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Tuesday, September 27, 2022

Increased symptoms of endometriosis due to catastrophic pain

Dr. Bracero emphasizes this concept, which indicates that the patient, due to ignorance of his diagnosis, increases pain, causing more discomfort.

Dr. Nabal Bracero, gynecologist and president of Progyn. Photo: Journal of Medicine and Public Health. Fabiola Plaza.

“Any type of pelvic pain that doesn’t get better with medication like acetaminophen to control should be screened, even from the first menstrual period, because there are patients who can have endometriosis as early as 11 and 12 years old. ” he said. Dr. A.S. Nabal Bracero, President ProGyn Puerto Rico.

In an exclusive interview with the journal Medicine and Public Health, the specialist stated that there is no reason for any patient to consider menstrual pain normal, because if it is the pain that affects the quality of life of the patient, then the doctor is responsible for this. with research, including endometriosis and other potential diagnoses.

“Recently, there is a concept called castrification, which is shown because the patient does not know what is happening to him, and which gives rise to an increase in sensory perception of pain, that is, the pain literally increases, and not that if the patient exaggerates, it is because we have already documented that when the patient does not understand, the pain will be maximized by the conduction of the nerve that causes the pain. That is why it is important that the patient understands his condition as quickly as possible,” he explained.

In this sense, he clarified that one of the challenges that doctors and healthcare professionals face is the awareness they need to have about these patients who, in studies done in Puerto Rico, have stated that they are not receiving the care they need.

“The first thing that professionals should do is to recognize the pain of the patient, refer her to the gynecologist in a timely manner and educate the patient,” he emphasized, while noting that in Puerto Rico, according to statistics, there are at least 10,000 patients with this disease.

Treatment and medical care

For Dr. Bracero, Dr. Idhaliz Flores’ study of genetic morbidity is fundamental because it allows specialists to study and investigate whether there is a family genetic link in patients with pain, and for this reason he finds it valuable that patients have access to a doctor.

“In our case at ProGyn, we are looking for fellow professionals to help the patient. The differential diagnosis includes endometriosis, which can range from cystitis, irritable bowel syndrome, depression,” he said.

In terms of treatment, Dr. Bracereau explained that the first step is to stop menstruation and reduce inflammation, “these are the two components that contribute the most to pain.”

Treatment is given according to the patient’s response, starting with simple medications and progressing to more complex ones so that the patient is not overburdened with medications.

In this sense, he explained the three key parts of the treatment and their impact on the body of patients, since it is a mysterious disease that combines many symptoms and compromises the patient’s quality of life, which requires an interdisciplinary team.

For this reason, he indicated three stages of treatment, depending on the extent of the lesion:

*If treated and the symptoms of chronic pelvic pain decrease, then it can be understood that endometriosis is present, but not severe.

*The most important thing about endometriosis is that the diagnosis requires laparoscopy, which is an outpatient operation, but nowadays we are moving away from laparoscopy and treating patients with a suspected diagnosis.

* Pelvic homeostasis is the point at which the patient can say that she is in control of the disease, as she has been able to return to a normal life in her daily life, this is when she returns to an acceptable quality of life.

In any case, it is important that the patient stays in touch with her specialist in order to reduce the risks and seek methods that will allow her to achieve a pregnancy if she so desires.

Watch full interview:

World Nation News Desk
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