Endometriosis is the name given to the condition where cells like those lining the Uterus or Womb are found elsewhere in the body. The problem is that cells in the lining of the Womb build up and then break down causing bleeding and the period. The cells in other parts of the body, though, do not have access to the outside and the blood has no way to escape.
The condition affects about 1.5 million women and is not related to a woman’s race or ethnicity. It can affect a person at any time from Puberty to Menopause and its impact can be felt for life.
Endometriosis can cause several symptoms including:
- Severe, life-impacting pain during periods.
- Discomfort during sexual intercourse.
- Pain with bowel movements and/or urination.
- Chronic pelvic pain.
- Abdominal bloating.
- Nausea and fatigue.
- On occasions leading to Depression, Anxiety, and infertility.
Diagnosis
Any woman that has the above symptoms should request a referral to a Gynaecologist. Normally, after getting a good history from the individual, the Specialist may suspect Endometriosis based on the woman’s symptoms and findings during a pelvic exam.
Full diagnosis occurs after a Laparoscopy which is a minimally invasive procedure under general anaesthetic to view inside the pelvic cavity, and other areas to see if there are any endometrial cells or lesions present.
Treatment
Treatments to manage Endometriosis can vary based on the severity of symptoms and whether pregnancy is desired. No treatments cure the disease.
A range of medications can help manage Endometriosis and its symptoms.
Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics (painkillers) like Ibuprofen and Naproxen are often used to treat pain.
Hormonal medicines like GnRH-analogues and contraceptive (birth control) methods can also help control pain. These methods include:
- Oral Medication.
- Hormonal intrauterine devices (IUDs).
- Vaginal rings.
- Implants.
- Injections.
- Patches.
These methods may not be suitable for those wanting to get pregnant.
Surgery can, sometimes be used to remove Endometriosis Lesions, adhesions and scar tissues. Laparoscopic surgery (using a small camera to visualize inside the body) allows doctors to keep incisions small.
Endometriosis Awareness Month is in March each year. The reason for an awareness month is to ensure people are aware of just how debilitating the condition can be and how much it can affect a person in both their home life and work life.
To understand how Occupational Health can offer guidance and advice for someone who is impacted by Endometriosis in the workplace, please contact our Team on admin@a-ohs.co.uk.
Further information
Endometriosis UK offers a comprehensive support network for those affected by Endometriosis. Their services include:
- Helpline: You can call their helpline for information and emotional support.
- Support Groups: Join local support groups to connect with others who understand what you’re going through.
- Web Chat: Access real-time support through their web chat service.
- Online Community: Engage with an online community of individuals who share their experiences and offer support.
Endometriosis UK (https://www.endometriosis-uk.org/)
The Endometriosis Foundation
The Endometriosis Foundation is another UK-based charity dedicated to raising awareness and providing support. They offer:
- Accurate Information: Reviewed and approved by Specialists.
- Support Services: Various support options to help those affected by Endometriosis.