{"id":337,"date":"2018-12-05T06:51:50","date_gmt":"2018-12-05T05:51:50","guid":{"rendered":"https:\/\/www.coparentalys.com\/blog\/?p=337"},"modified":"2018-12-05T06:51:50","modified_gmt":"2018-12-05T05:51:50","slug":"endometriose","status":"publish","type":"post","link":"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/","title":{"rendered":"endom\u00e9triose"},"content":{"rendered":"

L’ENDOM\u00c9TRIOSE<\/span><\/h1>\n

Maladie gyn\u00e9cologique encore peu connue, l’endom\u00e9triose est pourtant fr\u00e9quente puisqu’elle toucherait, selon l’Inserm, une femme sur dix en \u00e2ge de procr\u00e9er.
\nParfois mal d\u00e9tect\u00e9e par le corps m\u00e9dical, elle est souvent confondue avec de simples r\u00e8gles douloureuses, ce qui retarde sa prise en charge.<\/p>\n

QU\u2019EST-CE QUE L\u2019ENDOM\u00c9TRIOSE ?<\/span><\/h2>\n

L’endom\u00e9triose se caract\u00e9rise par la pr\u00e9sence anormale du tissu recouvrant l’ut\u00e9rus (l’endom\u00e8tre) hors de ce dernier.<\/p>\n

Lors d’un cycle menstruel normal, l’endom\u00e8tre s’\u00e9paissit afin d’assurer une potentielle grossesse. S’il n’y a pas f\u00e9condation, ce tissu endom\u00e9trial est \u00e9limin\u00e9 naturellement lors des r\u00e8gles (saignements). Chez la femme atteinte d\u2019endom\u00e9triose, ce tissu, au lieu de suivre le processus naturel d\u2019\u00e9limination, va venir se loger vers d\u2019autres organes comme les trompes, la vessie, le rectum, et peut dans les cas les plus graves s\u2019\u00e9tendre \u00e0 l\u2019appareil digestif ou les poumons. Sa pr\u00e9sence est responsable d\u2019adh\u00e9rences, de l\u00e9sions, ou de kystes.<\/p>\n

L\u2019endom\u00e9triose peut potentiellement toucher toute femme qui a ses r\u00e8gles, et peut \u00eatre diagnostiqu\u00e9e d\u00e8s la pubert\u00e9.<\/p>\n

Le diagnostic est difficile \u00e0 poser de part la complexit\u00e9 de ses manifestations.
\nSelon Endofrance, l\u2019association fran\u00e7aise de lutte contre l\u2019endom\u00e9triose, l\u2019endom\u00e9triose est diagnostiqu\u00e9e bien souvent de fa\u00e7on fortuite, en moyenne 5 ans apr\u00e8s sa survenue. Ce qui laisse le temps \u00e0 la pathologie de se d\u00e9velopper et de causer des dommages importants chez la femme qui en est atteinte.<\/p>\n

Ses causes restent aujourd\u2019hui incertaines.<\/p>\n

LES SYMPT\u00d4MES DE L\u2019ENDOM\u00c9TRIOSE<\/span><\/h2>\n

Les sympt\u00f4mes peuvent \u00eatre multiples et varient en fonction de la localisation du tissu endom\u00e9trial. Ils peuvent \u00eatre passagers ou chroniques.<\/p>\n

Le sympt\u00f4me le plus r\u00e9v\u00e9lateur est la douleur qui survient chez une grande majorit\u00e9 des patientes diagnostiqu\u00e9es (50 \u00e0 91 %). Celle-ci peut survenir pendant les r\u00e8gles, on parle alors de dysm\u00e9norrh\u00e9e ou lors des rapports sexuels, appel\u00e9e aussi dyspareunie.
\nLa douleur peut aussi \u00eatre pr\u00e9sente lors des selles ou de la miction.
\nDes douleurs pelviennes et\/ou lombaires ne sont pas rares.
\nCes douleurs \u00e9tant li\u00e9es au cycle, elles peuvent \u00eatre plus importantes lors des r\u00e8gles ou de l\u2019ovulation.
\nLes douleurs sont tellement intenses chez certaines patientes qu\u2019elles engendrent des vomissements ou des malaises.<\/p>\n

Des saignements anormaux peuvent \u00e9galement survenir pendant le cycle ou juste avant les r\u00e8gles (m\u00e9trorragies, rectorragies\u2026).<\/p>\n

Des troubles digestifs et urinaires ne sont pas \u00e0 n\u00e9gliger. Diarrh\u00e9e et constipation, br\u00fblures mictionnelles, sang dans les urines\u2026 Autant de sympt\u00f4mes qui peuvent appuyer le diagnostic d\u2019endom\u00e9triose.<\/p>\n

La fatigue chronique est un des sympt\u00f4mes de cette maladie gyn\u00e9cologique.<\/p>\n

L\u2019infertilit\u00e9 peut \u00eatre un sympt\u00f4me et ainsi trouver sa cause dans l\u2019endom\u00e9triose.<\/p>\n

Il est \u00e0 noter que la maladie peut \u00eatre totalement asymptomatique. C\u2019est d\u2019ailleurs souvent \u00e0 l\u2019occasion d\u2019un bilan de fertilit\u00e9 que la maladie est d\u00e9tect\u00e9e.<\/p>\n

LA PRISE EN CHARGE DE L\u2019ENDOM\u00c9TRIOSE<\/span><\/h2>\n

Le diagnostic repose sur un examen clinique et \u00e9chographique, parfois une IRM, et une analyse de pr\u00e9l\u00e8vement du tissu endom\u00e9trial.<\/p>\n

Des traitements anti-douleurs de type morphiniques peuvent \u00eatre prescrits aux les femmes chez qui les douleurs sont les plus intenses.<\/p>\n

Outre ces anti-douleurs, un traitement hormonal est g\u00e9n\u00e9ralement propos\u00e9 afin de provoquer une am\u00e9norrh\u00e9e (absence de r\u00e8gles), le but \u00e9tant de r\u00e9duire les douleurs li\u00e9es au cycle menstruel. Ce traitement hormonal, bien qu\u2019il ait un effet positif sur les douleurs, n’emp\u00eache pas la progression de la maladie et pr\u00e9sente des effets secondaires importants.<\/p>\n

En cas de d\u00e9veloppement important des l\u00e9sions, une chirurgie peut \u00eatre propos\u00e9e. Elle permet notamment d\u2019\u00e9liminer les sympt\u00f4mes et le surplus de tissu ectopique (qui se d\u00e9veloppe au mauvais endroit). Cet acte m\u00e9dical peut parfois s\u2019av\u00e9rer d\u00e9licat selon la zone de fixation du tissu endom\u00e9trial.<\/p>\n

Un nouveau traitement permettrait d\u2019\u00e9viter l\u2019intervention, il s\u2019agit de la technique des ultrasons visant \u00e0 d\u00e9truire les nodules gr\u00e2ce \u00e0 la chaleur. Ce nouveau traitement a \u00e9t\u00e9 mis en place par le Pr DUBERNARD \u00e0 l\u2019H\u00f4pital de la Croix-Rousse de Lyon, et tend \u00e0 se g\u00e9n\u00e9raliser un peu partout en France.
\nCette solution offre un nouvel espoir aux patientes atteintes d\u2019endom\u00e9triose.<\/p>\n

ENDOM\u00c9TRIOSE ET FERTILIT\u00c9<\/span><\/h2>\n

Un grand nombre de patientes atteintes d\u2019endom\u00e9triose pr\u00e9senterait des difficult\u00e9s \u00e0 concevoir. On parle \u00e9galement d\u2019infertilit\u00e9.
\nSelon Endofrance, ce nombre s\u2019\u00e9l\u00e8ve \u00e0 30 \u00e0 40% des femmes porteuses de la maladie.
\nLa cause, si elle reste incertaine, pourrait \u00eatre la pr\u00e9sence de kystes ovariens et de profils hormonaux anormaux, nourrissant ainsi un terrain d\u00e9favorable \u00e0 l\u2019implantation d\u2019un embryon.<\/p>\n

Le traitement par ultrasons permettrait de mener \u00e0 terme une grossesse que l\u2019endom\u00e9triose rend difficile voire m\u00eame impossible.<\/p>\n

De nombreux m\u00e9decins encouragent leurs patientes \u00e0 ne pas trop attendre avant de concevoir un enfant. Les chances de r\u00e9ussite sont plus \u00e9lev\u00e9es lorsque la grossesse intervient \u00e0 un stade pr\u00e9coce de la maladie.<\/p>\n

Lors d\u2019une grossesse, on note une stabilisation du d\u00e9veloppement de la maladie. Les sympt\u00f4mes peuvent revenir naturellement au retour des cycles apr\u00e8s l\u2019accouchement.<\/p>\n

En cas de difficult\u00e9 \u00e0 concevoir naturellement un enfant, les patientes peuvent \u00eatre aiguill\u00e9es vers d\u2019autres solutions comme la F\u00e9condation In Vitro<\/a> (FIV), l\u2019Assistance M\u00e9dicale \u00e0 la Procr\u00e9ation (AMP), ou bien encore, l\u2019adoption.<\/p>\n","protected":false},"excerpt":{"rendered":"

L’ENDOM\u00c9TRIOSE Maladie gyn\u00e9cologique encore peu connue, l’endom\u00e9triose est pourtant fr\u00e9quente puisqu’elle toucherait, selon l’Inserm, une femme sur dix en \u00e2ge<\/p>\n","protected":false},"author":1,"featured_media":400,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"yoast_head":"\nendom\u00e9triose - Blog CoparentaLys<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"endom\u00e9triose - Blog CoparentaLys\" \/>\n<meta property=\"og:description\" content=\"L’ENDOM\u00c9TRIOSE Maladie gyn\u00e9cologique encore peu connue, l’endom\u00e9triose est pourtant fr\u00e9quente puisqu’elle toucherait, selon l’Inserm, une femme sur dix en \u00e2ge\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog CoparentaLys\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/coparentalite\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-12-05T05:51:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.coparentalys.com\/blog\/wp-content\/uploads\/2018\/11\/1867402_L.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1281\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admincoparentalys\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@CoParentaLys\" \/>\n<meta name=\"twitter:site\" content=\"@CoParentaLys\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admincoparentalys\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/\"},\"author\":{\"name\":\"admincoparentalys\",\"@id\":\"https:\/\/www.coparentalys.com\/blog\/#\/schema\/person\/f5874233a536c2135c8d801b4a13c9ca\"},\"headline\":\"endom\u00e9triose\",\"datePublished\":\"2018-12-05T05:51:50+00:00\",\"dateModified\":\"2018-12-05T05:51:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/\"},\"wordCount\":943,\"publisher\":{\"@id\":\"https:\/\/www.coparentalys.com\/blog\/#organization\"},\"articleSection\":[\"Fertilit\u00e9\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/\",\"url\":\"https:\/\/www.coparentalys.com\/blog\/2018\/12\/05\/endometriose\/\",\"name\":\"endom\u00e9triose - 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