Endometriosis - Toronto Malpractice Lawyer
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Endometriosis - Overview
Endometriosis a gynecological disease where the normal endometrial lining of the uterus travels up the fallopian tube and ends up outside the uterus, where it implants and grows independently. It can grow on the uterine wall, the ovaries, the bowels and the tissue surrounding the pelvic structures. In rare cases, it can spread beyond the boundaries of the pelvis.
The endometriosis tissue acts just like regular endometrial tissue. It proliferates in the days before the menstrual cycle and it bleeds during the menstrual period. When it acts like endometrial tissue and bleeds, it causes a great deal of pain during the menstrual period. Cysts can form, which are called endometriomas, and the surrounding tissue can become very irritated.
The main symptom of endometriosis is pain in the pelvis, which is usually associated with the menstrual period. This is much greater pain than is associated with the regular menstrual period. It gets worse over time.
Other signs and symptoms of this disorder include the following:
- Pain with intercourse, that usually occur during or following sexual activity.
- Pain with urination or bowel movement, especially if the endometrial tissue lies on the bladder or bowel.
- Excessive bleeding, including bleeding between periods.
- Infertility. Many women with endometriosis seek help with an infertility specialist.
- Miscellaneous symptoms include diarrhea, bloating, nausea, fatigue, and constipation, especially during menstrual periods.
Endometriosis is sometimes misunderstood and is mistaken for other diseases, such as an ovarian cyst or pelvic inflammatory disease. It can even be mistaken for irritable bowel syndrome, which causes similar symptoms.
No one knows the real cause of endometriosis but there are several different theories on how it occurs:
- It can be due to retrograde menstruation. This is considered the most common reason behind getting endometriosis. The menstrual tissue passes up the fallopian tubes during menstruation and it settles within the pelvic cavity instead of outside the body where it belongs.
- The cells in the abdominal and pelvic cavities have embryonic cells that grow into endometrial cells.
- There can be implantation due to a C section or endometrial scar that contains endometrial tissue within the scar.
- Endometrial cells can transport themselves through the lymphatic system or through the blood vessel.
- The immune system can be disordered to the point that the body is unable to recognize the abnormal cells growing outside of their normal location.
There are several risk factors of endometriosis, which include the following:
- Never giving birth in the past
- Having a first or second degree relative that suffered from endometriosis
- Having a certain medical condition that prevents the passage of menstrual tissue outside of the body
- Having a history of a pelvic infection
- Having a history of a uterine abnormality
It often happens many years after the onset of menarche (the first period). If you get pregnant, the signs and symptoms go away temporarily. The signs and symptoms go away as soon as you reach menopause, unless you take an estrogen containing supplement.
The complications of endometriosis include infertility. About one third to one half of women with endometriosis has some form of infertility. There can be tube blockage with endometriosis tissue, preventing ovulation. Women with mild to moderate disease, still have a chance of conception and the ability to carry the pregnancy to term. These women are advised to have children as soon as possible before the endometriosis gets worse.
Another possible complication includes ovarian cancer, which occurs at a higher than normal rate in women who get endometriosis. The other type of cancer that can occur is endometriosis-associated adenocarcinoma, a rare type of cancer that happens in older women who have had endometriosis.
Endometriosis can be diagnosed via a pelvic examination and ultrasound of the pelvis, which can show blood, endometriomas and endometrial tissue. A laparoscopy shows a much better picture of what is going on in the pelvic area.
Treatment includes medication for pain and surgery to remove as much endometrial tissue as possible. Hormone therapy with birth control hormones or other combinations of hormones can reduce pain and bleeding in women who do not desire a pregnancy.
Toronto Medical Malpractice Lawyers
The medical profession which includes doctors, nurses and hospital technicians usually provides a caring service with a high standard of excellence however there are occasions when things do go wrong. Our litigation service is completely free and our Toronto medical malpractice lawyers will deal with your case using a contingency fee arrangement which means that if you don’t succeed in receiving a financial settlement then your lawyer won't get paid.
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