FAQ's
Bringing new technology over from the USA, may lead to a whole host of questions.
We have out together an array of FAQs our customers ask, along with some general Endometriosis questions.
If you have any more queries you can get in touch with us today, we will be happy to help where we can.
ENDOSURE Ltd
Official Partner
FAQs
Some Questions about the test, and some general Endometriosis Questions...
How is Endometriosis usually diagnosed?
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of it, often causing pain and other symptoms. Diagnosing endometriosis typically involves several steps:
- Medical History and Symptoms: The diagnosis process begins with a thorough review of the patient’s medical history. The healthcare provider will ask about symptoms such as pelvic pain, heavy menstrual bleeding, and any impact on daily activities. Understanding menstrual patterns and any family history of endometriosis can also provide valuable insights.
- Pelvic Exam: During a pelvic exam, the doctor will physically examine the reproductive organs for any abnormalities. This may include checking for cysts, scars, or other irregularities in the pelvic area, which can indicate the presence of endometriosis. Please note that we tend to avoid internal examinations in the clinic unless clinical necessary.
- Imaging Tests: If initial assessments suggest endometriosis, imaging tests like ultrasound or MRI may be requested. These tests can help visualize any endometrial tissue, cysts, or lesions, providing a clearer picture of the extent of the condition.
- Laparoscopy: The most definitive method for diagnosing endometriosis is laparoscopy, a minimally invasive surgical procedure. A small camera is inserted into the pelvic cavity through a tiny incision. This allows the surgeon to directly observe the reproductive organs and identify any endometrial tissue. Laparoscopy may also involve taking biopsies for further analysis. There are inherent risks of surgery and two weeks are usually needed for recovery.
- Biopsy: If endometrial tissue is detected during laparoscopy, a biopsy may be performed. This involves taking a small sample of tissue to confirm the diagnosis of endometriosis and rule out other conditions.
Each step in the diagnostic process is crucial for accurately identifying endometriosis and determining the best course of treatment. If you suspect you have endometriosis or are experiencing related symptoms, we can guide you through the diagnostic process and discuss potential management options. Early diagnosis can lead to more effective treatment and improved quality of life
How Accurate is the Endosure Test?
Published data has demonstrated that the EndoSure Test can support an accurate diagnosis of endometriosis 98-99% of the time, as confirmed by surgical findings.
In a study, all 90 women with endometriosis were correctly identified by the test, resulting in no false negatives.
How Long does it take to Diagnose Endometriosis?
Diagnosing endometriosis can be a complex and lengthy process, often taking between 7 to 10 years from the onset of symptoms. This delay occurs for several reasons.
Firstly, the symptoms of endometriosis can vary widely among individuals and often overlap with other conditions, such as irritable bowel syndrome (IBS) or pelvic inflammatory disease (PID). Common symptoms include chronic pelvic pain, painful periods, pain during intercourse, and fertility issues, but they can be mistaken for other health issues.
Additionally, the gold standard for diagnosing endometriosis is a surgical procedure known as laparoscopy. This is a minimally invasive surgery that allows doctors to view the pelvic organs and identify endometrial tissue growing outside the uterus. Because surgery is involved, both patients and healthcare providers may hesitate to proceed with this step until other less invasive options are explored.
Furthermore, there is often a lack of awareness and understanding of endometriosis, both among the general public and within the medical community. This can lead to misdiagnosis or underdiagnosis. Women may also normalize their pain, believing it’s a typical part of their menstrual cycle, and delay seeking help.
Is the Test Painful?
This a painless test and you remain fully clothed throughout. We advise that your bring some headphones or an iPod along as you will need to lie very still during the 30 min recording.
What is Endometriosis?
Endometriosis is a chronic and often painful medical condition characterized by the growth of tissue similar to the endometrium, which is the lining of the uterus, outside the uterine cavity. Endometriosis, is a condition which affects approximately 10% of women assigned female at birth from puberty to menopause. In the UK this equates to over 1.5 million women.
Endometriosis is commonly found on the ovaries, fallopian tubes, and the tissue lining the pelvis, but it can also be found in more distant locations, including the bladder, intestines, and even the lungs. When the abnormal endometrial tissue is found in the uterine muscle it is called adenomyosis – often known as ‘the wicked sister’
What are the common symptoms of Endometriosis??
The symptoms of endometriosis can vary significantly from person to person, and some individuals may experience severe symptoms while others may have mild discomfort. Common symptoms include:
It is important to note that some women with very mild clinical disease (Stage 1) can experience debilitating symptoms whereas those women with severe clinical disease (Stage IV) may have little in way of pain.
What are the causes of Endometriosis?
The exact cause of endometriosis remains unclear, but several theories exist, including:
- Retrograde Menstruation: This theory suggests that menstrual blood flows backward through the fallopian tubes into the pelvic cavity instead of leaving the body.
- Embryonic Cell Transformation: Hormones such as oestrogen might transform embryonic cells into endometrial-like cell implants during puberty.
- Immune System Disorders: A compromised immune system may fail to recognize endometrial-like tissue growing outside the uterus, allowing it to thrive.
- Genetics: Endometriosis may run in families, indicating a possible genetic component.
Is Endometriosis Hereditary?
One of the intriguing aspects of endometriosis is its potential hereditary nature. Research has indicated that genetics may play a significant role in the development of this condition.
Studies have shown that women who have a family history of endometriosis are at a higher risk of developing the condition themselves. For instance, if a woman has a mother or sister diagnosed with endometriosis, her risk can be significantly elevated—some studies suggest that the risk may increase by as much as 7 to 10 times. This familial tendency points to a possible genetic predisposition, although the exact mechanisms are still not fully understood.
However, it is essential to recognize that endometriosis is not solely determined by genetics. The condition is multifactorial, meaning that it arises from a combination of genetic, environmental, and hormonal influences. Factors such as exposure to certain chemicals, lifestyle choices, and reproductive history can also contribute to the development and severity of endometriosis.
Additionally, researchers are investigating specific genes that may be associated with endometriosis. While some progress has been made in identifying potential genetic markers, more research is needed to establish concrete links between specific genes and the condition.
If you have concerns about endometriosis and its hereditary nature, especially if you have a family history of the condition we can help at the Endometriosis Centre.
Does Endometriosis Affect Fertility?
Yes, endometriosis can significantly affect fertility. This condition occurs when tissue similar to the lining of the uterus grows outside the uterus, often on the ovaries, fallopian tubes, and other pelvic structures. One of the primary ways endometriosis impacts fertility is through the formation of adhesions, which are bands of scar tissue that can bind organs together. These adhesions can distort the pelvic anatomy and disrupt the normal functioning of the reproductive system.
Additionally, endometriosis can lead to inflammation in the pelvic cavity. This inflammation may affect the surrounding organs and tissues, potentially causing pain and interfering with the implantation of a fertilized egg. In some cases, endometriosis can also cause the fallopian tubes to become blocked, preventing the sperm from reaching the egg or the fertilized egg from traveling to the uterus.
Hormonal imbalances associated with endometriosis can also play a role in fertility issues. The condition is often linked to irregular ovulation, which can make it more difficult to conceive. Furthermore, the presence of endometrial-like tissue outside the uterus can create an environment that is less favourable for conception and early pregnancy.
It’s important to note, however, that not all individuals with endometriosis will experience infertility. Many women with mild to moderate cases may still conceive naturally. When infertility is a concern, there are various treatment options available, including hormonal therapies to manage symptoms and improve fertility, as well as assisted reproductive technologies like in vitro fertilisation (IVF).
If you have endometriosis and are trying to conceive, we can provide guidance tailored to your specific situation, discuss potential interventions, and help you navigate the journey toward achieving pregnancy. Early diagnosis and appropriate management can enhance the chances of conception and improve overall reproductive health.
Is there a Cure for Endometriosis?
While there is currently no cure for endometriosis, various treatment options aim to alleviate symptoms and improve quality of life. These may include:
Pain Relief: Over-the-counter pain relievers like NSAIDs (ibuprofen or naproxen) can help manage pain.
Hormonal Therapies: These treatments aim to reduce or eliminate menstruation, thereby decreasing the growth of endometrial tissue. Options include birth control pills, hormonal IUDs, and other hormone-regulating medications such as Prostap and Zoladex. Newer drugs include Relugolix and Linzagolix.
Surgery: In cases where symptoms are severe or when fertility is a concern, surgical options may be considered to remove endometriosis lesions and cysts.
Lifestyle Changes: Dietary adjustments, exercise, and stress management techniques may also help manage symptoms.
What should I do if I suspect I have Endometriosis?
Endometriosis is a complex and multifaceted condition that can significantly impact the lives of those affected. Awareness and early intervention can be crucial in managing symptoms and improving quality of life We can help with an early diagnosis and a comprehensive treatment plan tailored to your individual’s needs to help manage your symptoms effectively and improve your overall quality of life.