Reproductive health: Understanding bladder endometriosis

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Endometriosis is already a tough condition to deal with, but when it affects the bladder, it brings a whole new set of challenges. Bladder endometriosis is a lesser-known but very real struggle for many, often going undiagnosed because its symptoms mimic common bladder issues.

Understanding it means giving those affected a voice, better treatment options, and the reassurance that they’re not just imagining things. Because let’s be honest, no one should have to plan their day around the nearest bathroom.

The Healthline publication explains that endometriosis is a condition where endometrial-like cells grow in other parts of the pelvis, such as the ovaries or fallopian tubes. Bladder endometriosis is said to be a rare form where these cells grow inside or on the bladder surface.

The above source continues to state that this condition affects up to 5% of women, with the bladder being the most affected organ. There are two types: superficial endometriosis, where tissue only grows on the bladder surface, and deep endometriosis, where tissue reaches the bladder lining, according to the above-mentioned health site.

The Revive Research Institute claims that around 50% of individuals with urinary tract endometriosis, including bladder endometriosis, do not show symptoms, but those experiencing symptoms may experience frequent urination, bladder pain, urinating blood, pelvic pain, and lower back pain.

The Seckin Endometriosis Centre states, “Retrograde menstruation causes products of the period to “go back” into the pelvis and implant in the bladder wall. This kickstarts the process of inflammation and adhesion with scarring that leads to endometriosis.”

Risk factors of bladder endometriosis according to Medical News Today include having a mother, sister, or daughter with endometriosis, having periods before 11 years old, and short menstrual cycles.

Treatment for urinary tract endometriosis according to the above website is similar to pelvic endometriosis, involving pain relief, anti-inflammatory medications, pelvic floor physiotherapy, and alternative therapies like acupuncture. The publication adds that hormonal-regulating medications may also be beneficial and that in severe cases, surgery may be recommended due to severe symptoms or kidney limitations.

Also see: What your menstrual cycle says about your health