What is endometriosis?
It is an external adenomyosis manifested by hypertrophy of the mucosa ( endometrium) lining the uterine cavity outside the interior of the uterus. Inflammatory foci are distributed around the reproductive organs, in the bladder, peritoneum or large intestine. Due to the inflammation that accompanies endometriosis, numerous adhesions form, which cause pain.
How common is endometriosis?
According to various sources, the incidence is as high as 10-15 per cent of women of reproductive age.
How is endometriosis treated?
1️⃣ Pharmacotherapy.
Hormones- aimed at quieting ovarian activity - cause a decrease in inflammatory foci and endometrial adhesions.
Analgesics- to help women function without pain or with less pain during endometrial exacerbations.
2️⃣ Operational treatment.
It involves removing foci of endometrium or the entire inflamed area. Sometimes the whole ovaries or the uterus including the adnexa are removed, all depending on the patient's condition and age.
*** The treatment of endometriosis is increasingly being combined with urogynaecological physiotherapy, which can provide great relief from the pain that accompanies patients dealing with this condition. After the operation, the urogynaecological physiotherapist will help the patient to return quickly and safely to daily activities. The urogynaecological physiotherapist will also mobilise the post-operative scar to prevent adhesions and, using appropriate manipulation techniques, relieve tension in the pelvis and spine, which will significantly reduce pain.
*** A proper diet supports the treatment of endometriosis. A properly balanced diet relieves intestinal symptoms, prevents bloating and helps with regular and painless bowel movements. Our clinical dietitian, Katarzyna Ring Andrzejczuk, manages patients with endometriosis, working closely with gynaecologists. It is important to remember that this is a supportive treatment, as there are no scientific studies proving the relationship between an appropriate diet and an improved quality of life in women affected by endometriosis.
What is urogynaecological rehabilitation for endometriosis?
- on the reduction of pain,
- on muscle relaxation,
- on respiratory therapy,
- on the normalisation of muscle tone,
- on learning body awareness,
- on improving deep pelvic sensation,
- on changing daily habits and activities to support rehabilitation,
- on mobilisation of the surgical scar,
- on massage if the relaxation of excessively tense tissues is needed,
- on the continuation of improvement at home through appropriately selected exercises that the patient can perform independently.
At Kids Medic you can benefit from the services of a urogynaecological physiotherapist by signing up with Ania Pyszniak
Ania Pyszniak
