Do I have endometriosis?

Endometriosis is common. The most common symptom of endometriosis is pain. Pain arises from the irritation of pelvic tissues (uterus, rectum, ovaries, tubes, bladder) which arises from the secretion of chemicals from the implants of endometriosis. How does it start? There are genetic predispositions, and possibly some increased risk in redheads.

The most common an most easily understood explanation is that most women have retrograde (back through the tubes) menstruation. This menstrual blood contains living endometrial cells from the inside lining of the uterus. These cells implant and grow in the areas around and behind the uterus. Initially they may appear clear, but eventually take on a blue-black "powder burn" appearance. They make your pelvis sore.

These implants respond to your monthly hormonal changes as the inside of your uterus does. The result is cramp pain, often radiating to the back or to one side. Cysts of endometriosis can occur in the ovary and are called endometriomas. Since the pelvis is sore, intercourse often is painful, especially around your period. Pain often occurs at ovulation as well. Mild endometriosis may be more painful than advanced endometriosis.

Eventually scar tissue forms between the tubes, ovaries, pelvic sidewalls, rectum and uterus. Many times it seems like someone poured glue into the pelvis. At this stage infertility is common. In early stages there seems to be little effect on fertility. Some women are more able to destroy the endometrial cells in the retrograde menstrual blood. These people often do not develop endometriosis.

With others whose immune functioning is different endometriosis may begin to develop in the teen age years.

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Your gynecologic health matters at every age. Dr. Paul Daum provides you with a full range of women’s services that address your health and well-being so that you can be the best you can be. Planning for or pregnant with a little one? Our caring staff are here to support you through the pregnancy journey, while Dr. Daum will deliver your baby and care for you in early motherhood. We deliver complete obstetrical care for the women with normal and high risk pregnancies from prenatal care, to delivery, and postpartum care.

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Caring for Women at Every Stage of Life

A woman needs OB/GYN services for every stage of her life... when she’s pregnant and when she’s not. Dr. Paul Daum and his staff are passionate about providing personalized quality health care to women of all ages. We are committed to giving all patients compassionate and comprehensive obstetric and gynecologic care. We offer outstanding and caring obstetrical care, guiding our patients through healthy and successful pregnancies.

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