“It’s been a while since we take care of women with endometriosis within the Center Hospitalier de la Dracénie. Therefore, But we were not necessarily identified, poses as observation the Dr Vanessa Mathieu, surgeon gynecologist at Dracénois hospital. Moreover, We responded to the call for candidates submitted by the Regional Health Agency (ARS). Similarly, was selected as part of the structuring of the disease. Therefore, “
By his side. However, the Dr Estelle Turrelalso surgeon gynecologist, who arrived two months earlier in the public health establishment, but also the Dr Cyrille Desveauxgynecologist specializing in medical imaging. Nevertheless, “We are now a second appeal. Consequently, City doctors. In addition, midwives or even liberal gynecologists can send us their patients for whom there are suspicion of endometriosis and we take care of them. Moreover, If the disease requires very advanced surgical treatment, center hospitalier de la dracénie we redirect them to Nice, our Center for Appeals”specifies Estelle Turrel.
Car endometriosissince 2019, has been a disease better known by the general public. Meanwhile, Elle “Touch 10% of women of childbearing ageER, between 150,000 and 200,000 women in the Provence-Alpes-Côte d’Azur region. For example, This is the first cause of infertility in France “reports the regional health agency. Nevertheless, which specifies that “40% of women affected have fertility problems and it is estimated that around 50% of infertile women would be carrying endometriosis.”
What is endometriosis? Therefore, – Center hospitalier de la dracénie
Unknown, the disease is also difficult to identify. Moreover, “Endometriosis is a chronic inflammatory gynecological disease, which causes strong pains for each period of rules“Summarizes Dr. Similarly, Vanessa Mathieu. “There is not a single form of endometriosis. Each patient has a different shape. She starts in adolescence and ends with menopause”abounds Dr. Desveaux. “Concretely. these are cells of the endometrium center hospitalier de la dracénie propagate in the body, sometimes in internal scars to the uterus, sometimes external to the organ, in the abdomen, continues Dr. Mathieu. It is the most common form. But I can have patients who have joint pain or pleura cells, causing pain that can lead to pneumothorax. There are sometimes digestive damage. “ It is for this reason that medical imaging is essential. “We first use ultrasounds to locate the affected tissues, explains Dr. Cyrille Desveaux. If that is not enough, we do further examinations using a scanner or magnetic resonance imaging (MRI). “
From left to right, doctors Vanessa Mathieu, Estelle Turrel and Cyrille Desveaux. Photo Florian Escoffier.
Multidisciplinary management
These varied forms make treatments difficult, especially since it exists, to date, no remedy for disease. “Only multidisciplinary treatment can help control the effects of endometriosis”explains Dr. center hospitalier de la dracénie Mathieu.
“It first necessarily goes through hormonal treatment. other therapies using physiotherapists, health sport, hypnosis or even sophrology”, lists Vanessa Mathieu. “There are also changes of life, such as using an anti-inflammatory diet and stopping smoking.”
“If that is not enough. then we study the surgical track to eliminate the carrier tissues from endometriosic cells”, she concludes. “Often, we diagnose women who have infertility. In this case, we treat the disease and we send them for an in vitro fertilization course in Nice.”
Raising awareness
The three health professionals are particularly attached to raising awareness among the greatest number. “There is often a medical wandering for women affected by the disease. Pain is such that this is handicapping for their everyday life”, Recalls Dr. Vanessa Mathieu.
A phenomenon noted by the Regional Health Agency Provence-Alpes-Côte d’Azur. “The absence of structuring of a graduated care offer is a loss center hospitalier de la dracénie of chance in the patient’s journey by. limiting the precocity of the diagnosis – currently from seven years on average – leaving time to progress.”
“He entered the customs that it is normal for a woman to have painful rules … that pain is normal. This is not the case”continues Dr. Estelle Turrel. “When the pain cannot be calmed by an analgesic. you must consult”summarizes Vanessa Mathieu, which deals “A hundred patients with more or less frequent monitoring depending on the development of the disease”.
“We also see more and more adolescent girls. In this case. we first prescribe contraception, because if the pains stop, there is a good chance that the girl does not suffer from endometriosis”reports Dr Cyrille Desveaux. “We must be careful not to confuse painful rules, which are often present at this age, and endometriosis.” And repeat it: “If these pains persist in the twenty past. center hospitalier de la dracénie without being able to be treated by an analgesic, then you have to consult quickly.”