Does my Child Have Endometriosis?
Endometriosis affects one in ten of us with a menstrual cycle in the UK - and while symptoms can appear along with the very first period, it can take on average over eight years to get a diagnosis (Endometriosis UK). As parents, we are our child’s best advocate, but how can we support them through suspected endometriosis to a diagnosis and treatment plan? We spoke to Dr Fiona MacRae at the Marion Gluck Clinic to find out.
The Marion Gluck Clinic is a dedicated clinic that spearheads the use of bioidentical hormones to rebalance hormonal conditions and improve wellbeing.
The clinic offers hormone-balancing therapy for all conditions, including perimenopause, menopause, polycystic ovary syndrome (PCOS), and premenstrual dysphoric disorder (PMDD) as well as mental health concerns such as depression. Through a personalised, professional, and innovative approach to treatment, the clinic aims to improve the quality of patients’ lives with a treatment plan tailored to their precise needs.
Should we see a doctor about heavy and painful periods?
One of the reasons why Endometriosis takes so long to diagnose, is due to the fact that symptoms are often mistaken for other conditions. Sadly, many women also feel unable to speak out about the pain they’re experiencing, or report that medical professionals don’t take them seriously.
So how we do know when we need to make that appointment for our child, or if this is all a normal part of the menstrual cycle?
Dr MacRae advises that its always a good idea to make an appointment with a GP if you’re concerned.
“Parents should encourage their child to see a doctor about heavy and painful periods if the symptoms are significantly impacting their daily life, such as missing school or work, or if over-the-counter pain medications are not providing relief,” she told us, adding: “It’s important to seek medical attention to rule out other potential causes of the symptoms and to receive appropriate treatment.”
You can help your child manage their period with our Teen Stretch™ period pants for Super Heavy Flow. These pants gently adjust to your child's growing (or bloating) shape, stretching up to four sizes in one pair. They're super soft and very absorbent, protecting against leaks and odours for up to 24 hours. The seamless finish means they won't dig in either, which is a plus when cramps are really bad.
Our natural Heat Patches can be worn over the top too, helping to soothe pains and provide comfort for up to 12 hours.
What is endometriosis?
According to the NHS, Endometriosis is a long-term, chronic condition which can have a ‘significant impact’ on the lives of sufferers. But what exactly is the condition, and what are the causes?
Dr MacRae told us,
“Endometriosis is a relatively common condition where the tissue lining the womb grows outside the womb. As oestrogen rises and falls through the menstrual cycle, this tissue is variably stimulated leading to significant pain, fertility problems, gastrointestinal symptoms, heavy periods and fatigue. This has a negative impact on emotional wellbeing and daily activities.”
Again according to the NHS, the exact cause of Endometriosis isn’t known, but it’s though that it could run in families - so if you suffer with the condition, there’s a chance that your child could too.
What are the signs and symptoms of endometriosis?
So what should we be looking out for when it comes to endometriosis? While not all will be applicable to your child, Dr MacRae lists the most common signs as:
1. Severe menstrual cramps
3. Pain during or after sex
4. Painful bowel movements or urination
5. Chronic pelvic pain
6. Fatigue
7. Infertility
Keep a note of any symptoms you recognise, and discuss them with your doctor.
How can parents help support their child if they suspect endometriosis?
Maybe you suffer with Endometriosis yourself, or maybe your child’s heavy flow and cramps seem a little off to you? Either way, if you suspect Endometriosis, your child is going to need your support.
“A parent may suspect that their child has endometriosis through recognition of very heavy or painful monthly bleeds and a lack of wellness and energy during the period.” Dr MacRae explained.
"Parents may offer emotional support, ensure a good supply of appropriate sanitary products and encourage a visit to the GP. Should further investigations of the condition be warranted, this may involve surgical procedures and parents can be a big support and have a reassuring influence.”
How is endometriosis diagnosed?
Diagnosis for Endometriosis can take time, and it can be frustrating - but other conditions do need to be ruled out first. Dr MacRae told us the only way an official diagnosis can be made is via a laparoscopy at the hospital.
“The diagnosis of endometriosis may be suspected following a history and examination but usually involves further investigation and this may be in the form of a diagnostic laparoscopy. This is a hospital surgical procedure requiring a general anaesthetic but allows direct vision of the pelvic organs revealing endometrial deposits outside the uterus.
Very often the deposits may be removed at the time of the procedure, but this does not however remove the underlying cause.”
Questions to ask your doctor
Once you have your diagnosis, you and your child will no doubt have plenty of questions for your doctor. It's a good idea to write them all down so that you’re prepared for your next appointment.
If you’re not sure where to start, Dr MacRae has shared the most commonly asked questions below:
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What are the treatment options for endometriosis?
While there’s no cure for Endometriosis, there are a few treatment options that you and your child can discuss with your doctor. For pain relief, you might find it useful to help your child get to grips with natural remedies alongside doctor recommended pain relief.
A hot water bottle or natural heat patch are both great options for targeted relief from period cramps. The heat patches are great for a more discreet, on-the-go option - great for school.
The WUKA wearable hot water bottle is available for £25.99.
WUKA Heat Patches are available in packs of 4, providing fast relief for up to 12 hours.
2. How will endometriosis affect my child's fertility?
It may be too soon for your child to think about their future fertility, but it might be a good idea for you to get some idea of how they might be affected by the condition. Every case is different, but lots do go on to have children.
3. Are there any lifestyle changes that can help manage endometriosis symptoms?
Alongside treatments to help your child manage their symptoms, there might also be lifestyle changes that can be made to help too.
The Endometriosis Foundation recommends following a healthy, balanced diet with plenty of energy, fats, proteins, vitamins and minerals. Cutting down on foods which are inflammatory (such as processed foods, sugary foods and foods high in trans-fats) might also help, plus staying hydrated is a good idea too.
They also recommend regular exercise, prioritising sleep and keeping stress in check.
4. What are the potential side effects of treatment options?
Your doctor can discuss any side effects with you, so that you’re able to make the right decision when it comes to your child’s treatment plan. Involve them in these conversations so they feel in control as much as possible.
5. How often should my child follow up with you for monitoring?
Your doctor will agree a plan for follow up appointments with you. Keep a track of symptoms so that you can report back at your next appointment.
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