Clipping of news on Brazilian Culture, Law and Citizenship
10/08/2012
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Endometriosis accounts for 40% of infertility cases in the country, but only a third of Brazilian disease associated with difficulty becoming pregnant, according to a survey of the Brazilian Society of Endometriosis and Minimally Invasive Gynecology. The survey, made with five thousand women over 18 years in the country, revealed that 88% do not know how to treat the problem and that 55% do not even know what the disease.
The disease is characterized by the presence of the endometrium - the tissue lining the uterus - in other organs such as fallopian tubes, ovaries, intestines and bladder. Endometriosis leading cause of infertility among women over 25 years, it is possible that approximately 30% to 40% of infertile women have some degree of endometriosis. The disease is treated, but has no cure and usually regress in menopause, according to gynecologists.
The symptoms of endometriosis may vary according to each person. Intense menstrual cramps and pain during menstruation, urination, bowel movement and also during sex. Menstrual bleeding is usually heavy or irregular. Today, about six million Brazilian women have the disease, and up to 50% can become infertile. The diagnosis usually occurs around age 30.
However, the time between the onset of symptoms until the discovery of the disease usually takes seven years, alert the gynecologist Maurice Abrão, president of the Brazilian Society of Endometriosis and Minimally Invasive Gynecology (SBE) and professor of Medicine, Usp.
- In younger people, this time can reach 12 years - says Abram.
The poll of women in Sao Paulo, Rio de Janeiro, Goiânia, Belo Horizonte, Manaus, Fortaleza, Curitiba and Salvador. Other aspects of the perception of the Brazilian woman for a common and serious problem concerns the way to treat: 88% of them are unaware of the treatment options for the disease.
Today, surgery is usually common in women who suffer from this malady. However, according to the gynecologist Carlos Alberto Petta, Unicamp professor, director of the Center for Human Reproduction and Syrian-Lebanese member of the World Foundation for Research on Endometriosis, there are cases where the patient is subjected to three and up to eight surgeries.
ANVISA approved a new oral drug to treat pelvic pain associated with endometriosis, based on a prgestenio (synthetic compound with effects similar to progesterone) called dienogeste, which suppresses the effects of estradiol in the endometrium.
- The usage limit is if there is any contraindication. It praticamento continuous use. It is observed a reduction of pain from the first to the second month. In the sixth month of treatment, usually has the actual observation of treatment benefit - the gynecologist explains Carlos Alberto Petta.
First, remember the doctor, there were other treatments, but with some side effects like weight gain, bone loss and even symptoms of menopause.
- The doctors themselves began to change in ways of treating and indicated continued use of the pill. However, it did not prevent the disease progressed. When there is infertility, a medical treatment does not help. If she has endometriosis and infertility, right conduct are surgery or treatments such as artificial insemination and in vitro fertilization. Do not prescribe medication, explains Petta.
- Drug treatment is for pain. But she can stop the drug treatment of endometriosis and getting pregnant about two months after discontinuing the use, if not infertile - clarifies the German physician Thomas Faustman, head of global women's issues, Bayer, Berlin.
- It's important for women to know more about the symptoms of endometriosis, rather than just thinking about getting that pelvic pain is 'normal'. They must know that the pain of endometriosis is real and can be treated - strengthens Abrão.
According to the UN (United Nations Organizations), endometriosis affects 176 million women worldwide. In the survey (even women who did not know the disease), when asked about the types of treatment, the interviewees said, laparoscopic surgery (25%), use of anti-inflammatory (24%), surgery to remove the ovaries (20% ), contraceptive use (14%), use of hormonal IUD (12%) and sterilization (5%).
Orgasms are less frequent in women with endometriosis, says Francisco Carmona, a member of the European Society of Gynecology Endoscopy serfviço and head of gynecology at the Hospital de Barcelona, Spain.
- Unfortunately, lack research on how the treatment interferes with the sexual life of women - says Carmona.
The medical director of Huntington Reproductive Medicine, Márcio Coslovsky, remember that there are women with the disease who become pregnant normally.
- Others may have difficulty with different degrees of intensity. There are treatments that solve the problem reassures the specialist.
Source: Online Extra
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This article was translated by an automatic translation system, and was therefore not reviewed by people.