Endometriosis mostly inflicts women of childbearing age, especially in their 30-s and 40-s and, then it is gone after menopause but sometimes symptoms stay and in postmenstrual period. In perimenopausal period the condition, opposite, could worsening and it is important to take timely care. Woman should be very mindful about those symptoms and have regular checkup with a doctor as quite often it could be starting endometrial cancer.
Just a few reports on endometrial disease in perimenopausal period are known, so there is no clear evidence if any special conditions can happen to support or reduce the disorder in that time. Some sources claim that with less progesterone womb lining could become thicker and result in endometrial disorder.
Can I have Endometriosis in Postmenopausal Period?
It is a fact that symptoms of endometrial disease depend on hormone estrogen level, which starts to decrease with menopause, but there is no direct cause and effect connection allowing concluding that endometriosis is hormonal disease and should stop with menopause. Another consideration that estrogen is produced not only by uterine activity and the other body tissue also produce the hormone, which could support disease symptoms.
Some women diagnosed with endometriosis in postmenstrual period but it does not mean they just have got the disease. It is common that many women had that condition for years before they were diagnosed. It could be absolutely asymptomatic and detected only with laparoscopy. That is why German doctors advise having regular examination and seeing your doctor not only in presence of obvious symptoms. And even if you experience pain it could be associated with so many causes that it is not possible to determine which of them effects you.
Sometimes symptoms of endometriosis can be provoked by hormone replacement therapy (HRT). Individual sensitivity of a woman also plays role in how her body reacts to estrogen including that received with medicine. In some cases women’s body could react in producing excessive endometrium.
Treatment in Postmenopausal Period
Of cause, you should consult with your clinician what treatment is preferable to you as it is very individual. But after menopause when woman does not care about bringing children any more surgery can be a wise decision. Again, it depends on disease degree which kind of surgical intervention to choose.
Presently, for gynecological issues laparoscopy is widely used as most progressive method causing less damage to the patients’ health. By means of minimally invasive hysterectomy you could remove your ovaries avoiding long recovery period, much bleeding and painful scars. Hysterectomy does not eliminate the causes of endometriosis but removing effected organs helps you get rid of pain.
In some most complicated cases, radical open surgery can be required with total removing of the uterus, cervix, ovaries, and fallopian tubes, especially when endometriosis accompanying with other problems, for example, cancer.
Endometrial Cancer Symptoms
Endometriosis is not a cancer. And many specialists definitely have agreed that it cannot develop into cancer. But at the same time, researches show that the risk of ovarian cancer as well as lymphoma is higher in those women who have uterine lining disorder. Probably, both of those diseases could be caused by the same conditions and follow together.
Another thing which is good to know, that in postmenstrual period both cancer and endometriosis could have similar symptoms. So if you have continuous pain in the pelvis, uterine bleeding or other discharges after menopause you should immediately see your doctor and have examination to exclude cancer or to catch it on earlier stage. Earlier you start treatment more chances for complete cure you have.
Other symptom of developing cancer can be chronic fatigue, hypothyroidism, worsening quality of life when you always feel limitation of your everyday activities because of pain and discomfort. All of those signs can be a good reason to apply for diagnostic.
Diagnostic and Treatment in Germany
Clinical centers in Germany can provide you whole cycle multidisciplinary diagnostics for all of possible health condition. After accurate examination you will be advised comprehensive treatment for any problem you might have: care of endometriosis of any degree, postmenopausal hormonal therapy, cancer treatment including surgery both minimally invasive and radical, rehabilitation after surgery. Please book your appointment and stop living with pain.