Dr. Marchese describes endometriosis and the ways it manifests itself.
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Dr. Marchese on Endometriosis Well endometriosis is a condition where the lining of the uterus starts to grow on the outside of the uterus and as it grows on the outside of the uterus, which it’s not supposed to do, it can adhere to other structures and organs in the pelvic area. For example, endometriosis can adhere to the fallopian tubes and affect fertility. It can adhere to the ovaries effecting ovulation and altering a woman’s hormones, and often times if it gets severe enough, endometriosis can adhere to the bowel and then women might come in complaining of painful bowel movements and I have even seen cases of endometriosis adhering to the bladder and all the way up high as the liver. So when it gets severe enough that lining of the inside of the uterus can start to grow on the outside and take over the pelvic cavity and then a woman’s main symptoms are painful menstrual cramps when she cycles each month. Sometimes these cramps can be so painful that she has to stay home from work and it really affects her daily life. Other symptoms could be pain with intercourse, pain with bowel movements, pain with urination. So pain is a big sign of endometriosis.
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