Early Menstrual Characteristics in a Group of Sri Lankan Women with Endometriosis in the Western Province of Sri Lanka

Professor Ramya P. Pathiraja, Madura A. Jayawardena, Professor Dhammike De Silva, Ajith Fernando, Madhuka Rajakaruna and Madushan Weerasinghe
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Professor Ramya P. Pathiraja: Department of Gynecology and Obstetrics, Colombo South Teaching Hospital, Sri Lanka
Madura A. Jayawardena: Department of Gynecology and Obstetrics, Colombo South Teaching Hospital, Sri Lanka
Professor Dhammike De Silva: Department of Gynecology and Obstetrics, Colombo South Teaching Hospital, Sri Lanka
Ajith Fernando: Department of Gynecology and Obstetrics, Colombo South Teaching Hospital, Sri Lanka
Madhuka Rajakaruna: Department of Gynecology and Obstetrics, Colombo South Teaching Hospital, Sri Lanka
Madushan Weerasinghe: Department of Gynecology and Obstetrics, Colombo South Teaching Hospital, Sri Lanka

International Journal of Research and Innovation in Social Science, 2021, vol. 5, issue 11, 575-578

Abstract: I. INTRODUCTION Endometriosis is defined as the presence of active endometrial mucosa; which can be either glands or stroma, abnormally implanted in locations other than the uterine cavity. 1 Endometriosis is a common, poorly understood and extremely debilitating benign gynaecological condition which affect both physically and psychologically. Despite extensive research, the aetiology of endometriosis remains elusive. Several theories exist that attempt to explain this disease, but none have been entirely proven. But these ectopic foci respond to cyclical hormonal fluctuations in much the same way as intrauterine endometrium, with proliferation, secretory activity, and cyclical sloughing of menstrual material leading to an altered inflammatory response characterized by neovascularization and fibrosis. Endometriosis is classified under 4 stages depending on location, extent, and depth the implants, presence of adhesions and presence of ovarian endometriosis. However the severity or stage doesn’t correlate with the symptoms of endometriosis.2

Date: 2021
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