The moon dedicated to celebrating the woman, March is dedicated worldwide to the awareness of endometriosis.
Endometriosis, known in the people as "unborn woman's disease", is a chronic gynecological disorder that manifests itself through the development of the endometrial tissue lining the uterine cavity in other areas outside the uterus.
Most commonly, endometriosis occurs in the peritoneal region, the ovary, the bladder, the intestines, and the recto-vaginal septum. In rare cases, the presence of endometrial tissue and the diaphragm, internal organs, lungs, and even brain have been reported.
It is estimated that 1 out of 10 women of reproductive age is affected by endometriosis and up to 50% of women with infertility are suspected of this pathology.
"There is currently no clear evidence of endometriosis figures. We strive to have official statistics on this. We are talking about a 10% prevalence of the disease in relation to the general population. What we know for sure is that 50% of these women suffer from infertility, so it is of general interest to study the causes, correct diagnosis and timely treatment of this pathology, "explains Prof. Dr. Elvira Bratila, obstetrics-gynecologist, Head of Clinical Hospital of Obstetrics and Gynecology "Prof. Dr. Panait Sarbu ", Founding Member of the East European Endometriosis and Fertility Society and President of the Romanian Society of Uroginecology.
Therefore, the East Endometriosis and Infertility Society opened the series of awareness-raising events with a public lecture on infertility, for this reason.
On Saturday, the conference was attended by patients as well as guest speakers of prestigious gynecologists: Acad. Prof. Dr. Bogdan Marinescu, Prof. Dr. Elvira Bratila, Assoc. Prof. Claudia Mehedinţu, Assist. Univ. Dr. Andreea Veliscu, Infertility in the Endometriosis Context ", organized by the Association Eu and Endometriosis in partnership with the East European Endometriosis and Infertility Society.
The topics addressed had different perspectives on new approaches to investigating endometriosis lesions, infertile couples' solutions, investigative possibilities, assisted human reproductive techniques, or fertility conservation, for example, through "social freezing" techniques.
The treatment options were highlighted, focusing on the surgical ones, highlighting the benefits of minimally invasive surgery, especially the benefits of the Da Vinci robot, a state-of-the-art surgical solution.
Benefits of patients following robotic surgery include: rapid recovery, low postoperative pain, low need for postoperative analgesic medication, low blood loss, low trauma to the abdominal wall, fewer scars, low complications, reduced hospitalization time, and rapid reintegration into social activity.
Prof. Elvira Bratila stresses that, above the "technique", there is a need for a personalized and multidisciplinary approach to pathology, combining the expertise of the gynecologist, the general surgeon, the imagist physician, the infertility specialist.
Endometriosis affects social capacity, work capacity, quality of life on all lines, family and social. It is a disease that pre-menstrual prey during menstruation or all the time. That is why the psychological perspective of the disease has completed the "picture", the patients present at the conference invoking dramatic personal experiences, revealing the concept of "silent epidemic", but in fact very "noisy" in terms of symptomatology and complex consequences at family and social level.
Without recognizing the cause, we can not talk about prevention. "The primary objective is to find means of early diagnosis. At present, the only definite diagnosis is obtained from surgery, which highlights the nature and extent of disease-specific lesions. Another important goal for a woman of childbearing age is to get a pregnancy or, as the case may be, to preserve fertility if we put the issue of a "radical" intervention, "says Dr. Elvira Bratila.
The East European Endometriosis and Infertility Society was set up in 2017 due to the alarming decrease in fertility and birth rates, with both a major medical and psychosocial and financial impact on society. Additionally, about 50% of infertile patients also suffer from endometriosis, hence the need for associated study of the two pathologies.
Information and active involvement of patients is another essential element in addressing these pathologies, the idea of reuniting members focusing on collaboration between the medical team and the patients. The Society wishes to develop a fundamental study program on the pathogenesis, diagnosis and treatment of endometriosis, as well as research on the field of infertility and the improvement of pregnancy and neonatal prognosis.
Endometriosis may present different forms of manifestation:
- Strength: are present in the form of fibroblast fibrous tissues that bind organs between them, producing pain, intestinal transit disorder (constipation or even intestinal occlusion), or may require other surgical interventions.
- Endometrioame: are classically presented as low internal ecostructure cystic structures, but may also have thick septa, thickened walls or ecogenic foci.
- nodules: variable size formations that can develop in various areas of the pelvis. Endometriotic nodules can be located between the vagina and the rectum, in the bladder, colon, vagina, or even the lungs.
The two main manifestations of this chronic disease are: chronic pelvic pain of variable intensity and infertility. More than 70% of patients diagnosed with endometriosis suffer one or more relapses during their lifetime. This affects the physical and mental well-being of endometriosis patients. All these events have a negative impact on the quality of life.
EESEI will facilitate the exchange of ideas and information between specialists in the field, in collaboration with specialized education institutions, public institutions, economic agents or non-governmental organizations in the country and abroad. It is desirable to develop awareness programs for the general public to reduce risk factors, improve conservative and surgical treatment, improve the quality of life of patients with endometriosis, and improve the fertility of women at this stage of life.
It is the first time in Romania, when in the month dedicated to global endometriosis awareness, patients and physicians alike face face to face, talking about endometriosis! All the more so as the event is organized by the NGO "Eu and Endometriosis", in partnership with the East European Endometriosis and Infertility Society.