Pregnancy Late in Life and the Risk for Endometriosis Video

Dr. Magtibay explains if a woman who becomes pregnant later in life has a greater risk for endometriosis and what she can expect during her first visit at Mayo Clinic when she suspect she has this condition.
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Pregnancy Late in Life and the Risk for Endometriosis The longer a woman delays her pregnancy, the greater the risk of developing endometriosis. And I think again that’s just a statistical phenomenon. Meaning the more time she has periods, the more time she has that retrograde menstruation into the abdomen, the greater the likelihood of developing endometriosis. And likewise, the more pregnancies that you have, the higher the progesterone states that are associated with pregnancy reduces your risk of developing endometriosis. Their first visit, what we will do is we will do a thorough history, examining and talking to her indirectly and in detail about what symptoms she has had when she specifically experiences the pain, specifically in relationship to her period. Does she have pain with intercourse? What causes the pain to worsen? What causes the pain to get better? And then a complete physical examination, particularly paying attention to the pelvic exam where we are feeling the uterus and how mobile that uterus is, and we are feeling the ovaries to see if there are any masses in the ovaries or any tenderness as we push on those structures on pelvic examination.

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