Monday, May 20, 2019

Mar 14 19, 7:25 am

Saudi’s ‘Special Privilege Iqama’ to cost $213,300

The recently announced permanent Special Privilege Iqama will cost $213,333 (SR800,000) while one-year valid iqama will cost $26,666 (SR100,000), the Saudi Gazette reported. In a recent report by The Filipino Times, the “Distinguished Iqama” or Special Privilege Iqama...

UAE supports Saudi King’s call for urgent Arab Summits in Mecca

The United Arab Emirates (UAE), a close ally of the Kingdom of Saudi Arabia, has welcomed the invitation of King Salman bin Abdulaziz Al Saud for two summits with the leaders of the Gulf Cooperation Council (GCC) countries and the Arab states in Mecca, on May 30. To...

BREAKING NEWS: 17 hurt in Quezon road mishap

Seventeen people were injured after a passenger jeepney slammed into a passenger bus along Diversion Road, Lopez, Quezon past noon today. The jeep overturned due to the force of impact, injuring passengers and the driver. None of the bus passengers were injured. GMA...

Malacanang orders NYC Chair Ronald Cardema to vacate post

Manila, Philippines-- Presidential Spokesperson and Chief Presidential Legal Counsel Sal Panelo has ordered National Youth Commission Chairperson Ronald Cardema to quit from his post, following Cardema's decision to substitute for his wife, Elizabeth, as the first...

How do I know if I have Endometriosis?

by | Feature

Mar. 14, 19 | 7:25 am

By Dr. Mapet Gudiel, Ob Gynecologist at Klinika Maharlika in Abu Dhabi

 

Endometriosis is a condition wherein endometrial tissues which are normally found in the endometrium, the inner lining of the uterus, are found outside the endometrium. It could be adenomyosis, there is thickening of a myometrial surface due to invasion of the endometrial tissues into the myometrium, or endometrial cyst or commonly known as “chocolate cyst”, the enlargement of the ovary due to accumulation of blood coming from ectopic endometrial tissues.

Symptoms

Endometriosis has its characteristic triad of symptoms, meaning if a patient has these 3 symptoms, the number one gynecologic problem that comes to mind is endometriosis.

Dysmenorrhea: It could be mild or several, but the unique characteristic is – if normally you suffer already from dysmenorrhea, it deviates from the usual, like if before if you have mild dysmenorrhea and suddenly it becomes severe or if it is usually experienced during menstruation but now it is felt even before menstruation and persists afterwards.

Dyspareunia: Painful sexual contact which is usually attributed to the unterus being fixed due to the thickening of a myometrial surface or presence of an endometrial cyst.

Infertility: This could be a primary symptom if the patient has never been pregnant. It might also be a symptom if the patient had a child or a few kids but is now having difficulty conceiving a child.

Dr. Mapet Gudiel, is an Ob Gynecologist at Klinika Maharlika in Abu Dhabi.
You can contact Klinika Maharlika Abu Dhabi branch at 02 631 0209 and our clinic is located in Al Saif Tower, 3rd floor, Electra Street (back of Al Raha Hospital) in Abu Dhabi.

Causes

To date, there’s no known particular cause for Endometriosis, However, most studies point to the estrogen hormone as the culprit. Gynecologists usually use the “menstrual reflux theory” to explain the pathogenesis of endometriosis.

Menstruation is defined as the shedding/sloughing off of the endometrial lining. A woman’s estrogen hormone is responsible for stimulating the endometrium to thicken. So if there is hormonal imbalance wherein the estrogen is more predominant than the progesterone, the endometrial lining becomes thicker and thus menstruation is heavier.

Normally, during menstruation, all menstrual blood is expelled through the vagina. But for some women predisposed to endometriosis, there are menstrual blood that will reflux and thus leading to invasion of the endometrial tissues to the myometrium, to the fallopian tubes, ovaries, and for some, to the intestines.

Now, when these endometrial tissues are implanted on these areas, each time a patient experiences menstruation, these endometrial tissues will bleed – thus giving rise to more health complications such as adenomyosis, endometrial cysts, and so forth.

Risk factors

There are several risk factors predisposing to endometriosis.

Genetics: If you have a family member who has it, you’re seven to ten times predisposed.

Hormonal Imbalance: Any conditions that promote heavier menstruation like hormonal imbalance particularly in cases where estrogen is excessive – because the more estrogen you have, the thicker the endometrium gets which results to heavier menstruation – thus leading to more chances of menstrual reflux and in patients with uterine myoma.

Immune factors: In some literatures, immune factors have a role and it is also cited that patients who underwent pelvic surgeries like cesarean section wherein endometrial tissues are misplaced during the operation and implanted ectopically.

Diagnosis

The diagnosis of endometriosis is usually made when you already have the clinical suspicion based on the characteristic triad of symptions: dysmenorrhea, dyspareunia and infertility, and you can confirm your diagnosis with a pelvic ultrasound preferably with a transvaginal scan.

In the Philippines, a transvaginal scan especially if done by an OB-GYN sonologist is enough. Here in the UAE, MRI facilities are available.

In some cases, when laparoscopy is done for other purposes, endometriosis can be an incidental finding.

Early detection will save you

If you suspect that you are suffering from endometriosis, you should see to consult with an OB-GYN specialist since this disease is a progressive one – meaning if you are left untreated, it could become worse because as long as you are menstruating, there is menstrual reflux which could lead to more chances for ectopic endometrial tissue implantation. This could ruin your chances of having children.

Likewise, the management of endometriosis is either medical or surgical depending on the severity of the case – so if it is still not that severe, it could be managed medically and you can still lead a normal life because suffering from pain or dysmenorrhea is not an experience to be suffered from by any woman. I used to have a patient who had a severe form of dysmenorrhea that even if she was given Nubain IV, the patient remained in pain.

You can contact Klinika Maharlika Abu Dhabi branch at 02 631 0209 and our clinic is located in Al Saif Tower, 3rd floor, Electra Street (back of Al Raha Hospital) in Abu Dhabi.

Jobs

Editors Choice

Duterte bets enjoy landslide win in UAE

Duterte bets enjoy landslide win in UAE

DUBAI: The just-concluded absentee voting (OAV) for the Philippine midterm elections proved one thing: Support for President Duterte by overseas Filipino workers (OFWs) in the UAE has not waned. And if numbers can tell a story, that will be of a head of state enjoying...

Ramadan is a time for compassion and respect

Ramadan is a time for compassion and respect

DUBAI: Ambassador Hjayceelyn Quintana asked the Filipino community to respect the teachings of Islam and observe proper Ramadan etiquettes. “I warmly extend my greeting of ‘Ramadan Kareem’ to our Muslim brothers and sisters in UAE and elsewhere as they honor their...

Rising ph property values attract filipinos, foreign investors

Rising ph property values attract filipinos, foreign investors

DUBAI: The 7th Philippine Property and Investment Exhibition (PPIE) was attended by overseas Filipino workers (OFWs) who have become more discerning, apparently having done their homework and learned by attending previous editions to ask the right questions from...

Saudi’s ‘Special Privilege Iqama’ to cost $213,300

The recently announced permanent Special Privilege Iqama will cost $213,333 (SR800,000) while one-year valid iqama will cost $26,666 (SR100,000), the Saudi Gazette reported. In a recent report by The Filipino Times, the “Distinguished Iqama” or Special Privilege Iqama...

BREAKING NEWS: 17 hurt in Quezon road mishap

Seventeen people were injured after a passenger jeepney slammed into a passenger bus along Diversion Road, Lopez, Quezon past noon today. The jeep overturned due to the force of impact, injuring passengers and the driver. None of the bus passengers were injured. GMA...

Did you know: Visit visa has 10-day grace period

  Individuals whose tourist or visit visa have already expired but are still within the 10-day grace period are advised by the UAE Government to travel back to their home country or any other country and return on visit/tourist or any other visa. For UAE...

Recent posts

We listed over 1,000,000 jobs from United Arab Emirates monthly.

Accomodation option available in the market.

Latest News
Subscribe to our free weekly newsletter and never miss a thing. No spam. Only hand-picked trending news.

THE FILIPINO TIMES is the biggest and most trusted Filipino newspaper in the UAE.

It has a print run of 60,000 copies and 250,000 readership per week; bolstered by 1 million visitors to its website every month. It also has an e-newsletter sent to its 250,000 subscribers every day.

The Filipino Times is FREE and has the widest targeted circulation across the 7 emirates of the UAE.

With more than 2,500 strategic distribution spots, TFT is available where the Filipinos are - at Smart Bus Shelters, Metro Stations, restaurants, supermarkets, schools, airport lounges, Emirates and Etihad Philippine-bound flights, churches, Filipino community events and many more.

THE FILIPINO TIMES. We are where the Filipinos are.

FOLLOW US

SIGN UP FOR NEWSLETTER

THE FILIPINO TIMES is the biggest and most trusted Filipino newspaper in the UAE.

It has a print run of 60,000 copies and 250,000 readership per week; bolstered by 1 million visitors to its website every month. It also has an e-newsletter sent to its 250,000 subscribers every day.

The Filipino Times is FREE and has the widest targeted circulation across the 7 emirates of the UAE.

With more than 2,500 strategic distribution spots, TFT is available where the Filipinos are - at Smart Bus Shelters, Metro Stations, restaurants, supermarkets, schools, airport lounges, Emirates and Etihad Philippine-bound flights, churches, Filipino community events and many more.

THE FILIPINO TIMES. We are where the Filipinos are.

FOLLOW US

SIGN UP FOR NEWSLETTER

© 2018 The Filipino Times. All rights reserved

Subscribe To Our Newsletter

Join our mailing list to receive the latest news and updates from our team.

You have Successfully Subscribed!

More in Feature
Razon’s of Guagua in Dubai to celebrate anniversary this March
Published On  March 14, 2019
Naka-ilang ‘lipat-flat’ ka na ba?
Published On  March 13, 2019
Special Olympics 2019: UAE’s global indelible mark of tolerance
Published On  March 13, 2019
Close