Professor Dr. Erkut Attar underlined that pelvic pain occurs in 1 in 10 women and said, “We have endometriosis patients reporting first-degree abdominal, groin and menstrual pain, and second-degree infertility. About 30 percent of patients with endometriosis may be infertile. Gynecology and obstetrics, IVF specialist Professor. Dr. Erkut Attar said the Pelvic Pain and Endometriosis Clinic, in conjunction with the Urology, Gastroenterology, General Surgery, Physical Therapy and Psychiatry departments, examines each patient through a multidisciplinary approach.
Eric Boutrant of France and George Carrillo of the United States attended the inauguration of the clinic, including Juan Diego Villegas-Acheveri, a member of the International Pelvic Pain Society and former president of the International Pelvic Pain Society, who served on the Scientific Committee of the Colombian FOC.
“Pelvic pain requires skill and experience”
Saying that the number of pelvic pain centers in the world is increasing, Juan Diego Villegas-Acheveri expressed his views as follows: “Pelvic pain treatment requires a specialty and experience. Professor Dr. Erkut Attar has made significant contributions and researches on this subject in America and around the world. We have worked together for a long time at the International Pelvic Pain Association. We have done a great service for women around the world. We continue to provide various trainings and courses in Turkey. It is undeniable that this clinic at Yeditap University Hospital will make a great contribution to patients with pelvic pain and endometriosis. It is very important that the surgery of these patients is performed by a specialist team. We will always support this clinic and share all our knowledge, skills and experience with the Turkish team. “
“With depression, it can lead to anxiety.”
One of the most important causes of chronic pelvic pain is endometriosis, which is seen in about 10 percent of women. Dr. Attar describes the effects of the disease on women as follows: “The disease we are talking about is not just a common abdominal, groin or menstrual cramps, but also bladder pain, pain during intercourse, vulvar pain, irritable bowel syndrome, more importantly migraine. -Types of headaches and severe acute pain. Depression and anxiety can be a disorder. When severe depression, chronic pain and infertility are added, women with the disease have major problems with family relationships and severe loss of energy in their professional lives. Therefore, we can say that endometriosis is a disease that affects women socially, socially and personally.
“We’re normal, but not enough.”
The disease is so widespread, it is still not sufficiently recognized, said Professor. Dr. Erkut Attar continued: “In addition to being common in women, laparoscopic intervention is needed to confirm the diagnosis. In addition, due to its impact on the patient’s quality of life, it also affects individual productivity. It is also important to raise social awareness in the context of an expensive disease for both endometriosis patients and the state. We founded the Pelvic Pain and Endometriosis Association in 2010 and are working across the country to raise awareness about the disease. “
“There is a misconception that it can be corrected by marriage or pregnancy”
There is no specific information about the cause of endometriosis, said Professor. Dr. Attar, however, provided information on risk factors: “Although the exact cause of the disease is not known, we have a very good knowledge. Research is being done to reveal the cause of the disease, both in our country and abroad. For example, we know that the hormone estrogen triggers endometriosis. Also, menstrual blood flow in the abdominal cavity, which we define as reverse menstrual blood flow, can also cause this disease. Genetic factors are also important. In addition to these, it should be noted that environmental factors are also gaining importance.
“Patient may lose time in diagnosis”
Endometriosis patients are wasting time because they are looking for solutions in different branches for diagnosis by underlining, said Prof. Dr. Erkut Attar blamed a lack of awareness. The correct diagnosis process can be up to 7 years, said Professor. Dr. “There is a misconception that this pain can be normal, especially in young girls who have menstrual cramps and that it can improve with marriage or pregnancy,” said Erkut Attar. During the patient’s waiting period until the diagnosis is made, the disease progresses slowly and can lead to many more serious problems.
“Measures should be taken to improve the quality of life of women”
Underlining the need for a multidisciplinary approach to the treatment of endometriosis, as it affects many systems of the body, Professor. Dr. “We are one of the leading centers in our country dealing with pelvic pain and endometriosis,” said Erkut Attar. Of course, endometriosis patients had been treated before. However, a team working with a multidisciplinary approach is now evaluating our patients. Together we evaluate and treat all patients’ complaints, “he said.
“It may not always be possible to relieve pain in patients with pelvic pain and endometriosis. For this reason, measures should be taken to increase the quality of life of women during treatment, ”said Professor. Dr. Erkut Ittar concludes: “Also, since the conditions we define as advanced endometriosis or invasive endometriosis require a very difficult surgical procedure, the surgeries must be performed with a special team. Therefore, experience is very important in all treatment processes. “