Low Back Pain Dx: Endometriosis (Gyneologic System) Clinical Presentation: Endometriosis is a condition that can occur in women, who may present with intermittent, cyclical, or constant pelvic and/or back pain.1 Symptoms tend to come and go with the menstrual cycle and can be a key sign to recognizing the condition.1 Other symptoms of endometriosis include pain in the hypogastric and perineal region, and pain in lower back and lower extremities.1 Hallmark symptoms of endometriosis are general pelvic pain, dysmenorrhea, and dyspareunia.2 Other symptoms may include painful bowel movements or pain during urination while on menstrual period, spotting before and between periods, heavy or irregular menstrual bleeding, nose bleeds, coughing up blood,
Vaginal Prolapse Overview- Uterine prolapse occurs in a woman when uterus is detached from its place and penetrates the vagina. This occurs because of a weakening of the pelvic floor that supports and maintains the pelvic organs in place. The symptoms of prolapse are numerous: the patient will experience mainly pain and the feeling of a visceral movement. The choice of therapy is based on the degree of severity of uterine prolapse.
According to Bulletti, et. al. (2010), “Endometriosis is defined as the presence of endometrial-like tissue (glands and stroma) outside the uterus, which induces a chronic inflammatory reaction, scar tissue, and adhesions that may distort a woman’s pelvic anatomy. Endometriosis is primarily found in young women, but its occurrence is not related to ethnic or social group distinctions. Patients with endometriosis mainly complain of pelvic pain, dysmenorrhea, and dyspareunia.
The doctor will then do a transvaginal ultrasound. That gives him access to see the uterus, ovaries, and Fallopian tubes. He can detect many abnormalities that may lead to infertility such as fibroids, polyps, tubal occlusion, or ovarian cysts (“Infertility: Symptoms, Treatments, Diagnosis”). The doctor will also educate the couple on what is causing their infertility, and he will inform them of all of their options. He will also test the woman’s blood for certain hormones.
Other factors that cause miscarriage includes chromosomal anomalies, infections, anatomical problems of the uterus, hormonal imbalances, blood-clotting disorders, immunological malfunctions, maternal illness, lifestyle factors, stress, substance use, ectopic pregnancy, and gestational trophoblastic
Some rare symptoms are premature ovarian failure, infertility, and seizures. Infertility is the inability to have children. Cause of the Disorder Triple-X is caused in two ways, mosaic and nondisjunction. Mosaic is when “incorrect cell division caused by a random error event in the embryo’s development.”(www.mayoclinic.org)
In 1992, the Centers for Disease Control and Prevention reported an ectopic pregnancy rate of 19.8 per 1,000 pregnancies compared with a rate of 3.7 per 1,000 pregnancies in 1980. Lipscomb GH, et al (2000).Although early diagnosis and modern management techniques have contributed to a marked decline in mortality, ectopic pregnancy remains one of the leading causes of maternal morbidity and mortality as cited by Dorfman SF, Grimes DA, Cates W Jr, et al (2008).Undiagnosed ectopic pregnancy can result in rupture of the fallopian tube with intra-abdominal bleeding, leading to haemorrhagic shock and death. The most common manifestations of ruptured ectopic pregnancy are abdominal pain, light headedness, and vaginal bleeding, which collectively can be of moderate sensitivity but low specificity. The first essential branch point in the majority of guidelines for the management of ectopic pregnancy includes a sensitive qualitative urine β-subunit of human chorionic gonadotropin (β-hCG) assay. A negative test result is used to exclude the diagnosis of pregnancy and thereby a possible ectopic gestation.
The most common organs involved are the uterus (uterine prolapse), the bladder (cystocele), anterior rectal wall (rectocele), and small bowel (enterocele). These organs prolapse out of their normal position and shift into or expel out of the vaginal canal. A prolapse can occur if an individual 's lower pelvic floor muscles are weakened and damaged from excessive pressure and stretching, which can be caused by prolonged and vaginal childbirth, surgery, advancing age, chronic constipation, cancer, and even obesity. Additionally, postmenopausal women have an increased risk of pelvic organ prolapse due to the decreased production of estrogen, which is an essential component in manufacturing collagen. Therefore, a decrease in estrogen is associated with a decrease in collagen, which normally enables the supporting tissues and ligaments in the pelvic cavity to stretch and return to their normal size and position.
Monchek and Wiedaseck define Hydatidiform mole as a disease resulting from an atypical growth of the trophoblastic cells that would normally develop into the placenta. It starts at the time of fertilization due to a defective union of the sperm and ovum, which causes an aberrant proliferation of the trophoblastic tissue that rapidly fills the uterine space explains Monchek and Wiedaseck. Monchek and Wiedaseck describe the “mole” as an edematous, grape-like structure formed by the filling of the placental villi with fluid. “The incidence of hydatidiform mole is 1 per 1000 pregnancies” explains Beena, Jose, Teerthanath and Shetty (2016). The importance of this disease is the loss of pregnancy and the possibility of developing choriocarcinoma
In some cases, a woman could have been raped, or been in a situation of incest that passes multiple copies of genes to the fetus that could cause genetic mutation. It could also affect the women financially where she could not be able to take care of the child, or could interfere with her education
The laparoscope allows the specialist to check the pelvic organs and abnormal tissues or signs of infection in the pelvis. This procedure is especially useful for detecting endometriosis and chronic pelvic inflammatory disease. Treatment The treatment is based on your individual issue.
Women when on chemo may experience hot flashes, irregular periods, or sudden onset of menopause. They could become permanent or they could just be temporary. Women may also experience dryness of vaginal tissues that can make intercourse uncomfortable or painful, the chance of vaginal infections increase. Chemotherapy can harm a fetus. Especially in the first 3 months of pregnancy when the organs are still developing.