Patient's question:
What is the difference between endometriosis and adenomyosis? Which one is more difficult to treat? Which one affects fertility?Doctor's answer:
Hello; The cause of endometriosis remains unclear. It may be that endometrial cells are transplanted in some way outside the uterus and continue to grow. This transplantation may occur during menstruation, when small fragments of endometrial tissue that have detached are reversed through the fallopian tubes into the abdominal cavity instead of flowing out of the body with menstrual blood.Endometriosis can cause lower abdominal and pelvic pain, irregular menstruation, spotting before the onset of normal periods, and infertility. Some women with severe endometriosis have no symptoms, while others with very mild lesions experience unbearable pain.
When endometrial tissue attaches to the colon or bladder, symptoms such as bloating, pain during intestinal movement, rectal bleeding during menstruation, or lower abdominal pain during urination may occur. If endometrial tissue attaches to the ovaries or nearby, it may sometimes form endometriotic cysts, which are filled with old blood. Occasionally, the rupture of a cyst can cause sudden severe abdominal pain.