Istanbul Medipol Hospital Professor of Obstetrics and Gynecology. Dr. C. Gürkan Zorlu said that "Endometriosis", which is a frequent problem in recent years, has been defined as a placement outside the uterus. Zorlu, "In fact, always when there was little known and less serious. The development and parallel development of technology has made the disease more understandable and recognizable earlier. "
Indicating that the fault can not be seen in every individual, Zorlu continued: "Some may be very few, some may be severe, and the traces they leave or the changes they create may be different. As a result, the problems created by the patient and the patient are also changing. Depending on the response variations and perception thresholds of the individual, this person-to-person illness is found at a different level. In other words, a person with very mild illness may have very severe problems, but there may be no evidence in people with very severe adhesions, ie advanced disease. "
"If the patients have a primary or secondary infertility problem, this rate is 15-20%," Zorlu said, indicating that 1 to 5% of the patients in the normal clinic were found to have endometriosis findings. Endometriosis can be seen in one third of women with pelvic pain, especially in those with back and groin pain. Of the operations performed within 10-15% of the cases, endometriosis is, of course, one of the four operations of total surgeries, "he said.
The exact reasons are unknown
Recalling that the causes of endometriosis were not fully known, Zorlu explained that the most common complaints are pelvic pain and painful menstrual periods. As the disease progressed, Zorlu said that these complaints increased more and he listened to the problems with the disease as follows: "In more advanced forms pain and misery occur. In pelvis, that is, in the lower zone of the abdomen, problems of urination and great ablution become apparent in the presence of advanced disease. Sometimes Endometriosis can become large, hard nodules by bleeding into the foci and progressing. Depending on the location, it can give very different findings. Organ problems that arise during the menstrual period and which can not be explained in any other way, and pain that can not be shaped and associated, are examples of this. It should be borne in mind that there are many very rare forms such as leg pain, intra-articular hemorrhages, nose bleeds, and mammary glands. Apart from that, it can also cause problems in the abdomen which are very hard and cause confusion. "
Zorlu also pointed out that endometriosis causes cysts in the ovary that can reach very large sizes and sometimes can be torn into the abdominal cavity. "This shows the presence of the active endometrium tissue in the overhead and cysts the resulting eggs to form a large chocolate cyst called Endometrioma It brings. The presence of such a condition usually requires operation. Endometriomas are usually bilateral and can be followed unless they go above 2 centimeters. "
Treatment is based on the most obvious finding
Zorlu stated that the treatment of the disease is usually based on whether the patient is a child or not, depending on the condition of the disease and what is most obvious. "When endometriomas require surgery, simple painkillers can be used in painful forms. Severe aches are resolved by nerve denervations and neurolysis techniques. Hormonal therapy is currently being used as an adjunct to surgical techniques while endoscopic techniques are used as first choice in periods of very low development. The main purpose of these is to keep the hormonal system under pressure in order to prevent the recurrence of scaled down or removed lesions. For this purpose temporary menopause may be created or continuous progesterone or birth control pills may be used. Apart from these, hormonal modifications are made with new formulations. What needs to be kept in mind is that this is a more valuable treatment than the suppression of these lesions. "
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