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In This Section Many women have unexplained chronic pelvic pain for years before they are diagnosed with endometriosis. Traditional endometriosis treatments often involve the removal of the ovaries to minimize pain. At Johns Hopkins, our expert physicians use minimally-invasive techniques to help her manage endometriosis pain and also potentially save her ovaries, increasing the chances of conceiving her own child if she wishes. What is endometriosis? What is endometriosis?Endometriosis is a benign disorder characterized by the presence of endometrial tissue (the tissue that lines the uterus) outside the uterine cavity where it grows on the surface of reproductive, chest, abdominal and/or pelvic organs. Endometriosis implants are often superficial (coating the surface) but can invade surrounding structures or even grow into a mass, such as an ovarian cyst or tumor, within the uterus or abdominal wall. It is associated with inflammation which results in adhesions, scar tissue, and distorted anatomy. Cysts may range from the size of a pinhead to the size of a grapefruit; cysts, scars, and adhesions may all lead to infertility. Endometriosis is a common disorder, most prevalent between the ages of 25 and 40. Symptoms vary and are not strictly correlated with the severity of the disease; they may worsen with time, but tend to diminish during pregnancy and cease with menopause. Many women have no symptoms at all. Treatment depends on the severity of symptoms, the age of the woman, and whether she wishes to have children. Causes of endometriosisThe cause of endometriosis is unknown. Hereditary factors may be involved. Hormonal changes or recent pelvic surgery may promote endometriosis. Symptoms of endometriosis include:
DiagnosisA pelvic examination may reveal a suspicion of endometriosis. The doctor presses upon the uterus and ovaries to feel for any abnormalities. A definitive diagnosis requires:
Laparoscopy has several benefits:
Treatment options include:
Our Approach to EndometriosisAt Johns Hopkins, we use the very latest technology to diagnose and treat endometriosis. We also rely on a team of experts that extends beyond the gynecology department to manage this and other conditions that result in chronic pelvic pain. Our multidisciplinary team includes professionals in:
Whether a woman is planning to have children is the most critical question our endometriosis team at Johns Hopkins will ask. This will define future treatment options and the optimal approach to treatment. In our physicians’ experience, too often women are offered surgery as a way to minimize their pain by removing the ovaries. At Johns Hopkins, our physicians will always try the conservative treatment option, saving the ovaries, which can save child bearing potential and prevent menopausal symptoms. Our physicians will operate on the ovaries conservatively and rely on experienced colon rectal surgeons who can provide assistance and guidance during the surgery. Further, Johns Hopkins provides minimally invasive surgery for removing cysts. While endometriosis cannot be cured, our physicians can help women learn to manage the pain without unnecessary sterilization. Further fertility treatments are available at the Johns Hopkins Fertility Center. Research at Johns HopkinsUnderstanding the causes of pelvic pain and finding innovative treatments for endometriosis are priorities among Johns Hopkins gynecological researchers. Learn more about our endometriosis research. Does bowel endometriosis cause back pain?Symptoms of endometriosis of the bowel
bloating or gas. pain in the pelvic area or lower back. pain during sex. infertility.
What does bowel endometriosis feel like?What are the symptoms of bowel endometriosis? Women with bowel endometriosis may present with pain related to periods, pain on intercourse and /or on bowel movements. Other symptoms may include cyclical abdominal bloating, constipation or diarrhea. Rectal bleeding is uncommon.
What does endometriosis back pain feel like?It can feel sharp and stabbing, and medication usually won't help. Some women say it feels like their insides are being pulled down. They have a gnawing or throbbing feeling that can be severe. Backache.
Does endometriosis cause pain while pooping?Patients with endometriosis experiencing irregular bowel movements often describe their pain as sharp, like “cuts with razor blades.” Painful bowel movements, along with symptoms of constipation during menstruation or pain during sex, are significant signs that endometriosis is located in the large bowel.
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