Global Health Asia-Pacific March 2020 | Page 65

Laparoscopy, or minimally invasive surgery, is the way to diagnose endometriosis eggs might be destroyed, causing the patient some serious fertility issues. If you have early treatment for endometriosis, you can prevent a lot of damage to the organs too,” said Dr Leong. Having issues with fertility is a serious complication of endometriosis. Women with milder forms may be able to conceive and carry a baby to term, but according to the Mayo Clinic, about 30-40 percent of women with endometriosis have trouble getting pregnant. For pregnancy to occur, a fertilised egg must attach itself to the uterine wall to begin development. Endometriosis may obstruct the fallopian tube when the egg is released and keep the egg and sperm from meeting. The condition also seems to affect fertility in less-direct ways, such as by damaging the sperm or egg. Even so, many patients with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise diagnosed endometriosis patients not to delay having children because the condition may worsen over time. In Kuala Lumpur, Surita Mogan has been organising a march for endometriosis patients set for March 28 to highlight the condition and raise awareness of it. GlobalHealthAndTravel.com The Kuala Lumpur Endo March will be part of a global effort to do so on that day. Surita, who received her diagnosis 12 years ago after a nine-year wait, says there’s “a little bit more awareness” among doctors, employers, and the public, but there’s still a long way to go. She believes many doctors are still holding back on their diagnosis while bosses do not yet understand the debilitating pain caused by endometriosis and its impact on performance. “I’m very angry that it’s not addressed. I have so much anger in me; I don’t know why this condition is not out in the open. I’ve faced a lot of discrimination, and I don’t want anyone else to face the same problems I went through, especially in my teens,” she said. “There are so many things we can do. We need campaigns to talk about endometriosis, especially in schools, and there should be menstrual health events to educate girls and the community. Employers also need to understand it because a lot of us are laid off work. “We go through all this pain but still it’s not out in the open, and that’s the sad part. Why is it still not being addressed?” n Endometriosis may obstruct the fallopian tube when the egg is released and keep the egg and sperm from meeting MARCH 2020 63