00:28Endometriosis
00:55Endometriosis
01:28Endometriosis
01:29of all women in the Philippines have it.
01:32And then, ang mahirap
01:33doon actually is even if
01:3510% of women have this
01:38condition, maraming
01:39underdiagnosed. Hindi nila
01:41nalalaman agad na meron silang
01:44endometriosis.
01:45Ano pong karaniwang sintomas po nito,
01:47doktora?
01:49So, because yung endometrial cells mo
01:51are in different locations, every time
01:53na nagre-regla ka, may blood doon sa
01:55locations na yun. And it causes pain.
01:57So, masakit kapag nagre-regla.
01:59Even before magre-regla, masakit
02:01na. Sometimes kapag nagko-contact,
02:03masakit. Sometimes
02:05even when you make wee-wee or you make
02:06poo-poo, pag may regla, masakit.
02:09So, it's really the main cause
02:11of pain talaga. And
02:12ang pinaka-nakakatakot na
02:14side effect nga is infertility. So,
02:17nahihirapan magbuntis
02:19kapag may endometriosis.
02:21Well, doktora, maraming babae po.
02:23Yung hindi agad na-diagnosed
02:25dahil sa common period
02:27pain lamang ito, pangkaraniwan naman,
02:28monthly, di ba? Nakikita mong in-pay ng babae.
02:30Pero ano po ba yung mga
02:33challenges sa pagtukoy
02:34kung ito'y endometriosis na?
02:38So, as I mentioned,
02:40more than 50% of women
02:42have a hard time being
02:44diagnosed with endometriosis
02:46because yun nga, tama ka. Sinasabi
02:48yung pelvic pain lang to or parang
02:50dysmenorela, that's nothing, ganon.
02:52So, ang dapat na talaga gawin,
02:54whenever you have pain,
02:56when you have pain during menses, you go
02:58for check-up talaga. So, an
03:00ultrasound is usually done and this
03:02will be able to tell you if you have
03:04endometriosis or not.
03:06Okay. Ano kung treatment options naman po
03:07dito, Doktora?
03:09Okay. For our treatment options naman,
03:12so we, first of all, you have to
03:13address the pain mo. So, you can give
03:15pain management, pain medications,
03:18pero syempre, it will not cure the
03:20source talaga.
03:21Yung maganda ngayon, Ms. Leanne,
03:22nag-shift na tayo from a surgical
03:24treatment to mas medical na tayo ngayon.
03:27So, there is hormonal treatment
03:28for endometriosis, pills siya,
03:30you take it every month, no?
03:32Once a day, every month, and
03:34maganda yung studies na it
03:35decreases yung size of the
03:37endometriosis outside of the
03:39uterus. So, very, very promising
03:42itong treatment na to.
03:43Because dati, pasapin,
03:45kaya ng ka-endometriosis,
03:46surgery, agad, tatanggalin
03:47na, agad, eh, hindi naman din
03:49100% na cure yet.
03:51Itong medical management is
03:54really our front line
03:59for endometriosis.
04:01And it's showing...
04:03Pero ganyan pa man,
04:04ano po, saan po mas
04:05common na edad ito
04:06ng kababaihan?
04:07Sa mga teenagers po ba,
04:08meron na nito,
04:09o doon sa mga
04:10mas nakatatanda?
04:16Usually, it starts
04:18mga 20, 25 years,
04:20and then as early as
04:2125 years old,
04:22and then even up to the
04:23age of nung nakakatanda,
04:25yun, meron ka na rin
04:26symptoms nun.
04:27So, when you're in your
04:2920-year period pain,
04:32go for a check-up.
04:34Go for an...
04:34Okay.
04:35So, importante yung
04:37pagpapacheck-up, ano,
04:38sa OBGYN,
04:39kasi hindi naman yung iba,
04:40hindi talaga
04:41nagpapacheck-up
04:42kasi akala nila
04:43normal pain na
04:43how frequent should
04:45isang babae po ba
04:47na pumunta sa OBGYN
04:48para po magpacheck-up
04:50at madiagnose po sila
04:51ng maayos
04:52kung mayroon nga po sila
04:53nito, doktora.
04:54Ano pong inyong
04:54recommendation?
04:57Usually, you'd go
04:59for the first check-up,
05:00we'd do the pap smear
05:01and an ultrasound.
05:02If everything is okay,
05:04you can go yearly
05:05or maybe every
05:06two to three years
05:08just to be sure
05:09na everything
05:09is within normal.
05:12Pero yung importante doon
05:13is talagang
05:13you go for the check-up,
05:15hindi lang babaliwalain
05:16na parang may pain
05:17kapag may regla,
05:18okay lang yun,
05:19that's normal.
05:20It's better pa rin
05:21to know if you have
05:22anything that we need
05:23to address
05:23or if you have
05:24endometriosis.
05:26Wala po ba,
05:27doktora,
05:28na kinalaman
05:29ang lifestyle
05:30sa pagkakaroon
05:31ng endometriosis?
05:33Ba ang causes nito,
05:34do?
05:35So far,
05:37it's more
05:39hereditary.
05:40That's part of it.
05:41And then,
05:42usually,
05:43it comes kasi daw
05:45from retrograde menstruation.
05:47So yung menses,
05:47ang matres mo,
05:49nagkakalat siya
05:50sa all over
05:51the other parts
05:52of your pelvis.
05:54Lifestyle-wise,
05:55like food,
05:56diet,
05:57ganyan,
05:57there's no direct link yet.
06:00Pero,
06:01of course,
06:01lifestyle is always good,
06:03di ba,
06:04for our bodies.
06:06Well,
06:06ano po may papayo po niyo
06:07sa mga kababaihan
06:08ngayong endometriosis
06:09awareness month
06:10para mas mapalaga na pa po
06:12itong kalaman
06:12at support po
06:13tungkol dito po,
06:14doktora?
06:16Okay,
06:17so,
06:18guys,
06:18whenever you have
06:19postmenorrhea,
06:20whenever you have
06:21any pain
06:21during menses,
06:22just to be sure
06:23that it's not
06:23endometriosis,
06:24go for a checkup.
06:25Go to your OB-GYN,
06:27go for a pap smear
06:28and a transvaginal ultrasound
06:29to check everything lang.
06:31Alright,
06:32maraming salamat po
06:32sa lahat ng
06:33informasyon
06:34na ibinahagi niyo
06:34sa aming
06:34ngayong umaga.
06:35Doktora Cria Lorenzo del Castillo.
06:38Maraming salamat po.
06:39Thanks,
06:40Doktora.
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