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Endometriosis is a disorder, which is characterized by abnormal growth of the endometrial tissue (lining of the uterus) outside the uterus. In this disorder, the abnormal tissue breaks down but is unable to exit the body. This may cause the surrounding tissue to get irritated and as a result lead to the formation of scar tissue.
The various symptoms of endometriosis are:
- Pain during sexual intercourse
- Pain during periods: One of the major symptoms of this disorder is pelvic pain, especially during periods. You may also experience lower back pain and abdominal pain.
- Excessive bleeding: The amount of bleeding during your periods may increase.
- Other symptoms: You may experience fatigue, constipation and bloating.
- Infertility: Inability to conceive
The various causes of endometriosis are:
- Retrograde menstruation: In retrograde menstruation, the blood flows back into the pelvic region through the fallopian tubes instead of exiting the body. These cells may attach themselves in the pelvic cavity and cause endometriosis.
- Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
- Immune system disorder: Complications in the immune system may prevent the immune system from destroying the endometrial tissue that grows outside the uterus.
- Surgical scar implantation: Certain surgeries such as a C-section may result in attachment of endometrial cells to the incision area. The major complication of this disorder is fertility problems. Endometriosis may prevent fusion of egg and sperm and thus impair your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder is usually confused with other disorders, such as ovarian cysts and pelvic inflammatory disease. This happens as these disorders too cause pelvic pain.
Endometriosis is sometimes accompanied by irritable bowel syndrome. In the latter condition, there is recurrent abdominal pain and diarrhoea or constipation, often associated with stress, depression, anxiety, or previous intestinal infection.
I have erectile dysfunction I never get full erection I don't know why? I am obese and my weight is 85 kg please suggest me some medicine for my treatment. Thanks.
My son is 8.5 yes old he developed a complex in himself that his friends won't play with him they always make laugh of him which is quite true too. I don't under stand how to overcome his phobia, please help.
How do I get rid of dark spots on skin? Also, please give me some tips regarding how to lower triglyceride levels.
My name is dinesh and I am a very thin boy , got 27 years old 53 kg . I' ve tried almost everything but result is same . Tell me what I do.
I had a problem few weeks back. I had noticed blood in my stool during excretion. When I contacted a doctor he said that I was having bad digestion and that there was nothing to be worried. Yesterday I saw the same thing agai though I am comfortable when I sit but anus causes a burning sensation during excretion. What should I do now?
I am in my first trimester of pregnancy. For the last 10 days I have been experiencing total dry mouth and throat during sleep. Be it my afternoon nap or night sleep. After I wake up I feel so dry. This is so new to me. Is this normal.
What can I do if my dogs fever is too high? Will benadryl help lower a fever? And I am not feeling well when I ate some oil pieces.
I am vipin I am 24 year old boy and I have obesity problem last year what I do please tell me doctor.
Hi im 19 years old. I am a female. I had anal fissure some months back and got external piles a small lump. After some days everything was alright. Then suddenly I face constipation I took sirobline it dint work. Im taking softovac powder. Im passing stools everyday but very constipated and painful:(Pls help me.
I have noticed acne on my face since I have started using bakson's suncream and fairness cream. I use fairness cream at night. Is become nice product? What should I do?
3 -4 deep scars that remain on my face after suffering chicken pox what I can do to remove that scars.
I am 21 year younger but my hairs white are white if it is possible to convert black naturally without color.
Hello Doctor, I am vegetarian do not follow a proper diet and hence I feel low always .daily I go to sleep after 2 am. And I get up around 11 or 12 noon. I feel good to get up early but I will not be able to get up early in the morning .i request you to pls suggest me on my diet plan and help me what should I eat? Thanks allot for your help.
Hi, I'm 25 and my beard is not yet fully grown, I have facial hair follicles but a very light countable number of beard hairs spread across cheeks, and little dense beard on chin. Kindly prescribe some medicine/ointment to make my facial hair grow faster. Thanks.
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.