Endometriosis: the advice of the specialist doctor

Interview with Dr. Jean Thévenot, medical specialist, gynecologist-obstetrician.

How do you explain that this disease is so difficult to diagnose?

In fact, the disease is not known as a degenerative disease. We do not think that it can degenerate into cancer, or very rarely. That may be part of the answer. And then the pain reported by the patients are pain, not banal, but trivialized.

Women complain of pain at the time of menstruation, it is relatively trivial or unfairly taken into account.

They also complain of pain during sex. Doctors who actually know this disease, tend to be diagnosed with colitis, or simply do not take sufficient account of their patients' complaints.

As a result, this dragged on and it is unfortunately when the disease provoked disabling lesions that it is diagnosed hoping that the adhesions have not provoked, in the meantime, sterility. Some women sometimes wait ten years before the disease is discovered.

At what age are women most often affected?

It is a disease of the young woman, the woman of age to conceive. The pains often appear at the time of adolescence. The girl who hears many received ideas, thinks, and her mother with her, that it is inevitable. She is therefore slow to consult. And it is old enough to conceive, when she wants a child, or when the pains have become too violent, or totally by chance, that the disease is discovered.

That said, the disease can evolve in several times. A pregnant woman, for example, no longer suffers from her illness, the time of her pregnancy.

It makes sense: while she is pregnant, her endometrium is at rest. She has no more rules. Hormones are no longer secreted. She thinks she does not have anything. But, a few years or months later, it comes back.

What main advice would you give?

Facing pelvic pain, always consider a diagnosis of endometriosis. It is a very common disease and really too often responsible for infertility so that it is neglected as it is still today.

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