April 02, 2024

Endometriosis, a silent epidemic impacting 10% of women worldwide

Termed a "modern epidemic," endometriosis emerges as a leading cause of chronic pelvic pain, with a profound impact on fertility, affecting up to 50% of women seeking treatment.
As March marks Endometriosis Month, the World Health Organization reports that approximately 10% of women of reproductive age globally are affected by this condition.
In South Africa, the prevalence of endometriosis often remains underreported due to factors such as high diagnostic costs, inadequate information dissemination, and underdeveloped healthcare infrastructure.
Among the myriad effects experienced by those grappling with endometriosis, fertility challenges emerge as one of the most distressing symptoms.
Endometriosis involves the growth of uterine lining cells outside the uterus, leading to symptoms like painful periods, chronic pelvic pain, and discomfort during intercourse.
The disease often exerts its most pronounced impact on reproductive health, presenting emotionally and mentally devastating consequences.
Endometriosis can hinder fertility by causing adhesions or scar tissue that binds the ovaries and fallopian tubes, preventing fertilization. Additionally, it may obstruct ovulation or impede egg production, complicating conception.
Moreover, the presence of endometriosis inside the uterus can lead to adenomyosis, disrupting embryo implantation. In pelvic regions, endometriosis creates a hostile environment, affecting egg quality and hindering fertilization and embryo development.
However, with accurate information on symptom management and available treatments, women can mitigate the disease's impact on their lives and their aspirations for family-building.
Dr. Abri de Bruin, Senior Medical Director at Genesis Reproductive Center, underscores the importance of awareness campaigns to address this 21st-century ailment.
Dr. Kamlanathan Subrayen, an esteemed endometriosis specialist, stresses the necessity of increased awareness among patients, families, and primary healthcare providers to counteract delays in diagnosis, particularly among adolescents.
Dispelling endometriosis myths, Dr. Subrayen underscores pivotal facts, including its potential onset at menarche, the misconception surrounding hysterectomies, and the significance of medical treatment in minimizing the need for recurrent surgeries.