Endometriosis: The Effects on women's Emotional state

Posted by Chantel Martiromo, Research article by Kyle J. Norton

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 grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.

The Effects on women's Emotional state
1. Depression
Depression is a illness that not only affects woman with endometriosis but also their family, work or school life, sleeping and eating habits, and general health. It is caused by lower levels of good estrogen and high levels of progesterone, and the symptom get worse before and during menstruation. Being misunderstood by co-workers, family, and friends may trigger the feeling of worthlessness and loss of interest in daily activity such as hobbies and sex(88)(89).

2. Apathy and fatigue
Apathy and fatigue may be caused by thyroid problem or hormone imbalance. Apathy and fatigue in endometriosis is caused by the pressure of coping with any sort of pain that returns relentlessly every month, affecting her physical and emotional state(90).

3. Loss of concentration and memory
Many women with endometrosis also suffer from anemia caused by heavy blood flow leading to deficiency of iron, folate aid, and vitamin B12 which are necessary for reproduction of red blood cells and to increase transportation of oxygen to brain cells, causing loss of concentration and memory. It may be a  result of emotional and social stress(91).

4. Irritability
Irritation besides being caused by hormonal imbalance in the women with endometriosis during the menstrual cycle. Stress and confusion for woman with endometriosis is understandable. It is best to cope with the stress and try understand the disease and how to treat it. Denial of any of this not only causes more emotional pressure but also irritates any suggestion and help(92).

5. Loss of self confidence
It is hard for woman to perform daily activities with menstrual cramps on her back. It not only affects her work but also causes absence due to sickness every month in the work place. Without understanding by her boss and family, women with endometriosis may lose self confidence in her job as well as at home(93).

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 References
(88) [Evaluation of pain and depression in women with endometriosis after a multi- professional group intervention].[Article in Portuguese] by Lorençatto C¹, Vieira MJ, Marques A, Benetti-Pinto CL, Petta CA.(PubMed)
(89) Depression in women with endometriosis with and without chronic pelvic pain by Lorençatto C¹, Petta CA, Navarro MJ, Bahamondes L, Matos A.(PubMed)
(90)The social and psychological impact of endometriosis on women's lives: a critical narrative review by Culley L¹, Law C, Hudson N, Denny E, Mitchell H, Baumgarten M, Raine-Fenning N.(PubMed)
(91) Physical therapy and psychological intervention normalize cortisol levels and improve vitality in women with endometriosis by Friggi Sebe Petrelluzzi K¹, Garcia MC, Petta CA, Ribeiro DA, de Oliveira Monteiro NR, Céspedes IC, Spadari RC.(PubMed)
(92)Prevalence of pain syndromes, mood conditions, and asthma in adolescents and young women with endometriosis by Smorgick N¹, Marsh CA, As-Sanie S, Smith YR, Quint EH.(PubMed)
(93)Diagnostic confidence analysis in the magnetic resonance imaging of ovarian and deep endometriosis: comparison with surgical resultsby Saba L¹, Sulcis R, Melis GB, Ibba G, Alcazar JL, Piga M, Guerriero S.(PubMed)