Fatigue may be a sign of womb disorder

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Endometriosis occurs when womb lining cells grow where they are not supposed to, such as in the ovaries or fallopian tubes. It often causes pain, fatigue and may lead to heavy periods, infertility or an increased risk of depression. Women who have endometriosis and fatigue may be depressed or have insomnia.

Endometriosis has an effect on fatigue that is independent of other factors and that cannot be attributed to symptoms of the disease.
The Swiss scientists recruited 1,120 women, 560 with endometriosis and 560 without it, from hospitals and private practices in Switzerland, Germany and Austria between 2010 and 2016. The women completed a questionnaire about their quality of life and endometriosis, as well as medical and family histories, life style and mental disorders.

Women were asked to rate how often they had fatigue or insomnia on a five-point scale from never to very often. Some 50.7 per cent of the women diagnosed with endometriosis suffered from frequent fatigue, compared to 22.4 per cent of women without the condition.
Fatigue with endometriosis was also associated with an increased risk of insomnia, depression, pain and occupational stress.
The women’s ages, time since their first diagnosis and the stage of their disease were not linked to fatigue.

Another study done at the same time by Professor Brigitte Leeners’ team at University Hospital Zurich revealed women who suffered abuse or neglect as children are more likely to develop endometriosis. A total of 421 women with endometriosis were compared with 421 women without the condition. They completed questionnaires about their childhood and experience of physical, sexual and emotional abuse, emotional and physical neglect, and ‘inconsistency experiences’- feeling unsafe or scared their family might break up.

Women with endometriosis were more likely to have experienced all forms of neglect than women without the condition: sexual abuse (20 per cent versus 14 per cent), emotional abuse (44 per cent versus 28 per cent), emotional neglect (50 per cent versus 42 per cent) and inconsistency experiences (53 per cent versus 41 per cent).

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