{"id":5257,"date":"2023-11-05T18:49:49","date_gmt":"2023-11-05T17:49:49","guid":{"rendered":"https:\/\/malzonicenter.com\/endometriosis\/"},"modified":"2025-05-16T12:57:23","modified_gmt":"2025-05-16T10:57:23","slug":"endometriosis","status":"publish","type":"page","link":"https:\/\/malzonicenter.com\/en\/endometriosis\/","title":{"rendered":"Endometriosis"},"content":{"rendered":"

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Endometriosis<\/span><\/span><\/h1>
Endometriosis is a multifactorial medical condition characterized by the presence of endometrial-like tissue in ectopic locations. <\/div><\/header><\/div><\/div><\/div>
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Endometriosis is a chronic inflammatory disease that affects 10%-17% of women of childbearing age.<\/span><\/div><\/div>
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Endometriosis affects 10% to 17% of women of reproductive age<\/span><\/div>

What is Endometriosis?<\/span><\/span><\/h2><\/header>
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The uterus is lined by a tissue called the endometrium<\/strong>, composed of a superficial layer, that undergoes change during the menstrual cycle (growth and shedding) and a basal layer with regenerative functions.<\/p>\n

When endometrial-like tissue<\/strong> grows in ectopic locations, it is referred to as endometriosis.<\/p>\n

Endometriosis is an inflammatory disease, often referred to as chronic, that affects 10% to 17% of women of reproductive age<\/strong>. This percentage rises to 35%-60% among those women experiencing chronic pelvic pain, infertility, or both, leading to high direct and indirect healthcare costs and a significant impact on a patient\u2019s quality of life.<\/p>\n

Because of its often painful symptoms and chronic nature, endometriosis significantly affects women\u2019s physical and psychological health.<\/p>\n

Diagnostic delays<\/strong> average 7 to 8 years from the onset of symptoms, particularly in deep infiltrating forms, due to the complexity of diagnosis.<\/p>\n

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Diagnostic accuracy is closely linked to the specialist\u2019s experience<\/strong>, which generally correlates with the volume of cases managed.
\nWhile surgery was once considered the Gold Standard for diagnosis, today advances in technology have made ultrasound and MRI the primary diagnostic tools, as long as they are performed by experienced operators<\/strong>.<\/p>\n

The treatment of endometriosis largely depends on the patient’s age, desire for future pregnancy, the degree of pain and the impact on quality of life.<\/p>\n

The primary goal in treating endometriosis is to control symptoms and prevent or delay the progression of the disease<\/strong> by reducing endometriotic implants.<\/p>\n

This can be achieved through surgery or by pharmacologically inducing atrophy of the ectopic uterine mucosa (e.g., continuous progestins, oral contraceptives, or GnRH analogues).<\/p>\n

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Good to Know<\/span><\/span><\/h1><\/header>
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Endometriosis is a medical condition characterized by the proliferation of endometrial-like tissue<\/strong> (which is normally found inside the uterus) in abnormal pelvic or extra-pelvic locations<\/strong>.
\nAlthough it is currently one of the most extensively studied diseases in gynecology, many aspects of its causes and pathogenesis remain unclear.<\/p>\n

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There are four main types<\/strong> of endometriotic lesions: adenomyosis<\/strong> (within the uterine muscle), endometriomas<\/strong> (in the ovary), superficial endometriosis<\/strong> (often associated with adhesions) and deep infiltrating nodules<\/strong> (penetrating pelvic or extra-pelvic organs). These endometriotic lesions cause an inflammatory process often associated with painful symptoms.<\/p>\n

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Can Endometriosis Cause Pain?<\/div>
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Depending on its location, endometriosis can cause menstrual pain (Dysmenorrhea<\/strong>), pain during intercourse (Dyspareunia<\/strong>), bowel habit alterations (Constipation\/Diarrhea\/Bloating and Gas<\/strong>), pain during defecation (Dyschezia<\/strong>), pain during urination (Dysuria<\/strong>) and sometimes chronic pelvic pain<\/strong>.
\nThese symptoms, when severe, can significantly impact quality of life. However, the severity of symptoms does not always correlate with the extent of the disease: although rare, there may be cases of severe endometriosis with mild symptoms or, alternatively, patients experiencing intense symptoms despite having minimal or even no visible endometriosis.<\/p>\n<\/div>\n<\/div><\/div>

How to Choose the most appropriate Treatment Approach?<\/div>
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Given the extreme variability in clinical presentation and the possible lesion location, a thorough preliminary assessment<\/strong> of the medical condition is crucial. This includes medical history, gynecological examination, pelvic and abdominal ultrasound by an experienced operator and additional tests if needed. Only after this evaluation, the most appropriate therapeutic approach can be chosen, based on the specific characteristics of the case and the patient’s individual needs.
\nThe cornerstone of endometriosis treatment is medical therapy<\/strong> (hormonal therapy) to control symptoms, slow disease progression, and prevent recurrence after surgery.<\/p>\n<\/div>\n<\/div><\/div>

What Does Surgical Treatment for Endometriosis Involve?<\/div>
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INDICATIONS FOR SURGERY:<\/strong><\/p>\n