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Can You Still Get Endometriosis After Menopause

How Rare Is Pregnancy After Menopause

Help with Menopause and Endometriosis from Dr. Connealy – Yvette’s Testimonial

Although pregnancy after menopause is very rare, it can lead to vaginal bleeding like pregnancy in reproductive years. Thus, when women refer to clinics or hospitals with complaints of postmenopausal bleeding, the possibility of pregnancy should be included in the differential diagnosis by physicians or midwives.

How Do I Get A Second Opinion Can I Be Referred To Another Consultant

It is important to feel able to communicate with your healthcare professional. They should check your understanding of the condition, explain any medical terms and let you ask questions. If you are not happy or dont feel comfortable with the advice or treatment from your GP or consultant, do ask for a second opinion. Before you get a second opinion it is worth considering whether this is due to a breakdown in communication. If you do not understand an explanation you have been given, you could ask your doctor to explain it to you again. Your GP will be able to give you advice on getting a second opinion from a consultant. If you wish to see a different GP, you can make an appointment with another GP in the practice or try to change practices. NHS direct has a useful guide to getting a second opinion on the NHS.

What Are Dioxins Are They Making Endometriosis Worse

Dioxins are chemicals found in our environment. They are released into the atmosphere from the manufacturing and burning of items such as paper and plastics. There is a theory that certain toxins in our environment, such as dioxin, can affect the body, the immune system and reproductive system and cause endometriosis. Research studies have shown that when animals were exposed to levels of dioxin, they developed endometriosis. This theory has not yet been proven for humans.

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Choosing A Minimally Invasive Hysterectomy

For most cases of endometriosis, excision surgery is the most effective treatment. But for some cases of endometriosis in severe advanced stages, a hysterectomy that removes the ovaries may also be necessary to relieve symptoms. While a hysterectomy does not cure endometriosis, removing organs that have been damaged due to pelvic adhesions and inflammation can alleviate pain.

Im 61. I dont need these organs. I had a complete laparoscopic hysterectomy, Dorran said. After surgery with Dr. Danilyants I could tell this time was different. I dont like taking medicine. I had painkillers when I left. I got home from the surgery, I had one when I got home and that was it. I had surgery on a Thursday, rested on Friday and on Saturday I was up and doing normal stuff. Now I feel like I could run a mile. I dont feel like I just had surgery.

When I was getting ready to come back to work from surgery, I had to get my hair done. The hairdresser was amazed that I could lean back. You can see the difference after a minimally invasive hysterectomy. When I had my open surgery and had to go back to work, it took forever not to feel pain. Even the difference of walking outside, you put your foot on the cement versus walking around the house in your slippers and its jarring. It was very different this time.

Live your life pain-free. Talk to a patient advocate to get started on your health journey today.

Considerations Regarding Type And Timing Of Hrt

Menopause And Balance After Endometriosis Can Spread ...

Adjusting the type and timing of the treatment plan may mitigate the potential risks of HRT highlighted by our case reports and series.

Type: oestrogen-only, combined or tibolone

Our review retrieved evidence on three main types of HRT: oestrogen-only, combined and tibolone.

Tibolone therapy has also been associated with recurrence of endometriosis . One RCT included in our review considered the use of tibolone, as compared with combined HRT, but the results should be interpreted with caution given the small sample size . concluded that tibolone might be a safer alternative to traditional HRT in patients with residual endometriotic disease, but no statistically significant difference was seen between the groups.

Notably, one case report highlights the importance of asking patients about their use of supplements or complementary/alternative medication. Five-year use of a highly concentrated isoflavone supplement was associated with florid recurrence of endometriosis and ureteral malignant mullerian carcinosarcoma . This report raises further concerns over the use of phytoestrogens in postmenopausal women with a history of endometriosis , despite some clinical and animal literature suggesting a reduced risk of endometriosis with dietary isoflavones . Given the high prevalence of supplement use, it is important to further explore the relationship between phytoestrogens and endometriosis.

Timing: initiation and duration

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Treatment Of Ovarian Cysts After Menopause

Treatment options may involve surgery to remove the cysts or other treatments for health conditions that may be causing them. Surgery, including ovary removal, may be recommended for postmenopausal women with large, non-simple cysts and other risks factors, such as history of ovarian or breast cancer.

If You Have Endometriosis

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This content is accurate and true to the best of the authors knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.

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The Benefits And Dangers Of Lupron

Lupron reduces the amount of estrogen a persons body produces, which can both help manage endometriosis symptoms and have negative effects. Decreased estrogen production can cause headaches, mood swings, hot flashes, and infertility.

Oftentimes, warning labels or doctors list these side effects individually, but rarely do they use the word menopause. But menopause is the reality of Lupron for many patients. This process is permanent. Once someone reaches menopause, the changes to their body cannot be undone. These massive changes to a persons physiology can trigger mental and emotional distress that may manifest in mood disorders and even, in some cases, suicidal tendencies.

Whether or not a person has endometriosis or has taken Lupron, common symptoms of earlier-than-average menopause include increased stress, anxiety, and depression. These conditions often result from infertility and other early menopause health issues. In other words, the changes patients face when their bodies undergo this process earlier than expected take a toll on their mental health, that may be unrelated to the physiological hormone changes taking place.

The Management Of De Novo Endometriosis In Postmenopausal Patients And Pain Management

Endometriosis and Menopause: Will it Go Away?

De novo endometriosis appears especially after unopposed estrogen therapy or obesity, which has an additional effect for increasing the risk of endometriosis development.

Postmenopausal women with symptomatic endometriosis should be managed surgically with removal of all visible endometriotic tissue because of the higher risk of recurrence and the risk of malignancy . A similar approach is recommended by current ESHRE recommendations. Medical therapy can be used in case of pain recurrence after surgery or if surgery is contraindicated. Co-morbidities represent an additional risk to contraindicate surgery and include advanced age or pelvic adhesions from previous surgery . Approximately 12% of all endometriosis cases will finally require a hysterectomy with or without oophorectomy . To prevent recurrences, to restore bowel, urinary, or sexual function or to alleviate pain it is now recommended to remove all the implants .

Progesterone administration has been proposed as a reliable alternative treatment in patients with contraindication for surgery, but, up to date, no extensive data is available and further studies are needed regarding progesterone use in postmenopausal endometriosis .

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Is There A Risk Of Worsening Endometriosis By Taking Hrt After Having An Oophorectomy Or Taking Medications To Cause Menopause

There is a theory that HRT contains just enough hormone to keep your bones healthy and to help with menopause symptoms and contains a low enough dose to not have an effect on endometriosis. This is called the estrogen threshold theory.

This means that it is rare for endometriosis to recur or get worse when on HRT but it is possible. It is more likely if there is a residual endometriosis and your HRT only contains estrogen.

What Other Health Conditions Are Linked To Endometriosis

Research shows a link between endometriosis and other health problems in women and their families. Some of these include:

  • Allergies, asthma, and chemical sensitivities
  • Autoimmune diseases, in which the body’s system that fights illness attacks itself instead. These can include , , and some types of .
  • Certain cancers, such as and breast cancer

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Other Treatments For Postmenopausal Endometriosis

Other treatments for endometriosis after menopause will largely depend upon how severe signs and symptoms are.

Other than HRT or hysterectomy, whose proven risks were discussed earlier, postmenopausal women may be prescribed over-the-counter pain relievers for the discomfort or aromatase inhibitors to reduce the amount of estrogen in the body.

For those who wish to preserve their uterus and ovaries, conservative surgery may be undergone, during which a doctor may perform a laparoscopic or abdominal procedure to remove endometriosis lesions. Even so, endometrial pain after menopause post-op may return.

Nevertheless, always consult a doctor before starting any treatment regimen, natural or clinical, to ensure its safety.

Severe Consequences For Ignoring Endometriosis

Pin op Breast Fibroids

A new surgeon and another operation discovered extensive diffuse adenomyosisthe rogue endometrial cells had buried themselves deep into the uterus muscle wall.

Such adenomyosis is only treatable with a hysterectomy, but I was only 26, far too young.

In addition to severe pain, adenomyosis causes infertility, high rates of miscarriage and birth defects due to the damaged muscle and an impaired blood supply.Had doctors discovered and removed the endometriosis before it got so extreme, the adenomyosis would not have developed.

I had to cope with chronic, severe pain and undergo two more endometriosis-removal operations before I was allowed to have a hysterectomy at age 38. They still wouldn’t take my ovaries out, because I am too young.

I am now unable to have children, because my period pain was ignored by doctors.

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Is There A Risk Of Reactivated Endometriosis Transforming Into Cancer

Reactivation of endometriosis by HRT is very rare and it is impossible to say how likely it is for endometriosis to turn into cancer. However, there have been a few reported cases of it occurring. This means that while on HRT, if you develop new symptoms or old symptoms start to recur, it is important to discuss this with your healthcare professional who can start any investigations that are needed. From all the evidence it seems that there is very little risk of reactivation of endometriosis or cancer for women on HRT who have had a removal of both of their ovaries and all of their endometriosis removed. For women with some endometriosis who are under 45 or who have significant menopause symptoms the evidence suggests that the benefit of taking HRT to manage the menopause symptoms outweighs the small risk of worsening of the endometriosis or risk of cancer.

Endometriosis And Early Menopause

    Endometriosis is a condition in which tissue like the endometriumtypically found in uterine liningdevelops outside the uterus. The most common symptom is extreme pain during or around a persons time of menstruation, and for some, this pain may be disabling and may happen during or after sex, or during bowel movements or urination.

    In some cases, patients experience constant pelvic or lower back pain as a result of the tissue growth. While there is no known cure for endometriosis, there are several ways doctors recommend their patients control their symptoms using medication, in addition to excision surgery to remove excess tissue. Hormonal contraceptives, for example, are believed to curb the growth of the endometrium outside the uterus and provide pain relief.

    If the Pill does not provide enough relief, however, many doctors recommend their patients try Lupron, an injectable medicine which treats endometriosis, uterine fibroids, and premature puberty. Although many endometriosis patients report positive outcomes, it is not a cure-all. Every patients experience is different, and some find the adverse side effects outweigh any positive impact the drug has on their condition.

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    My Friends Family Or Partner Are Having Difficulty In Understanding How I Feel Or Why I Cant Join In How Can I Help Them To Understand

    Each of the above will have different reasons for not understanding. It may help you to try and think of what they might be. They may feel helpless or blame themselves. They might not know how to act around you. They could be worried about how to talk to you and what to say. They may feel shut out, neglected, or miss doing the things you used to do together. The key to any good relationship is communication. Being open and honest is the best way to move forward. If you are happy to discuss your illness, let them know what is happening, tell them how you feel and how the condition is affecting you. If they do not know what is happening, they dont have the chance to understand.

    It is hard for people to understand something that they have not experienced themselves. You could give them the number of our free Helpline because our volunteers would be happy to talk to them. They may find it easier to ask questions of a volunteer they do not know rather than ask you. You could also ask them to visit our website or provide them with copies of our leaflets and publications about endometriosis.

    Observational Studies And Clinical Trials

    What is the Effect of Menopause on Endometriosis – 139

    Only six observational studies and clinical trials were identified by our search, highlighting the paucity of higher-level evidence in this area. These studies aimed to cover a variety of clinical questions, and the evidence for these is summarized below and in Table . All assessed recurrence of endometriosis as their primary outcome.

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    Treating Endometriosis With Premature Menopause

    Not all younger-than-average menopausal patients with endometriosis are necessarily taking Lupron, though. Karen Smoger, 33, of Pennsylvania went through menopause after having several organs surgically removedincluding her uterus, cervix, and ovariesto treat her endometriosis symptoms. Leading up to her diagnosis, she experienced body dysmorphia and was actually incorrectly diagnosed with bipolar disorder as a result.

    Although the long, painful process of getting diagnosed and undergoing several surgeries was painful and, at times, traumatizing, she said she feels the route she chose was the best for her. Her journey to a pain-free life has allowed her to get back in touch with her physical self and feel comfortable in her own skin again.

    I still feel very open, wounded, raw, but I have a whole new perspective, and Im a lot calmer and I feel a lot more centered, she said. The psychological weirdness of not having any of my female reproductive organs anymore is there, but finally, inside I feel like the person I see in the mirror.

    Despite suffering multiple miscarriages throughout this process and the difficult conversations Smoger has had with her husband about infertility and possibly adopting a child in the future, she did note significant improvements in their sex lifesomething many endometriosis patients hope to achieve in their treatment.

    Ovarian And Uterine Cancers

    Ovarian and uterine cancers can cause abdominal or pelvic cramping. Older people are at higher risk of developing these cancers than younger people.

    Other symptoms of these cancers can include:

    • vaginal bleeding

    Conditions that cause cramps after menopause may be more likely to occur in people who:

    • started their periods before the age of 12
    • began menopause after the age of 52
    • take estrogen to help control the symptoms of menopause
    • have a family history of ovarian or uterine cancers

    If abdominal or pelvic cramps are accompanied by other concerning symptoms, especially vaginal bleeding, a person should see a doctor, as soon as possible.

    Anyone who is concerned about abdominal or pelvic cramping should also see a doctor.

    A doctor will ask a person about their symptoms and medical history and do a physical examination. They may recommend referral to a specialist for further testing.

    To discover if an underlying condition is causing abdominal cramps, a doctor may perform one or more of the following tests:

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    Should I Have Treatment For My Endometriosis

    The decision about whether or not to have treatment is up to the individual. Any decisions should be made in partnership with the patient and their healthcare professional. The patient should be aware of all the benefits and risks associated with a form of treatment and be comfortable with it. It is not compulsory to have treatment for endometriosis and the decision whether to treat it will depend upon the severity of the disease and symptoms, and also any issues surrounding fertility.

    What Happens At Menopause If You Have Endometriosis

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    Menopause for women with endometriosis is the same as for women who do not have endometriosis. However, the menopause experience is individual and ranges from no symptoms to severe symptoms.

    If you had a surgical menopause your ovaries were removed, with or without your uterus then menopause symptoms will be experienced unless you start menopausal hormone herapy, or MHT soon after the surgery.Usually, endometriosis does go away after menopause. However, it can come back when you are on MHT, but this is rare. Even more rarely, it can return spontaneously.

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