Épisode 1

Invisible endometriosis

The 4 forms of endometriosis

In episode 1, Carole Minker, a pharmacist specializing in natural medicines, explains what endometriosis is today, its 4 forms and why the intensity of the symptoms does not depend on the size of the lesions.

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🔊 This program is an information program by a trained professional. This is generic advice and is not a personalized diagnosis. In all cases, we recommend that you be followed by a gynecologist and/or a midwife for individualized follow-up.

What you will learn in this episode

In this episode, Carole Minker, a pharmacist specializing in natural medicines and women's health, explains what endometriosis is today. A rapidly changing definition, driven by new studies that place this disease well beyond gynecology. You will discover the 4 forms of endometriosis, why the intensity of the symptoms does not depend on the size of the lesions, and what you can do concretely right now to better understand your situation.

Endometriosis is now defined as a chronic disease of multifactorial and systemic origin. It affects the whole body, with a gynecological expression, but not only. This change of perspective is important: we are no longer talking about an ovarian disease, but about a disease that can have an impact on the entire organism.

It is characterized by the presence of endometriotic tissue, similar to the endometrium but not identical. It is precisely because he is different that he adopts pathological behavior, by going to lodge in places where he should not be.

💡 Key figures

80% of women with endometriosis have pain outside of their periods, not just during their period.

50% of women with endometriosis also have neuropsychological symptoms: depression, mental fog, extreme fatigue.

2 thirds of dysmenorrhea is not endometriosis. Significant pains deserve to be explored, without being overdiagnosed.

The 4 forms of endometriosis

Superficial endometriosis is the shape closest to the surface. Its lesions are often invisible to the naked eye, but very present. For example, some women may have a navel injury.

Deep or infiltrating endometriosis refers to lesions that settle deeper: on the intestine, colon, bladder. In very rare cases, lesions have even been detected in the brain or in the eyes. Carole reminds you: if you have the intuition that a lesion is in a specific location, it is not because someone tells you “it is impossible” that it is impossible.

Endometriomas are lesions located in the ovaries.

Adenomyosis is the so-called internal form. Endometriotic tissue seeps into the myometrium, the uterine muscle itself. Carole uses a simple image: the endometrium is normally like a carpet placed on this muscle. In adenomyosis, it seeps inside, where it shouldn't be.

These 4 forms can coexist in the same woman.

Neither the size of the lesions, nor their location, nor their type make it possible to predict the intensity of the symptoms.

A woman can suffer enormously with few visible injuries, and vice versa. The reasons for developing one form over another remain largely unexplained, probably linked to very individual genetic and epigenetic factors.

🔎 Useful definitions

Endometrium : tissue found inside the uterus, which evolves throughout the menstrual cycle. Its role is to welcome an embryo. When there is no pregnancy, it is evacuated. Those are the rules.

Endometriotic tissue : tissue similar to the endometrium, but not identical. It is precisely because he has differences that he adopts pathological behavior, going to lodge in places where he should not be.

Adenomyosis : a form of so-called internal endometriosis, in which endometriotic tissue infiltrates the myometrium, the uterine muscle. It can exist alone or in combination with other forms of endometriosis.

🎯 Actions concrètes

  • Keep a daily follow-up journal.
  • Write down your symptoms every day, but also anything that could influence them: diet, stress, medication, rhythm changes, trips: This journal allows you to identify your triggers, positive and negative, and share them with your healthcare professional.
  • Identify what makes you feel good. If two yoga sessions per week improve your condition, if one food is better for you than another: write it down and reinforce what works for you.
  • Preparing for your next consultations:
  • Write down 2 questions to ask your doctor from this episode, for example, “Do I also have adenomyosis?” or “Where are my lesions located?”
  • Do not interpret the intensity of your pain alone: the extent of the pain does not reflect the size of the lesions or their location. Only a trained professional can assess your situation.

target icon

🔊 This program is an information program by a trained professional. This is generic advice and is not a personalized diagnosis. In all cases, we recommend that you be followed by a gynecologist and/or a midwife for individualized follow-up.
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⭐ La série Invisible endométriose est possible grâce à la participation de Norsan. L'épisode Bonus leur est dédié, et vous en apprendrez plus sur les Oméga 3 dans l'épisode 9. Norsan, entreprise spécialiste en production d'Oméga 3 depuis 2013 sont le plus grand distributeurs d'Oméga 3 en pharmacie car leur Oméga 3 naturels et de haute qualité font partie aujourd'hui des meilleurs Oméga 3 disponibles sur le marché.

What you will learn in this episode

In this episode, Carole Minker, a pharmacist specializing in natural medicines and women's health, explains what endometriosis is today. A rapidly changing definition, driven by new studies that place this disease well beyond gynecology. You will discover the 4 forms of endometriosis, why the intensity of the symptoms does not depend on the size of the lesions, and what you can do concretely right now to better understand your situation.

Endometriosis is now defined as a chronic disease of multifactorial and systemic origin. It affects the whole body, with a gynecological expression, but not only. This change of perspective is important: we are no longer talking about an ovarian disease, but about a disease that can have an impact on the entire organism.

It is characterized by the presence of endometriotic tissue, similar to the endometrium but not identical. It is precisely because he is different that he adopts pathological behavior, by going to lodge in places where he should not be.

💡 Key figures

80% of women with endometriosis have pain outside of their periods, not just during their period.

50% of women with endometriosis also have neuropsychological symptoms: depression, mental fog, extreme fatigue.

2 thirds of dysmenorrhea is not endometriosis. Significant pains deserve to be explored, without being overdiagnosed.

The 4 forms of endometriosis

Superficial endometriosis is the shape closest to the surface. Its lesions are often invisible to the naked eye, but very present. For example, some women may have a navel injury.

Deep or infiltrating endometriosis refers to lesions that settle deeper: on the intestine, colon, bladder. In very rare cases, lesions have even been detected in the brain or in the eyes. Carole reminds you: if you have the intuition that a lesion is in a specific location, it is not because someone tells you “it is impossible” that it is impossible.

Endometriomas are lesions located in the ovaries.

Adenomyosis is the so-called internal form. Endometriotic tissue seeps into the myometrium, the uterine muscle itself. Carole uses a simple image: the endometrium is normally like a carpet placed on this muscle. In adenomyosis, it seeps inside, where it shouldn't be.

These 4 forms can coexist in the same woman.

Neither the size of the lesions, nor their location, nor their type make it possible to predict the intensity of the symptoms.

A woman can suffer enormously with few visible injuries, and vice versa. The reasons for developing one form over another remain largely unexplained, probably linked to very individual genetic and epigenetic factors.

🔎 Useful definitions

Endometrium : tissue found inside the uterus, which evolves throughout the menstrual cycle. Its role is to welcome an embryo. When there is no pregnancy, it is evacuated. Those are the rules.

Endometriotic tissue : tissue similar to the endometrium, but not identical. It is precisely because he has differences that he adopts pathological behavior, going to lodge in places where he should not be.

Adenomyosis : a form of so-called internal endometriosis, in which endometriotic tissue infiltrates the myometrium, the uterine muscle. It can exist alone or in combination with other forms of endometriosis.

🎯 Concrete actions

  • Keep a daily follow-up journal.
  • Write down your symptoms every day, but also anything that could influence them: diet, stress, medication, rhythm changes, trips: This journal allows you to identify your triggers, positive and negative, and share them with your healthcare professional.
  • Identify what makes you feel good. If two yoga sessions per week improve your condition, if one food is better for you than another: write it down and reinforce what works for you.
  • Preparing for your next consultations:
  • Write down 2 questions to ask your doctor from this episode, for example, “Do I also have adenomyosis?” or “Where are my lesions located?”
  • Do not interpret the intensity of your pain alone: the extent of the pain does not reflect the size of the lesions or their location. Only a trained professional can assess your situation.

target icon