بطانة الرحم المهاجرة: كل ما يجب أن تعرفه النساء مع البروفيسور عمر الغزاوي في برنامج صحتك والطبيب”

Guest: Professor Omar Laghzaoui Boukaidi, Gynecology and Obstetrics Specialist, Meknes What is Endometriosis? Endometriosis occurs when tissue similar to the uterine lining (endometrium) grows outside the uterus . It can be inside the uterus wall (adenomyosis) or outside (on ovaries, fallopian tubes, bladder, rarely lungs or brain). Affects around 10% of women worldwide . Causes / Theories Retrograde menstruation: Some menstrual blood flows backward through the fallopian tubes, carrying endometrial cells into the pelvis. Stem cell origin: Some women have cells outside the uterus that can develop into endometrial tissue. Vascular or lymphatic spread: Rarely, endometrial cells may travel via blood vessels to distant organs. No single confirmed cause; it’s likely a combination of factors, including genetic predisposition . Common Symptoms Severe menstrual pain : Pain can start with menstruation and may become constant. Pain during intercourse : Especially if endometriosis is near the cervix. Heavy or prolonged periods : Can last up to 10 days or more. Painful urination or blood in urine : If endometrial tissue affects the bladder. Can affect fertility in about 10–15% of women. Diagnosis Ultrasound (sonography) – especially during menstruation. MRI – for deeper tissue or hidden lesions. Laparoscopy – both diagnostic and therapeutic, allowing removal of endometrial tissue. Biological tests (e.g., saliva tests) exist but are expensive. Treatment Options Medications Hormonal therapy (birth control pills, hormonal IUDs) to reduce estrogen, controlling tissue growth. Pain relievers and anti-inflammatory drugs. Surgery Laparoscopic or open surgery to remove endometrial lesions. Surgery may be needed if medication doesn’t control symptoms. Lifestyle & Support Regular check-ups and early diagnosis improve outcomes. Stress management, relaxation, yoga, and exercise. Diet adjustments: reduce dairy and inflammation-promoting foods; eat omega-3-rich foods like fish and nuts. Important Advice Endometriosis can appear at any age, even after childbirth. Early diagnosis and proper treatment help reduce pain and prevent complications . Families, spouses, and schools should understand the condition to support affected women. While endometriosis is chronic, with proper management, women can lead normal lives. Conclusion The disease is not well-known , but awareness is critical. Women experiencing severe menstrual pain, prolonged bleeding, or fertility issues should seek gynecological evaluation .