The definition of endometriosis has been fairly straight forward: the presence of endometrial glands and endometrial lining tissue (or the stroma, what the glands grow in) outside the uterine lining where it naturally occurs. But the definition has become more complicated: maybe the person with a spot of endometriosis who has no pain doesn't even really have endometriosis. We now properly term endometriosis: the endometriosis syndrome. The endometriosis syndrome is associated with the errant tissue, but also with pain, various somatic symptoms, and infertility. Endometriosis syndrome pain can be menstrual cramps, it can be bloating, it can be painful intercourse. The endometriosis syndrome likely begins with the very first menstrual period, and it is characterized by progression and recurrences. Those who are born with abnormalities of the uterus and those who grow uterine abnormalities are more prone to developing the endometriosis syndrome. So women with bicornuate uteri or uterine fibroids are more likely to have the endometriosis syndrome. Since the syndrome is associated with immune problems that either caused it or worsened the syndrome other medical complaints are associated with the endometriosis syndrome. These complaints range from headaches, to chronic fatigue, joint problems, and allergies. Newer studies have linked the endometriosis syndrome to eczema, vaginal yeast infections and under active thyroid gland. the newest challenge is to link the diagnosis of the endometriosis syndrome to the appropriate symptoms and to decide how the surgical diagnosis of endometriosis is most appropriately applied to cases that otherwise are clearly a diagnosis of endometriosis syndrome.
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...
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