosion

Page 29: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

What is Cervical Erosion?What is Cervical Erosion?

Also known as Cervical ectropionPartial or complete absence of the

surface of the cervix. The normal surface of the cervix is

replaced by inflamed tissue from inside the cervical canal.

Also known as Cervical ectropionPartial or complete absence of the

surface of the cervix. The normal surface of the cervix is

replaced by inflamed tissue from inside the cervical canal.

Page 30: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.
Page 31: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

CausesCauses

TraumaSexual intercourse, foreign objects inserted

into the vagina, tampon insertion.Infection

Herpes (STD), Syphilis (STD), tampons left in to long, severe vaginal infections.

ChemicalsSpermicides (form of birth control), douches

(used to clean the vagina)

TraumaSexual intercourse, foreign objects inserted

into the vagina, tampon insertion.Infection

Herpes (STD), Syphilis (STD), tampons left in to long, severe vaginal infections.

ChemicalsSpermicides (form of birth control), douches

(used to clean the vagina)

Page 32: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Signs and SymptomsSigns and Symptoms

Typically no symptomsAbnormal vaginal bleeding

After sexIn between periods

Discharge associated with an infection, may have a strange odor.

Typically no symptomsAbnormal vaginal bleeding

After sexIn between periods

Discharge associated with an infection, may have a strange odor.

Page 33: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

How is it Diagnosed?How is it Diagnosed?Pelvic

ExaminationPap Smear

Pelvic Examination

Pap Smear

Cervical BiopsyCloroscopic

Examination

Cervical BiopsyCloroscopic

Examination

Page 34: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

TreatmentTreatment

Treatment depends on the causeIf caused by trauma or chemicals,

Avoiding the cause will usually allow it to heal on its own.

Medications are used to treat infections. Vaginal Estrogen cream may help to

thicken and heal the surface of the cervix

Treatment depends on the causeIf caused by trauma or chemicals,

Avoiding the cause will usually allow it to heal on its own.

Medications are used to treat infections. Vaginal Estrogen cream may help to

thicken and heal the surface of the cervix

Page 35: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

FertilityFertility

Cervical Erosion typically heals on its own.

If treatment is necessary it is very successful and fertility is not affected.

Cervical Erosion typically heals on its own.

If treatment is necessary it is very successful and fertility is not affected.

Page 36: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Who is at risk?Who is at risk?

Those who have unprotected sexThose who use chemical agents in

the vagina

Those who have unprotected sexThose who use chemical agents in

the vagina

Page 37: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Endometrial PolypsEndometrial Polyps

Page 38: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

What are Endometrial Polyps?What are Endometrial Polyps?

Also known as Uterine PolypsGrowths attached to the inner wall

of the uterus. Can range from the size of a sesame seed to the size of a golf ball.

Also known as Uterine PolypsGrowths attached to the inner wall

of the uterus. Can range from the size of a sesame seed to the size of a golf ball.

Page 39: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.
Page 40: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

CausesCauses

Cause is unknownEstrogen has been found to

stimulate the growth of Endometrial Polyps.

Cause is unknownEstrogen has been found to

stimulate the growth of Endometrial Polyps.

Page 41: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Signs and SymptomsSigns and Symptoms

Irregular BleedingHeavy PeriodsVaginal bleeding after menopauseIt is possible to have Endometrial

Polyps without signs or symptoms.

Irregular BleedingHeavy PeriodsVaginal bleeding after menopauseIt is possible to have Endometrial

Polyps without signs or symptoms.

Page 42: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

How is it Diagnosed?How is it Diagnosed?

Transvaginal UltrasoundHysteroscopy

Transvaginal UltrasoundHysteroscopy

Page 43: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

TreatmentTreatment

Some small polyps may disappear on their own.

MedicationCurettage- scraping the walls of

the uterus with a small tool inserted through the vagina and cervix

Surgical Removal

Some small polyps may disappear on their own.

MedicationCurettage- scraping the walls of

the uterus with a small tool inserted through the vagina and cervix

Surgical Removal

Page 44: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

FertilityFertility

Endometrial polyps can sometimes but not always cause infertility

Endometrial polyps affect the walls of the uterus and can make it hard for implantation

They can also increase the risk of a miscarriage.

Endometrial polyps can sometimes but not always cause infertility

Endometrial polyps affect the walls of the uterus and can make it hard for implantation

They can also increase the risk of a miscarriage.

Page 45: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Who is at risk?Who is at risk?

Obese PeoplePeople with high blood pressureThose who take tamoxifen, a drug

used to treat breast cancer

Obese PeoplePeople with high blood pressureThose who take tamoxifen, a drug

used to treat breast cancer

Page 46: Endometriosis. What is Endometriosis? The development of a lesion of uterine lining tissue outside the uterus. RThis tissue can be found on the outside.

Works CitedWorks Cited https://health.google.com/health/ref/Endometriosis http://www.mayoclinic.com/health/endometriosis/DS00289 http://women.webmd.com/endometriosis/endometriosis-topic-

overview http://saludchicago.com/saludchicago_english/

retroverted_uterus.htm http://www.nlm.nih.gov/medlineplus/ency/article/001506.htm http://www.mayoclinic.com/health/polycystic-ovary-

syndrome/DS00423 http://women.webmd.com/tc/polycystic-ovary-syndrome-pcos-

topic-overview http://www.drugs.com/enc/image_pages/17035.html http://www.mayoclinic.com/health/uterine-polyps/DS00699/

DSECTION=risk%2Dfactors

https://health.google.com/health/ref/Endometriosis http://www.mayoclinic.com/health/endometriosis/DS00289 http://women.webmd.com/endometriosis/endometriosis-topic-

overview http://saludchicago.com/saludchicago_english/

retroverted_uterus.htm http://www.nlm.nih.gov/medlineplus/ency/article/001506.htm http://www.mayoclinic.com/health/polycystic-ovary-

syndrome/DS00423 http://women.webmd.com/tc/polycystic-ovary-syndrome-pcos-

topic-overview http://www.drugs.com/enc/image_pages/17035.html http://www.mayoclinic.com/health/uterine-polyps/DS00699/

DSECTION=risk%2Dfactors