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During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grows somewhere in the body causing endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, builds up tissue, breaks it and eliminates it through menstrual period.
1. Work and school
Women with endometriosis in certain regions of the body suffer from pain at least several days in a month just before and during menstruation causing the loss of productive activity as well as reducing the chance of advancement. Co-workers who have to cover her work without understanding the symptoms of endometriosis will likely feel resentment resulting in emotional depression, according to S.Orsola Malpighi University Hospital, 68% (170/250) of the participants in its survey complain of dysmenorrhea, 12% (30/250) lose days of school/work monthly because of dysmenorrhea, 13% (33/250) complain of intermenstrual pain which limits daily activities, 27% (1). Study shows that endometriosis causes 41% of women to give up or lose their jobs due to illness.
2. Difficulties in personal relationship
Women suffering from endometriosis may feel extensive pain during sexual intercourse. If the disease is not diagnosed, she may be accused of being frigid or neurotic causing difficulty in personal relationship leading to destruction of marriage as well as increasing the risk of depression and other diseases(12).
In general, women with endometriosis find it harder to become pregnant than other women. Women with moderate to severe stage of endometriosis tend to have more difficulty conceiving than women with minimal to mild stage of endometriosis. If the woman is living in a culture where she is defined by her ability to produce children, it can lead to social stigma(2)(9)(10).
4. Interference of quality of life
Women with severe pain as a result of endometriosis may interference with aocial life, such as family events, social events, and traveling just before and during menstruation(6)(7)(8).
5. Emotional depression
Woman with endometriosis who cannot control her symptoms may cause misunderstanding in the family and work place leading to depression. With no support from family and friends she may experience feelings of isolation as well(3)(4)(5).
6. Influence of destructive attitude
Not understanding endometriosis may cause feelings of confusion and embarrassment about the condition leading to irritation(11).
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(1) Dysmenorrhea, Absenteeism from School, and Symptoms Suspicious for Endometriosis in Adolescents by Zannoni L1, Giorgi M2, Spagnolo E2, Montanari G2, Villa G2, Seracchioli R(PubMed)
(2) Dyspareunia and quality of sex life after surgical excision of endometriosis: a systematic review.