Endometrioma is a type of cystic blood disease, which is most common during fertile years, before menopause; although mildly altered, it can cause certain symptoms such as pelvic pain and severe menstrual cramps, as well as affect a woman’s fertility.
In many cases, endometrioma disappears after menstruation, but in women with endometriosis it can remain, irritating ovarian tissue and causing symptoms to appear, requiring surgical treatment, depending on the severity of the disease.
Common symptoms of endometrioma include
The appearance and intensity of these symptoms vary from woman to woman, so each case should be evaluated individually by a gynecologist. However, in case of excessive pain or excessive bleeding, it is advisable to go to the hospital immediately.
Endometrioma occurs when a piece of tissue covering the uterus, known as the endometrium, detaches and leaves the ovary, forming a small bag that grows and builds up blood.
Normally, endometrioma only develops when hormones circulate and, as a result, many women have endometriomas after menstruation, when there is a sharp drop in levels of these hormones; However, for women with endometriosis, this process does not occur and therefore remains in the ovary and continues to irritate surrounding tissues.
When the endometrioma does not go away, it continues to grow and can even multiply, affecting a larger area of the ovary, which could eventually affect a woman’s fertility.
Endometrioma is not the same as cancer and there is a very low chance of becoming one; however, severe endometrioma can cause a variety of complications and may even recur after treatment.
The main complication of endometrioma is the decrease in women’s fertility, however, they are more common when they are too large, the woman presents more than she wants. Changes that usually interfere with fertility include:
Additionally, some women may also have a hormonal imbalance at the base of the endometrioma, so even if the egg is fertilized, it can be difficult to reach the lining of the uterus.
Treatment of endometrioma depends on the severity of symptoms and the size of the disease. In many cases, treatment can only be used with the continued use of a birth control pill that prevents menstruation, thus preventing blood buildup inside.
However, if it is too large or if very severe symptoms appear, your gynecologist may choose to have surgery to remove the affected sleed; However, if it is too large or deployed, the entire ovary may need to be removed.
Abdominal wall endometrioma may occur most often in women after a C-section near the scar.
Symptoms of abdominal wall endometrioma can be a painful tumor, the size of which increases during menstruation. Diagnosis can be made using an ultrasound or CT scan.
Treatment of an abdominal wall endometrioma is open surgery to remove the endometrioma and release the adhesions of the cells.