Jahmby Koikai, also known as Fyah Mama, passed away from complications from endometriosis earlier this week. She was a prominent Kenyan reggae MC, radio host, and activist, that rose to fame through her reggae mixes and vibrant personality on the airwaves. Through her decades long battle with endo, she managed to highlight the struggles that so many women face and the difficulties and challenges around treatment.
What is Endometriosis?
Endometriosis is a condition where tissue similar to the uterus lining (endometrium) grows outside the uterus. This displaced tissue responds to hormonal changes like the uterine lining, thickening, breaking down, and causing bleeding with each menstrual cycle. However, unlike the menstrual blood that exits the body, this blood has no escape route, leading to inflammation, scar tissue, and painful symptoms.
Symptoms of Endometriosis
Endometriosis symptoms can vary widely in severity and presentation among individuals. However, there are some common symptoms:
Pelvic pain: Often severe and chronic, especially during menstrual periods.
Painful intercourse: Dyspareunia can be a significant symptom.
Painful bowel movements or urination: These symptoms are more common around menstrual periods.
Excessive bleeding: Heavy menstrual flow, bleeding between periods, or prolonged bleeding.
Infertility: Endometriosis can affect fertility in some women.
Fatigue: Chronic tiredness is a common symptom.
It’s important to note that not all women with endometriosis experience severe symptoms, and some may have no symptoms at all.
Causes and Risk Factors
The exact cause of endometriosis is unknown, but several factors may contribute to its development:
Retrograde menstruation: When menstrual blood flows backward through the fallopian tubes into the pelvic cavity.
Endometrial implants: Pieces of endometrial tissue may travel through the bloodstream or lymphatic system to other parts of the body.
Immune system dysfunction: Abnormal immune system responses may play a role in endometriosis development.
Genetics: A family history of endometriosis may increase the risk.
Diagnosis and Treatment
Diagnosing endometriosis can be challenging as symptoms often mimic other conditions. A healthcare provider may perform a pelvic exam, ultrasound, or laparoscopy (a minimally invasive surgical procedure) to confirm the diagnosis.
Treatment options for endometriosis vary depending on the severity of symptoms and the individual’s goals, and include:
Pain management: Over-the-counter or prescription pain relievers, hormonal birth control, and other medications.
Endometriosis surgery: To remove or destroy endometrial tissue.
Alternative therapies: Complementary approaches like acupuncture, herbal remedies, and dietary changes may help manage symptoms for some women.
Living with Endometriosis
Coping with endometriosis can be challenging, but it’s important to remember that you’re not alone. Building a strong support system, managing stress, and practising self-care are essential for maintaining overall well-being.
If you experience persistent pelvic pain or other symptoms associated with endometriosis, it’s crucial to seek medical attention. Early diagnosis and appropriate treatment can significantly improve quality of life.
Thank you to Jahmby for her advocacy around endometriosis. May she rest in peace.
