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Endometriosis: difficult to diagnose disease

Endometriosis: difficult to diagnose disease

Edited by: TOP DOCTORS® at 10/10/2023

Endometriosis is a disease that affects Mexican women to a great extent and consists of the separation and accumulation of the inner layer of the womb, or uterus, in the fallopian tubes. Its symptoms are painful and usually very difficult to diagnose

Dr. Héctor Hugo Bustos López

Endometrosis Endometriosis is a condition with a very important frequency worldwide and in Mexican women. It has a frequency of between 5 and 15% in well-selected populations worldwide. Endometriosis refers to the inner layer of the womb or uterus, which is called the endometrium, these cells are usually spread through retrograde menses, which means that instead of the menstruation coming out through the vagina goes through the And for some genetic, immunochemical and other reasons it is implanted, that is, it grows, and this growth of stromal endometrial cells is what causes the aggressive pictures characteristic of pelvic endometriosis.

Symptoms of Endometriosis

What diagnostic methods should be used to diagnose endometriosis? The most important is clinical suspicion, this means that the doctor must have enough experience, or enough expertice, to suspect the condition. That patient with chronic pelvic pain, which translates into pain in the lower abdomen, that patient with very painful rules, that patient who has much pain during sexual intercourse, that patient who has a lot of distention, that is, a lot of abdominal inflammation , And those patients who while they are checking touch the bottom of the sac of the vagina, or in the part of the bottom of the vagina, some nodules, is very highly suspicious of the condition called pelvic endometriosis. There are patients that take up to 9 years to be recognized with endometriosis, and that means that they are women who go to the doctor on a regular basis and there is an inability to recognize the condition, this makes patients take too long to recognize this disease.

Surgical Treatment for Endometriosis

Once the condition has been diagnosed some of these women undergo surgery, these surgeries are sometimes very repeated because endometriosis sometimes behaves as an invasive tumor even though it is not cancer and for surgery you have to have Specific anatomical knowledge, pharmacological knowledge and, above all, the approach of new things that can help us to better operate these women. It has been tried for many years to solve the problem of endometriosis through medication, but the major problem of these drugs is that they are temporary therapeutic elements, so that today what is recognized as a therapeutic element is The use of laparoscopy.

Specialized diagnosis

How is it diagnosed ? Sometimes it is necessary to do special ultrasound, vaginal ultrasound, transrectal ultrasound, or sometimes to make the lesions be recognized through a very sophisticated diagnostic method called nuclear magnetic resonance, this refers to the separation of structures in the body through Of a millimeter to define if there is endometriosis, if there are fibroids or if there are some other type of injuries. The diagnostic and therapeutic diagnostic method at the same time is called diagnostic laparoscopy or surgical laparoscopy.

Obstetrics & Gynecology in Álvaro Obregón