Endometriosis is a chronic condition that causes uterine tissue to grow outside the uterus. The pain can range from “ouch” to “MY UTERUS TRYING TO KILL ME!”
While we still don’t know the exact cause, research suggests genetics play a part (thanks-but-no-thanks, Mom).
- heavy period flow
- severe period cramps
- discomfort during sex
- spotting between period
- pain when you pee or poop
Let’s dive into what causes endometriosis and how the condition may be hereditary.
The exact cause of endometriosis is still up for debate. Here’s what might be going on down under.
Immune system issues
It’s possible for endometrial-like cells to travel to other parts of your bod via the lymphatic system.
The most common sites are the fallopian tubes, ovaries, and the abdominal or pelvic walls. But endometriosis can also affect the urinary tract, gastrointestinal tract, soft tissues, and chest in atypical cases.
Yes. Genetics *can* play a part in endometriosis. But researchers are still trying to pinpoint which gene is to blame. A 2019 review listed more than 24 potential culprits.
A 2010 study examined 140 participants — 80 had endometriosis and 60 did not. About 5.9 percent of the folks with endometriosis had a first-degree relative who also had the disease. Meanwhile, only 3 percent of people who didn’t have endometriosis had a first-degree relative with the condition.
An older 1999 study also found an increased incidence of the endometriosis in first- (mother or sibling), second- (aunt), and third-degree relatives (cousins).
BTW, there’s also a chance environmental factors like pollution or stress can increase your risk if you’re genetically predisposed to the disease.
There’s no research that proves you can prevent endometriosis. But we do know the disease depends on the sex hormone estrogen. That said, lowering your levels might reduce your risk.
Some ways to lower estrogen include:
FYI: Even if endometriosis runs in your fam, it’s not guaranteed you’re gonna get it. But it’s still a good idea to let your doc know you have a family history of the disease.
Endometriosis treatments depend on your unique uterus sitch. It can also depend on:
- your age
- how severe your symptoms are
- how much endometrial tissue you have
- if you want to get pregnant at some point
Here’s a rundown of the most popular treatment options.
Hormone treatments can lower estrogen levels and prevent ovulation. This might help reduce endometriosis symptoms like heavy bleeding and pain. You can opt for the pill, injections, or nasal spray.
They can provide temporary relief, but can’t cure the condition. Ask your doc about an Rx pain reliever if over-the-counter (OTC) meds don’t do it for ya.
If hormonal therapies don’t make the cut — or if your symptoms are severe — your doc might suggest a surgical procedure.
The three most common surgeries for endometriosis are:
- Laparoscopy. A minimally-invasive procedure that only requires small incisions. Your surgeon will use heat, a knife, or a laser to remove the endometriosis tissue from the affected areas.
- Laparotomy (aka open surgery). This might be performed if endometriosis patches can’t be removed with laparoscopic surgery.
- Hysterectomy. This is when your entire uterus is removed. Sometimes your cervix, ovaries, and fallopian tubes are also taken out. Recovery time varies from person-to-person, but most folks bounce back in about 6 to 8 weeks. PSA: You won’t be able to get pregnant after this surgery.
NOTE: Endometriosis can return after surgery. Symptoms reappear in about 40 to 80 percent of peeps within 2 years of surgery.
Endometriosis is a chronic condition that causes endometrial tissues to grow outside the uterus. While there’s currently no cure, lots of top-notch treatments can reduce your symptoms.
Researchers are still trying to pinpoint the exact cause, but there’s a good chance your genetics increase your risk.
Let your gyno know if endometriosis runs in your fam. They can monitor your health, especially if you start to show symptoms.