The expert explains 12 myths and facts about endometriosis

In Brazil, even if the diagnosis has not yet been made, about 10% of women of childbearing age suffer from endometriosis – a disease characterized by the growth of the uterine lining outside the inner wall of the uterus, which can cause many damages to the quality. from life. Therefore, the Brazilian Society of Endometriosis and Minimally Invasive Surgery (SBE) annually promotes the Yellow March, a campaign that raises awareness of the importance of early diagnosis and post-diagnosis care.

On March 10 and 11, the SBE held “SBE and ELAS” – a free event, which can be visited in person or via the Internet, where patients can ask questions to specialists (registrations: https: //materiais.sbendometriose.com.br / sbe-e- elas-marco-amarelo).

SBE Chair, Dr. D. Helizabet Salomão Abdalla Ayroza Ribeiro, exploits history to unearth key myths and facts about endometriosis.

1. Is the cause of endometriosis unknown?

TRUE. There is no single cause of the disease, but genetic, hormonal, immunological or environmental factors can influence the onset of endometriosis.

2. Is it possible to have endometriosis and not have symptoms?

TRUE. Most patients experience very strong contractions. flatulence; Pain during sexual intercourse, pain when urinating and defecating. and/or fatigue. But there is a smaller group of asymptomatic patients. They may, for example, not experience pain and only detect disease when looking for infertility.

3. Is the disease diagnosed quickly?

myth. There are surveys that show some women take up to ten years after first symptoms are diagnosed. This is why it is important to find a medical professional. He will make the diagnosis from the patient’s history and gynecological physical examination. You may also order additional tests, such as an ultrasound and MRI of the pelvis.

4. Can endometriosis be dangerous?

TRUE. Endometriosis is a benign disease. However, in some cases it can be serious depending on the symptoms and the affected tissues and organs.

5. Is there a cure for endometriosis?

myth. There is no cure for endometriosis, but with medical follow-up and appropriate treatment, they significantly reduce symptoms and can preserve the patient’s reproductive future.

6. Is endometriosis a disease affecting elderly women?

legends. The average age of women with the disease is 27 years, but the disease also occurs in adolescent girls with their first cycles. It is important for the patient to always seek help when she has the first symptoms in order to start treatment as soon as possible.

7. Does treatment always include surgery?

The treatment is personal according to each case. In most cases, the indication is the use of medications, such as hormones, analgesics, and anti-inflammatories) and lifestyle changes (food, sleep, physical exercise, meditation). Only in specific and more serious cases may surgery be required.

8. Does endometriosis lead to obesity?

myth. Some patients may experience flatulence, but the disease itself does not lead to fattening. Weight gain can be a side effect of hormone therapy. If this happens, it is important to speak to your doctor.

9. Is endometriosis synonymous with infertility?

myth. Although 40% of women with this disease have some difficulty getting pregnant, endometriosis should not be seen as synonymous with infertility. For patients infertile due to endometriosis, there are possibilities for clinical and surgical treatment associated with assisted reproductive technologies for a potential pregnancy.

10. Can women with endometriosis who successfully become pregnant have a risk of pregnancy?

TRUE. The condition of the endometrium affects the development of the placenta, which increases the chances of premature labor and placental abruption.

11. Can the diet affect the symptoms and treatment of the disease?

TRUE. Nutrition is a great ally in managing endometriosis symptoms. We recommend an anti-inflammatory diet rich in quality fats (fish oil and omega-3s); Fruits rich in vitamins C, E, and vitamin D. Red meat, sausage, and ultra-processed industrial foods should be avoided as they lead to oxidative stress and an increase in hormones such as testosterone and estradiol, which affect the exacerbation of inflammation and pain.

12. Is it possible to have a normal life with endometriosis?

TRUE. Increasingly, multidisciplinary care, which includes various specialties of medicine, as well as areas of nutrition, naturopathy, psychology, and complementary therapies, is able to provide support for patients with endometriosis. With the observation of trained health professionals, women can enjoy a good quality of life.