I'm 24 years old and have been having a lot of trouble for the last 6 years. I have very heavy periods with debilitating pain. I can barely move. Intercourse is very painful. I also have diarrhea almost every time I eat. I've been to several gastrointestinal doctors as I thought these were unrelated. I went for a routine pap last week and she sent me to have a transvaginal ultrasound. I received the results yesterday. She said that my endometrial wall was very thick and I have cysts on both ovaries. My pelvic area and back area have been cramping (while not on period) and i also have some discharge. They are sending me to a specialist but they haven't called to schedule my appointment yet. I would like do know if I should be worried about endometrial cancer at 24 because my symptoms have been left untreated for a very long time. Any info would be greatly appreciated!
Missgreenee; read this and talk to your doctor there is a lot of things that can help you now days and very helpful and much less discomfort every month. good luck Chuck1957 Endometriosis
Q & A
What Is It?
Endometrial tissue lines the inside of the uterus. In endometriosis, the same type of tissue also grows in places outside of the uterus.
Implants or patches of endometriosis may develop in the:
Outside surface of the uterus
Pelvis and lower abdomen
Spaces between the bladder, uterus and rectum
Wall of the rectum, bladder, intestines or appendix (less commonly)
Lung, arm, thigh and skin. (This is rare.)
Misplaced endometrial tissue behaves like endometrial tissue in the uterus. It responds to the monthly rise and fall of female hormones. At the time of menstruation, endometrial tissue outside the uterus also can ooze blood, and cause pelvic or abdominal pain.
If the misplaced endometrial tissue enlarges to cover or grow into the ovaries, or if it blocks the fallopian tubes, it can it can interfere with a woman's fertility by blocking the passage of an egg from the ovaries into the uterus.
Endometrial tissue on the ovaries may form into large fluid-filled cysts. These are called endometriomas.
A woman may have an increased risk of endometriosis if:
She has a heavy menstrual flow.
She has a short menstrual cycle (27 days or less).
She has a close female relative with endometriosis.
A woman's risk is probably lower than average if:
She is slightly underweight.
She exercises regularly.
She has had multiple pregnancies.
She has used oral contraceptives.
Many women with endometriosis do not have any symptoms from it. Those who have symptoms may experience:
Severe discomfort, usually with heavy flow, during menstrual periods
Pain in the pelvis or abdomen, usually just before or during menstruation, but sometimes throughout the month
Pain during or immediately after sexual intercourse
Vaginal spotting before menstruation begins
Bowel symptoms, such as:
Painful bowel movements
Rarely, blood in the stool
Painful urination, or, rarely, blood in the urine
Infertility or repeated miscarriages
The doctor will review:
Your medical and gynecological history
Family history of endometriosis
This will be followed by a physical exam and a pelvic exam.
During the pelvic exam, your doctor may be able to feel the following signs of endometriosis.
Endometrial tissue embedded in the ligaments of your pelvis
Displaced pelvic organs
How freely your pelvic organs may be moved
An ovarian endometrioma—a deposit of endometrial tissue on your ovaries
To confirm the diagnosis, your doctor may need to do pelvic laparoscopic surgery. In this surgery, doctors operate through two or three tiny incisions. The surgery can identify endometrial tissue inside your pelvis or abdomen. Abnormal tissue may be removed for biopsy during the surgery.
Without treatment, endometriosis is a long-term problem. It usually lasts until menopause. After menopause, areas of misplaced endometrial tissue tend to become smaller, and are less likely to cause symptoms. That is particularly true if your symptoms have come only during menstrual periods.
There is no way to prevent endometriosis.
The condition may temporarily stop progressing if you:
Use oral contraceptives
Several treatment options are available.
For mild pelvic or abdominal pain, you may try a nonprescription pain medication. Examples include ibuprofen (Advil, Motrin) or naproxen (Aleve). If this doesn't help, your doctor may suggest a prescription-strength nonsteroidal pain reliever.
Stronger medications that contain a mild narcotic, such as codeine, are available. But narcotics pose a risk of drug dependence and addiction. They are prescribed only when other pain medications fail or can't be used because of side effects or allergic reactions.
Treatments that control hormone levels
Some treatments relieve pain by controlling levels of female hormones, particularly if your symptoms occur mainly or only during menstrual periods. These include:
I unfortunately don't know much about endometrial cancer. I do however have some experience in what you are describing. So, with that being said, I wanted to inform you that when you get to see that specialist, ask him about endometriosis. That's what I had. Same exact symptoms... All that is, is the lining of your uterus starts to grow on the outside. It can be extremely painful. Both my mother and I got it at age 24, maybe 25... It's worth at least looking into. Now that I've said that, I would like to say that I know it will be hard, but try not thinking about cancer, take a deep breath, and everything will be fine. Best of luck to you. Hope this helps.
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