In this video Dr. Khazali, a gynecological surgeon based in London, discusses the following:
● Endometriosis occurs when tissue similar to the endometrium grows outside the uterus. This tissue, while very similar to that located within the uterus, differs slightly in structure and receptors.
● Endometrioma are cysts, often filled with old, darkly coloured blood, that are found in the ovaries and sometimes elsewhere. They’re sometimes known as chocolate cysts due to their color.
● Much about Endometriosis remains a mystery and, to further complicate matters, the overarching term “Endometriosis” could be encapsulating unrelated diseases.
● As it stands, the current outdated definition of Endometriosis is one coined by Dr. Sampson 100 years ago which points to menstrual blood coming out through the fallopian tube, implanting and growing Endometriosis.
● Many feel that this theory is too simplistic as it doesn’t account for genetic or immunological or microbiome theories.
● While most Endometriosis occurs in the ovaries, pelvis, uterosacral ligaments, bowel and appendix, technically, it can occur almost anywhere in the body although it is extremely rare.
● Where Endometriosis occurs in hollow organs like the bladder or bowel, the growth happens from the outside, in.
● Adenomyosis occurs when Endometriosis grows inside the muscle of the uterus. Fibroids, however, are not directly associated with Endometriosis but both are estrogen dependent which is why they can frequently occur in the same person. Endometritis, on the other hand, is unrelated and simply refers to inflammation in the uterine lining.
● While the three most common symptoms of Endometriosis are painful periods, painful sex and painful defecation, there are many others including bloating, urinary symptoms, exhaustion, abnormal bleeding and difficulty in conceiving.
● Bowel symptoms may be incorrectly diagnosed as IBS.
● Endometriosis symptoms are not exclusively experienced during menstruation, though they can often be cyclical.
● When experiencing pain due to Endometriosis, individuals should assess how the pain level is affecting their quality of life. Whether it is preventing them from engaging in normal activities of work, study and leisure.
● An Endometriosis diagnosis does not automatically equate to infertility.
● Little is known about the relationship between hormones and Endometriosis.
● Bladder Endometriosis symptoms can include: blood in the urine, frequency, painful urination and pain during or after sex. All these can be mistakenly diagnosed as UTI.
● A complex relationship between the immune system, inflammation and Endometriosis is suspected
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About Dr. Shaheen Khazali
Dr. Khazali is a gynecological surgeon based in London, England. He has focused his
practice almost exclusively on laparoscopic and robotic Endometriosis surgery and has a particular interest in gastrointestinal and urinary tract Endometriosis excision and
Neuropelveology.
He served on the council of British society for Gynaecological Endoscopy (BSGE) until 2021 and is now the Honorary Secretary of the International Society of Neuropelveology and an executive board member of European Endometriosis League as well as member of the advisory boards of ESGE.
Visit Dr. Khazali’s website: Endometriosisc...
Follow on social media: @shaheenkhazali
About Live UTI Free
Live UTI Free is a patient advocacy and research organization. We do not endorse specific treatment approaches, clinicians or diagnostics methods. The content of this video does not provide medical advice. It is intended for informational purposes only. The medical and/or nutritional information is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen. liveutifree.com/
Post-production: Melissa Wairimu / kreativlee_
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