AT Home with Lorraine Kelly - June 2011 - (Page 147)

WHAT IS ENDOMETRIOSIS? Endometriosis is one of the commonest causes of pelvic pain in young women. The endometrium is the lining of the womb that is shed during a period, and in endometriosis, this tissue is found outside the uterus, mainly in the pelvis, where it grows under the influence of the hormone oestrogen. The exact cause for this abnormal deposition of endometrium is not known but it is now believed that there may be multiple causes rather than a single cause. During the time of a period, these tissues also bleed leading to inflammatory changes around them. This causes pain and adjacent tissues to stick to each other (adhesions). WHO GETS THE CONDITION? , About one in 10 women of childbearing age are affected by some degree of endometriosis. Symptoms typically begin between the ages of 20-40, but the condition can affect women of any age from puberty onwards. DIAGNOSIS Endometriosis may be suspected with one or more of the aforementioned symptoms, but there is a considerable overlap with symptoms of other conditions such as irritable bowel syndrome and pelvic infection. There is often a delay between symptom onset and diagnosis – the average time-lapse between the onset of symptoms and a definitive diagnosis being about seven years. The disease often commences in one’s teens, but diagnosis is often delayed due to difficulty in distinguishing endometriosis from common menstrual pain due to prostaglandin excess. For a definitive diagnosis, a laparoscopy is the gold standard investigation. WHAT TREATMENTS ARE AVAILABLE? SYMPTOMS Since the cause of endometriosis remains unknown, a cure has yet to be discovered. The treatment of severe endometriosis is, however, complex, and a multidisciplinary approach is best. Choosing a treatment comes down to individual needs and varies from simple pain relief to hormonal treatments to temper the production of oestrogen. Surgery is necessary in some cases. DOES SURGICAL TREATMENT RELIEVE PAIN? INFERTILITY Surgical removal of endometriotic lesions may reduce endometriosis-associated pain. Some women choose, as a last resort, to have a hysterectomy, but this does not guarantee complete pain relief. Mild endometriosis is commonly found in women who have difficulty in conceiving. Severe disease can cause infertility due to the distortion of pelvic anatomy. Assisted conception and IVF may sometimes be required. Is there a cure for endometriosis? No. But it can be treated through a combination of medical, surgical and alternative treatments. Will I be able to have children? It is estimated that about 30-40% of women with endometriosis may have difficulties in becoming pregnant. Will pregnancy cure endometriosis? No, but the reduction of oestrogen during pregnancy lessens symptoms. When should surgery be considered? In its mild form, endometriosis can be excised at the time of a laparoscopy. • Dysmenorrhoea (painful periods) • Dyspareunia (pain during intercourse) • Cyclical or perimenstrual symptoms, such as bladder urgency/frequency, with or without bleeding or pain • Chronic pelvic pain • Dyschezia (back passage pain on opening the bowels) • Dysuria (pain passing urine) • Ovulation pain • Heavy and prolonged periods • Pre-menstrual spotting • Passing blood on opening the bowels during a period • Haematuria (blood in the urine) Endometriomas or ovarian cysts do not respond to medical treatment and need surgery to be removed. Other indications for surgical treatment are failed medical treatment for symptom control, infertility and endometriosis causing obstruction in the bowel or kidney. THE KENT ENDOMETRIOSIS CENTRE The Kent Endometriosis Centre (Kendoc), based in Tunbridge Wells, is a centre of excellence for the treatment of endometriosis for both NHS and private patients. For further information visit www.kendoc.org.uk or email ghunt@kendoc.org.uk MR OLIVER CHAPPATTE, MBBS, FRCS (London), FRCOG Clinical Director KENDOC http://www.kendoc.org.uk http://www.kendoc.org.uk http://www.kendoc.org.uk

Table of Contents for the Digital Edition of AT Home with Lorraine Kelly - June 2011

Editor’s letter
Hello from Lorraine
Notebook news
Update your calendar
Mum’s the word
In the shade
Beach baggage
Pick a straw
Foot fever
Be bold
Beach chic
Vintage veterans
Celebrity style
Up close and personal
Steal Lorraine's style
Lorraine and friends
Happy hiker
Birth order
Going the distance
Intimacy in numbers
Tales of triumph
Breaking up
Splits in the spotlight
Skill savvy
Bucket list
Serious saving
Big days
Notorious nuptials
In the know
Treat your feet
Drink up
Time of the month
Conception made clear
Manage your menopause
The big C
Battling the blues
Skinny stars
Health hotlist
The new atkins
Sumptuous Summer
Stop fussing
Gym bunny
Hot to trot
Crystal clear
Stop the clock
Dimple doom
Forever young
Make-up made easy
Polish perfect
Luscious locks
Fix it
Dental dos
Banish that blemish
Shopping for baby
Size 20 at seven
Indian spice
Exotic Indonesia
Lone traveller
Offshore weddings
Summer makeover
Room revamp
Keep cosy
Feeling board?
Coming soon
Craft savvy
Guilty pleasure
Rock that frock
Book corner
Final countdown
TRAVEL SUPPLIMENT
TRAVEL - Celeb campers
TRAVEL - Camp it up
TRAVEL - We love it
TRAVEL - Little britain
TRAVEL - Holiday lodges
TRAVEL - Quirky places to stay
TRAVEL - Transport yourself
TRAVEL - Best days out
TRAVEL - A brit special
PETS SUPPLIMENT
PETS - Star pooches
PETS - Pet products
PETS - Make the right choice
PETS - Caring for your animal
PETS - Feeding time
PETS - When pets get poorly
PETS - time to shift some weight
PETS - Me and my beloved pet
PETS - Animal rescue
PETS - What a picture!
CAREERS SUPPLIMENT
CAREERS - Lorraine's career path
CAREERS - Beauty and brains
CAREERS - C'est chic
CAREERS - Girls at work
CAREERS - Just the job!
CAREERS - Go out and get it
CAREERS - Pick and choose

AT Home with Lorraine Kelly - June 2011

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