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What is Rectovaginal Endometriosis?
RectovaginalEndometriosisis a diseased condition that happens when the endometrial tissue that trace the uterus develop outside of it and attaches to the rectum or the vagina . The vernacular areas where Rectovaginal Endometriosis has its effect admit the vagina , rectum , uterosacral ligaments , and rectovaginal septum . At times , this condition also interpose with the normal functioning of the bowels . The endometrial tissue that grow outside of the uterus are term as adhesions . As a result of these adhesions , large growths form that can be quite abominable and can bear upon the operation of the nearby organs.[1 ]
Rectovaginal Endometriosis can also cause internal hurt which can make bleeding and other complicatedness . Endometriosis is subdivided into four categories depending on the austereness . Rectovaginal Endometriosis add up under the fourth class mean that it is the most severe form of endometriosis . Studies suggest that more than 30 % of females with endometriosis have Rectovaginal Endometriosis . Treatment wise , there is no cure for this condition but both conservative and operative treatments are available for treating the symptom of Rectovaginal Endometriosis.[1 ]
Frequently , Rectovaginal Endometriosis has been live to be associated with other form of pelvic endometriosis , specifically ovarian endometriosis.[1]The clause below highlights some of the presenting features of Rectovaginal Endometriosis and ways to deal the stipulation .
What Are The Presenting Features of Rectovaginal Endometriosis?
The primary presenting features of Rectovaginal Endometriosis let in excessively arduous catamenial periods . The female person will also live bleeding in between periods as well . Severe cramping is also one of the primary symptom of Rectovaginal Endometriosis . Sexual sexual congress is extremely awful in female person with this shape . The female will also have severe pain around the vesica area along with incontinence.[2 ]
The rankness of a female also gets affect as a result of Rectovaginal Endometriosis . Additionally , the female person will also have to strain when passing gut movements which will be very painful . At times , there may be bleeding from the rectum . In some case , irregularity along with looseness of the bowels is also determine in females with Rectovaginal Endometriosis along with severe painfulness in the stomach.[2 ]
Some female person with Rectovaginal Endometriosis also complain of swell around the rectum , vagina , or the perineal country . It should be noted here that not everyone with Rectovaginal Endometriosis will have hard symptom . There are showcase where female person have mild Rectovaginal Endometriosis but will still have intense symptoms and other female with life-threatening Rectovaginal Endometriosis will have minimal symptoms . Thus , the severity of the condition can not be gauged just by the severity of the symptom alone.[2 ]
What Are The Treatment Options For Rectovaginal Endometriosis?
regrettably , as of now , there is no cure for Rectovaginal Endometriosis but treatment are available that can assist deal with the symptom of this condition . The treatments are both conservative as well as operative in nature . Some physicians prescribe hormonal birth ascendancy pill . These comprise progesterone which is quite effective in preventing buildup of endometrial tissues.[2 ]
It has been seen that about 40 % of females with Rectovaginal Endometriosis be given to get melioration with hormonal giving birth control pills . However , these medication can cause sure side effects like headaches and bloat . It may also moderate to weight gain . It should also be noted that female who are desirous of conceiving should avoid these internal secretion birth control pills . If these medications are ineffective in controlling the symptom of Rectovaginal Endometriosis , then surgery is the itinerary consume by physicians to manage the symptoms.[2 ]
A laparoscopic surgical operation can be performed to remove the adhesiveness . This procedure is minimally encroaching and demand use of a laparoscope with a camera attached to it to look around the area of the adhesions and remove them when identified . This procedure also give a exculpated thought to the physician about the severity of the precondition . extra handling will be postulate of Rectovaginal Endometriosis which may lead in certain internal complications like transmission or enteric blockage.[2 ]
In cases where a female person does not wish to get pregnant , then hysterectomy along with ovariectomy can be performed to remove the entire womb and ovary and the adhesion along with it . This will make most of the symptom away . However , there have been cases where female have continued to have symptoms despite complete remotion of the uterus and ovaries . Thus this operative operation can not be taken as a cure for Rectovaginal Endometriosis . Removal of adhesions becomes dead necessary in masses with severe Rectovaginal Endometriosis.[2 ]
In conclusion , Rectovaginal Endometriosis is a inveterate condition in which the endometrial tissues that line the uterus start growing in the rectovaginal field outside of the womb . The vagina and rectum are mostly involve in this precondition . Rectovaginal Endometriosis can affect the fertility of a distaff and thus diagnosis and discourse is necessary.[1,2 ]
As of now , there is no cure for this condition but treatments in the shape of giving birth command hormonal pill and surgery tend to improve the symptom significantly and even increase the chances of the female getting pregnant . In some cases , even after operating room , there may not be arrant improvement of the symptoms and therefore surgical procedure may also be followed with medications to prevent young adhesions from grow or slow down the appendage of maturation . If a distaff suspect that she might have Rectovaginal Endometriosis then it is skillful to consult with a gynecologist for a thoroughgoing evaluation and discourse of the condition.[2 ]
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