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WHO set March as the 'moon vigilant endometriosis'. No exaggeration, because the threat is very serious endometriosis as a chronic and progressive disease.
Endometriosis mostly affects women of reproductive age (20-45 years). The disease is characterized by pain and impaired fertility. Even stigma endometriosis synonymous with deadly cramps ( "killer cramps'). It's not uncommon for women with endometriosis can not perform daily activities due to complaints of pain that is felt every month in conjunction with the time of menstruation.
However, pain is felt not only during menstruation, but also pain during intercourse, urination, and defecation. Another complaint is felt that constipation and even diarrhea that occur regularly every month, in which the cause of constipation and diarrhea are not clear (non-specific).
In addition to experiencing pain, women with endometriosis often visited fertility clinics because of impaired fertility. It often happens when examined, it was found that the presence of endometriosis in women.
Endometriosis is a disease characterized menstrual blood material growth outside the uterine cavity. Most endometriosis is found in the pelvic cavity of women for material menstrual blood spreads into the pelvic cavity through the fallopian tubes fallopian that occur during menstruation. The rest is found in other organs such as the skin, bladder, intestines, lungs, and others.
Progress medical world reach out to the diagnosis of endometriosis. Precise and accurate diagnosis can be done by laparoscopy. Laparoscopy is a minimally invasive surgery by inserting a small camera lens into the abdomen to see the state of the abdominal cavity. Well, laparoscopy should be performed in the operating room with general anesthesia.
Complaints endometriosis are not typical and the need for surgical laparoscopy for diagnosis that are not owned by all the medical services led to delays in the diagnosis of endometriosis. Furthermore, this impact the delay in handling.
In fact, proper treatment is needed to prevent the development impact worse. Endometriosis deteriorate if the recurrence is not uncommon to force patients to undergo surgery more than once, even had to give up his organs such as the uterus, ovaries, and part of the intestines and urinary tract to be removed or amputated. This situation increases the occurrence of disability or disability in patients with endometriosis.
In developed countries, the delay in diagnosis occurred between 6-10 years, so it might just be in developing countries, including Indonesia any longer. This delay may be due to patient factors (community), physicians (providers) and health facilities (infrasutruktur).
People are still not familiar with endometriosis, there are still many people assume that menstrual pain (Java language: ndhilep) it is normal. In addition there are a lot of people assume that menstrual pain will disappear automatically if married or pregnant. This is what causes people not immediately checked himself into a doctor to ensure that experienced normal menstrual pain or not.
The presence of clinical signs and symptoms are varied in endometriosis causes some difficulties doctors make a diagnosis of endometriosis. Moreover, if the complaint is deemed not from the womb disease, it will be much longer referred to a gynecologist.
Treatment of endometriosis requires long-term treatment. Treatment of endometriosis can be done with oral medication or injections, surgery or the Assisted Reproductive Technology (TRB) where the treatment is done not stand alone but in combination, are complementary to one another.
No word 'cured' patients unless the relevant endometriosis menopausal. During the premenopausal patients, so long as it is also easy to relapse of the disease so that long-term treatment should be done to prevent a recurrence.
In order to maintain reproductive health and pain free from now let us increase in awareness of the endometriosis. Menstrual pain is not (always) normal. Immediately act when they feel uncomfortable on the organs associated with reproduction.
Call gynecologist for early detection. Treatment of endometriosis quick and precise help women undertake the responsibilities that are not easy to maintain the quality of life of the family as the smallest unit of society of a nation.
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