• Facebook
  • Youtube
  • Ελληνικά
  • English
Experts in Women Health Services
womana
  • HOME
  • THE DOCTOR
  • SERVICES
  • ARTICLES
  • NEWSLETTER
  • GUIDELINES
  • STUDENTS
  • CONTACT US
  • Menu Menu

Endometriosis from adolescence to adult life

endometriosis

The frequency of endometriosis in the general population reaches 80%. However, only 20% will finally be diagnosed with the disease. The cause of endometriosis development is unknown. The presence of the endometriotic lesions does not necessarily induce pelvic pain. The extent and the severity of the disease is not always accompanied with severe abdominal pain. However few small lesions can occasionally cause very intense cyclic pains. In some cases the symptoms of dyspareunia, dyschesia and dysmenorrhea are so severe that the quality of life is severely compromised. Painkillers usually do not alleviate the cyclic pains. Adolescents suffering from dysmenorrhea have 70% risk to have endometriosis.

It seems that during menstrual cycle, endometrial cells travel through the tubes into the pelvic cavity on the surface of the bowel and the peritoneum. Unfortunately the patients’ symptoms that will deteriorate and will develop even more severe endometriotic lesions cannot be predicted.  Women that stay pregnant below the age of 30 and have normal body weight reduce the risk of endometriosis.

The ultrasound and magnetic resonance image (MRI) provide today the most reliable diagnosis of ovarian endometriomas upto 1.5cm in size. Endometriosis foci on the bowel and peritoneum are difficult to be detected with imaging techniques. Their diagnosis is possible by abdominal or transvaginal laparoscopy.

Excision and ablation of the endometriotic lesions is considered the most efficient way of treatment. In depth knowledge and skills regarding endometriosis surgery are of primary importance in order to achieve satisfactory post-operative results.  The contraceptive pill and the progesterone intrauterine device can help only the low grade of endometriosis. Estrogens usually exacerbate the disease. Extensive endometriosis  and ovarian endometriotic cysts seriously threaten normal ovarian function and ovulation and cause infertility. The development of the chronic pelvic inflammation causes fibrosis and adhesions contributing to severe abdominal pains. The laparoscopic operation must be on time and according to internationally accepted protocols. Laparoscopic surgery is indicated when ovarian cysts of endometriosis are larger than 3-5cm while smaller lesions can be treated by transvaginal laparoscopy. The gonadotrophin releasing hormone analogues (GnRHa) can stop the estrogen secretion, inflammation and edema only temporarily. Usually GnRHa are administrated for 3 -6 months but they cause hot flashes, vaginal dryness and mood swings.

Vasilios Tanos MD PhD,
Professor of Obstetrics and Gynecology, St. George’s Medical School at the University of Nicosia and Aretaeio Hospital in Nicosia

Contact

Άρθρα

  • The New 9 Vaccine against Cervical Cancer and Genital WartsApril 28, 2017 - 4:59 pm
  • Natural rejuvenation of the vagina and vulvaJanuary 23, 2017 - 1:34 pm
  • Spontaneous abortions and recurrent pregnancy lossJanuary 23, 2017 - 1:30 pm
  • MenopauseJanuary 23, 2017 - 1:28 pm
  • Endometriosis from adolescence to adult lifeJanuary 23, 2017 - 1:26 pm
  • Endoscopy (key hole surgery) for diagnosis and treatment in GynaecologyJanuary 23, 2017 - 1:24 pm
  • Pap test and HPV vaccination in cervical cancer preventionJanuary 23, 2017 - 12:33 pm
  • Polycystic Ovarian Disease from childhood to adult lifeJanuary 23, 2017 - 12:31 pm
  • Preventive Medicine in GynaecologyJanuary 23, 2017 - 12:30 pm
  • Modern Obstetrics and Gynecology – WomanaJanuary 23, 2017 - 12:23 pm
womana
womana

The Doctor

Vasilios Tanos MD PhD,
Professor of Obstetrics and Gynecology, St. George’s Medical School at the University of Nicosia and Aretaeio Hospital in Nicosia, Cyprus

Services

  • Preventive Medicine
  • Gynecology
  • Reproductive Medicine and Surgery
  • Obstetrics
  • List of operations

Find us

Aretaeio Hospital
55-57 Andrea Avraamides, 2024 Nicosia, Cyprus

+357 22 200 629

info@womana.com.cy

fb.com/womana.com.cy

© 2022 Dr Vasilios Tanos. All Rights Reserved. Website Designed & Developed by ECONSTRUO DIGITAL
Disclaimer | Privacy Policy
Scroll to top

By continuing to use this website, you consent to the use of cookies in accordance with our Cookie Policy.

Learn moreAccept

Cookie and Privacy Settings



How we use cookies

We may request cookies to be set on your device. We use cookies to let us know when you visit our websites, how you interact with us, to enrich your user experience, and to customize your relationship with our website.

Click on the different category headings to find out more. You can also change some of your preferences. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer.

Essential Website Cookies

These cookies are strictly necessary to provide you with services available through our website and to use some of its features.

Because these cookies are strictly necessary to deliver the website, you cannot refuse them without impacting how our site functions. You can block or delete them by changing your browser settings and force blocking all cookies on this website.

Google Analytics Cookies

These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience.

If you do not want that we track your visist to our site you can disable tracking in your browser here:

Other external services

We also use different external services like Google Webfonts, Google Maps and external Video providers. Since these providers may collect personal data like your IP address we allow you to block them here. Please be aware that this might heavily reduce the functionality and appearance of our site. Changes will take effect once you reload the page.

Google Webfont Settings:

Google Map Settings:

Vimeo and Youtube video embeds:

Privacy Policy

You can read about our cookies and privacy settings in detail on our Privacy Policy Page.

Privacy Policy