1/16/2024 0 Comments Surgery for severe endometriosis![]() According to the researchers, these bacteria could be behind the increase in transgrelin, an endometriosis-associated protein that could overgrow due to the presence of a growth factor generated as part of the immune system’s response to infection. Among the healthy volunteers, the figure was less than 10%. In 64% of the former, an infiltration of Fusobacterium, a type of microorganism that causes, among other things, periodontal diseases, was identified. In the study, 155 women were analyzed, 79 of them with endometriosis and the rest without. gettyĪ few days ago, the journal Science Translational Medicine published a study by researchers from the University of Nagoya (Japan) that claimed that the presence of a type of bacteria could be behind some cases of endometriosis. Endometriosis occurs when the lining of the uterus grows out of place, in places such as the ovaries, peritoneum, or intestine. “Previously it was seen as a gynecologic disease only, which is first local or pelvic, but now it is seen to have a systemic inflammatory component,” she adds. This type of minimally invasive and rapid tests is necessary,” explains Lorenzo, who also believes that the paradigm shift of recent years is going to change the treatment of endometriosis. ![]() Now, in France, there is an approved saliva diagnostic test that allows early detection. When we do an ultrasound, despite the fact that they have improved a lot, we may not see anything in a woman who is in pain. “We don’t have tests that allow us to detect the disease in its early stages. However, Lorenzo adds, it will take more than a change in perception and attitude. Doctors are taking much more interest because women are becoming more demanding, they do not accept that period pain is normal, they demand to know the cause of their pain and a treatment, and they do not allow themselves to be treated with condescension,” agrees Carmona. This would delay diagnosis and treatment for years,” says Estela Lorenzo, a specialist at the Endometriosis Unit of Hospital 12 de Octubre in Madrid. “Until not so long ago, period pain was trivialized by doctors, as well as women who, many times, in an ailment with a hereditary component, had their mother as a reference point who told them that this pain was normal. It can also make sexual intercourse or simply urinating painful, and it is behind many cases of infertility. ![]() The thickened and misplaced endometrium, in the ovaries, pelvis and even beyond, causes the pain that many women associate with menstruation. This tissue responds to the sexual hormones produced by the ovaries, and once a month it thickens, preparing the woman for a possible pregnancy. ![]() This disease occurs when the endometrial tissue, which covers the inner part of the uterus and serves to house an embryo, grows where it should not. After treating this ailment with surgery or hormonal treatments for decades, specialists like Carmona believe that in the coming years, our understanding of the genetic causes of the disease and the integration of data made possible by artificial intelligence may offer new alternatives to patients, as well as a theory that will help to understand what we are trying to cure. ![]() “It is as if we were making a jigsaw puzzle, we are collecting pieces, but we don’t know what image we are looking for, we don’t have a model that makes sense of it all,” explains Francisco Carmona, head of the Gynecology Service at Hospital Clínic in Barcelona. Up to 10% of women suffer from endometriosis, and yet this disease is still shrouded in mystery. ![]()
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