{"id":718,"date":"2017-01-23T13:26:53","date_gmt":"2017-01-23T11:26:53","guid":{"rendered":"http:\/\/womana.com.cy\/?p=718\/"},"modified":"2017-02-06T12:04:16","modified_gmt":"2017-02-06T10:04:16","slug":"endometriosis-adolescence-adult-life","status":"publish","type":"post","link":"https:\/\/www.womana.com.cy\/en\/endometriosis-adolescence-adult-life\/","title":{"rendered":"Endometriosis from adolescence to adult life"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_section-b82e7e3452f9a3c77df7f0079b179560\">\n.avia-section.av-av_section-b82e7e3452f9a3c77df7f0079b179560{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/woman.jpg);\nbackground-position:0% 100%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-av_section-b82e7e3452f9a3c77df7f0079b179560 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-minimum-height av-minimum-height-25 av-height-25  container_wrap fullsize'  data-section-bg-repeat='stretch' data-av_minimum_height_pc='25' data-av_min_height_opt='25'><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-718'><div class='entry-content-wrapper clearfix'>\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-av_section-3c1fdba40d338b16ca77c196ccce61e6 main_color avia-section-default avia-no-border-styling  avia-builder-el-1  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-718'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_three_fourth-6126cab7d8fab8d08143dd2dacdf673c\">\n.flex_column.av-av_three_fourth-6126cab7d8fab8d08143dd2dacdf673c{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-av_three_fourth-6126cab7d8fab8d08143dd2dacdf673c av_three_fourth  avia-builder-el-2  el_before_av_one_fourth  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-3c6400551231c9233619e907947e1e47\">\n#top .av-special-heading.av-av_heading-3c6400551231c9233619e907947e1e47{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-3c6400551231c9233619e907947e1e47 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-3c6400551231c9233619e907947e1e47 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-3c6400551231c9233619e907947e1e47 av-special-heading-h1 blockquote modern-quote modern-centered  avia-builder-el-3  el_before_av_hr  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Endometriosis from adolescence to adult life<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<div  class='hr av-av_hr-bad5bc90bcef2f12297bff634a297b07 hr-short  avia-builder-el-4  el_after_av_heading  el_before_av_textblock  hr-center'><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-198\" src=\"http:\/\/womana.com.cy\/wp-content\/uploads\/2016\/12\/endometriosis-300x180.jpg\" alt=\"endometriosis\" width=\"300\" height=\"180\" srcset=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/endometriosis-300x180.jpg 300w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/endometriosis-450x270.jpg 450w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/endometriosis.jpg 599w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>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.<\/p>\n<p>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\u2019 symptoms that will deteriorate and will develop even more severe endometriotic lesions cannot be predicted.\u00a0 Women that stay pregnant below the age of 30 and have normal body weight reduce the risk of endometriosis.<\/p>\n<p>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.<\/p>\n<p>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.\u00a0 The contraceptive pill and the progesterone intrauterine device can help only the low grade of endometriosis. Estrogens usually exacerbate the disease. Extensive endometriosis\u00a0 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.<\/p>\n<\/div><\/section><br \/>\n<div  class='av_promobox av-av_promobox-67c1b8e9697bc6253e4fca0d3ed3c085 avia-button-yes  avia-builder-el-6  el_after_av_textblock  avia-builder-el-last '><div class='avia-promocontent'><p>\n<strong>Vasilios Tanos MD PhD,<\/strong><br \/>\nProfessor of Obstetrics and Gynecology, St. George&#8217;s Medical School at the University of Nicosia and Aretaeio Hospital in Nicosia<\/p>\n<\/div><div  class='avia-button-wrap av-av_button-56c0c563c33b74ca4940a3785deaea82-wrap avia-button-right '><a href='https:\/\/www.womana.com.cy\/en\/contact\/'  class='avia-button av-av_button-56c0c563c33b74ca4940a3785deaea82 av-link-btn avia-icon_select-yes-left-icon avia-size-large avia-position-right avia-color-theme-color'   aria-label=\"Contact\"><span class='avia_button_icon avia_button_icon_left avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue805' data-av_iconfont='entypo-fontello' ><\/span><span class='avia_iconbox_title' >Contact<\/span><\/a><\/div><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_fourth-586d5a7772599657b90ecdbdf66a14c1\">\n.flex_column.av-av_one_fourth-586d5a7772599657b90ecdbdf66a14c1{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-av_one_fourth-586d5a7772599657b90ecdbdf66a14c1 av_one_fourth  avia-builder-el-7  el_after_av_three_fourth  avia-builder-el-last  flex_column_div av-zero-column-padding  '     ><div  class='avia-builder-widget-area clearfix  avia-builder-el-8  avia-builder-el-no-sibling '><section id=\"newsbox-2\" class=\"widget clearfix avia-widget-container newsbox\"><h3 class=\"widgettitle\">\u0386\u03c1\u03b8\u03c1\u03b1<\/h3><ul class=\"news-wrap image_size_widget\"><li class=\"news-content post-format-standard\"><div class=\"news-link\"><a class='news-thumb ' title=\"Read: The New 9 Vaccine against Cervical Cancer and Genital Warts\" href=\"https:\/\/www.womana.com.cy\/en\/new-9-vaccine-cervical-cancer-genital-warts\/\"><img decoding=\"async\" loading=\"lazy\" width=\"36\" height=\"36\" src=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-36x36.png\" class=\"wp-image-487 avia-img-lazy-loading-487 attachment-widget size-widget wp-post-image\" alt=\"\" srcset=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-36x36.png 36w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-80x80.png 80w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-300x300.png 300w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-180x180.png 180w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-705x705.png 705w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-120x120.png 120w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM-450x450.png 450w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2017\/01\/MEDIUM.png 725w\" sizes=\"auto, (max-width: 36px) 100vw, 36px\" \/><\/a><div class=\"news-headline\"><a class='news-title' title=\"Read: The New 9 Vaccine against Cervical Cancer and Genital Warts\" href=\"https:\/\/www.womana.com.cy\/en\/new-9-vaccine-cervical-cancer-genital-warts\/\">The New 9 Vaccine against Cervical Cancer and Genital Warts<\/a><span class=\"news-time\">April 28, 2017 - 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12:31 pm<\/span><\/div><\/div><\/li><li class=\"news-content post-format-standard\"><div class=\"news-link\"><a class='news-thumb ' title=\"Read: Preventive Medicine in Gynaecology\" href=\"https:\/\/www.womana.com.cy\/en\/preventive-medicine-gynaecology\/\"><img decoding=\"async\" loading=\"lazy\" width=\"36\" height=\"36\" src=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-36x36.jpg\" class=\"wp-image-273 avia-img-lazy-loading-273 attachment-widget size-widget wp-post-image\" alt=\"\" srcset=\"https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-36x36.jpg 36w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-80x80.jpg 80w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-180x180.jpg 180w, https:\/\/www.womana.com.cy\/wp-content\/uploads\/2016\/12\/Preventive-medicine-in-Gynaecology-2-120x120.jpg 120w\" sizes=\"auto, (max-width: 36px) 100vw, 36px\" \/><\/a><div class=\"news-headline\"><a class='news-title' title=\"Read: Preventive Medicine in Gynaecology\" href=\"https:\/\/www.womana.com.cy\/en\/preventive-medicine-gynaecology\/\">Preventive Medicine in Gynaecology<\/a><span class=\"news-time\">January 23, 2017 - 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12:23 pm<\/span><\/div><\/div><\/li><\/ul><span class=\"seperator extralight-border\"><\/span><\/section><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":198,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Endometriosis from adolescence to adult life - womana<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.womana.com.cy\/en\/endometriosis-adolescence-adult-life\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endometriosis from adolescence to adult life\" \/>\n<meta property=\"og:description\" content=\"Endometriosis and ovarian endometriotic cysts seriously threaten normal ovarian function and ovulation and may cause infertility. 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