Hello, Doc. I Mahesa (25). I have problems with severe abdominal pain when menstruation for 3-4 days is unbearable. When I had an ultrasound, the doctor only wrote the diagnosis of POA dg. endometriosis. POA dg. What is the maximum endometriosis? Thank you 🙏
Hello Mahesa, Thank you for the question.
Endometriosis is a condition of the discovery of uterine lining tissue (endometrium) outside the uterus. This tissue can be found in the vagina, fallopian tubes / fallopian tubes, ovaries, intestines, rectum. Before menstruation occurs, endomtrium tissue will thicken to prepare itself as a place for fertilization to grow in case of pregnancy. However, if there is no pregnancy, this endometrium will decay and menstruation occurs. In endometriosis, endometrial tissue that is outside the uterus also thicken but can not be shed and come out of the uterus, causing symptoms of severe menstrual pain. Besides pain during menstruation, other symptoms that can occur are heavy menstrual bleeding and pain during bowel movements.
Treatment for this condition depends on the severity of symptoms and whether the patient still wants to have children or not. Treatment given by a doctor can be in the form of pain medication, hormone therapy, or surgery.
Regarding the ultrasound you are asking for, which is the length of the POA, you should make sure again with the obstetrician who is examining you so that the information you receive is more precise. Ultrasound results related to endometriosis and related to your question are usually abnormal uterine (uterine) bleeding (PUA) or tubo-ovarian abscess (TOA). TOA is a bacterial infection that causes pus-filled sacs (abscesses) in the fallopian tubes and ovaries. This condition can occur as a complication of pelvic inflammation or if there is endometriosis with a secondary infection by bacteria.
Please consult your obstetrician who is treating you about the results of this ultrasound so that you get the right information and know the right treatment for the condition.
Hopefully this information helps you.