More Texas women who were told they could not end pregnancies with fatal fetal anomalies or that endangered their health are challenging the state's restrictive abortion laws

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Despite increasing public awareness of endometriosis, with celebrity figureheads including Lena Dunham and Molly Mae, the condition’s ‘evil twin sister’, adenomyosis, remains neglected. While the NHS has an entire webpage which explains what endometriosis is, there is currently no equivalent for its sister condition. Read on for five things you should know. It’s not the same as endometriosis Both endometriosis and adenomyosis occur when the lining of the uterus (known as the endometrium) grows out of place, but there are major differences between the two. In endometriosis, the rogue tissue invades areas outside of the uterus. While the extent of the growth varies from patient to patient, it can affect areas such as the bladder, bowel, ovaries, and even the lungs. Adenomyosis, on the other hand, causes the rogue tissue to bury inside the muscular wall of the uterus. It’s possible to suffer from both conditions at the same time. Symptoms include bloating, heavy periods, and pelvic pain Thanks to the invasive endometrial growth, adenomyosis is characterised by an enlarged uterus. During menstruation, the embedded tissue swells and bleeds, typically causing a variety of symptoms (although some women are asymptomatic). According to a patient leaflet published by University College Hospital, sufferers commonly have painful and irregular periods, with more than half experiencing heavy bleeding. Chronic pre-menstrual pain, and feelings of heaviness and discomfort in the pelvis are among other possible symptoms. Less frequently, adenomyosis can cause bloating, pain during intercourse, and pain related to bowel movements. All symptoms should stop after the menopause. It affects 1 in 10 women The condition is believed to affect 10 per cent of women in the UK. That makes it just as prevalent as endometriosis, although it’s more common in women between the ages of 40-50, and those who have been pregnant before. While the cause of the condition is not known, UCH says that “genetics and some hormones may play a role”. In terms of long-term effects, the North Bristol NHS trust says that adenomyosis does not appear to decrease the chance of pregnancy, however it has been linked to an increased risk of miscarriage and premature birth. Treatment options are limited For women with mild symptoms, trying to get pregnant, or nearing menopause, the North Bristol trust says that treatment may not be necessary, but for those seeking relief from symptoms, it recommends medication to reduce pain and bleeding, and hormonal interventions such as the contraceptive pill. The only “cure” is a surgical procedure involving the removal of the womb (hysterectomy), although this is a last resort intervention. The Bristol-based trust also offers an alternative surgery which involves blocking the blood supply to the endometrial growth, forcing it to shrink, but neither procedure is advisable for women who want to get pregnant in the future. It can take years to diagnose The condition is typically diagnosed using MRI and ultrasound scans, but the NHS says that adenomyosis can take “a long time, even years, to diagnose” because “symptoms and severity can vary between women”. The frequent dismissal of women’s gynaecological symptoms means that signs of adenomyosis may be conflated with ‘normal’ menstruation, or even other conditions such as endometriosis. Anecdotal reports of sufferers suggest that misdiagnosis is common. Gabrielle Union, one of the only celebrities to have publicly identified as having the condition, suspects her condition went undiagnosed for years. Speaking at a conference in 2019, Union explained: “The gag is I had [adenomyosis] in my early twenties, and instead of someone diagnosing me they were like ‘Oh you have periods that last nine or 10 days and you’re bleeding through overnight pads? Not a mere inconvenience... perhaps there’s something more there.’” Earlier this year, the charity Tommy’s reported that the condition might be “underdiagnosed” after a review of existing studies found that “mild” cases could be missed by clinicians using current diagnostic methods. “There should be training for clinicians and sonographers to diagnose adenomyosis using a standardised criteria,” said Dr Ishita Mishra, leader of the review. “Being able to identify this condition using a uniform set of criteria would then help give us a true picture of the numbers affected, and better understanding of the impact of this condition,” Mishra explained. If you have any health concerns, you should always contact your GP in the first instance. There is also information available via NHS Scotland or Endometriosis UK. Read More Lena Dunham marks five years of sobriety: ‘Happiest of my time on earth’ ‘Some days things just do not work’: What happens when your smear test doesn’t go smoothly? Woman’s warning after terminal cancer mistaken for heavy periods 5 things you need to know about adenomyosis, the ‘evil twin sister’ of endometriosis Woman’s warning after lip filler left her unable to close mouth ‘Suddenly, I saw Dad again’: The radical tech helping those living with dementia

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A woman horrified after lip filler left her unable to close her mouth has urged others to “do their research” before getting cosmetic surgery. Harriet Green, 23, wanted plumper lips after being influenced by videos on TikTok and influencers from Love Island, and went to a salon to get 1.1ml of filler in December 2022. Immediately after the procedure, which entailed a substance being injected into her face, Harriet’s lips started to swell up and bruise but she claims she was assured it was normal and they would go down within weeks. But three months later, her lips were still swollen and Harriet claims she was left with two painful lumps in her lips and unable to properly close her mouth. Harriet had to undergo three corrective procedures, costing £700 in total, to get her lips back to normal. Harriet, a council worker, from Acle, Norfolk, said: “This was the first time I had anything done. “On the way to my appointment, the woman at the salon told me to numb my own lips which now I realise you should not do. “When I was getting my lips done, it was painful but at that time I didn’t realise it is only painful when not done correctly. “Straight after they were very sore and started to bruise. “After all the bruising had gone, I had two hard lumps on my lip - one on the left and one on the right. “It made me feel so much more self-conscious - it was painful and uncomfortable.” Harriet got her lips done in December 2022 and paid £100 for 1.1ml of filler. After the procedure, Harriet thanked the aesthetics practitioner and headed home but started experiencing swelling and bruising on her lips - which she originally thought was standard. Harriet said: “I was assured that the bruising was normal, and it would go down. “But, after all the swelling and bruising had gone, I was left with two hard lumps. “I stopped going to the woman as I was annoyed, and people close to me started commenting on how my lips didn’t look good. “They said they could see unevenness in my lips and could see two lumps on the top tip. “I’d wake up in the mornings and my lips would be swollen.” Harriet found Dr Raja - a GP who runs her own aesthetics clinic in Norwich and underwent three corrective procedures - used to tissue to dissolve any hyaluronic acid-based filler - costing £700. Harriet said: “I had to get my lips dissolved three times as too much filler was put in and it was injected into the wrong place. “I had to go back three times before she could add new filler to my lips. “I have been lucky, don’t get me wrong, I still have lumps in my mouth, but people have had it a lot worse. “After getting my lips done it made me feel so much more self-conscious, it is painful and uncomfortable. “But now you can’t even tell I have had them done as I have had them done properly.” Originally, Harriet was injected with 1.1 mil and Dr Raja inserted 0.6 mil into her lips the second time around. Harriet said the world of cosmetic surgery is a “minefield” and it has put her off any cosmetic procedure for life. She said: “It is so common nowadays. “I don’t judge people - when you have never had anything done before, you don’t know what you should be looking out for. “Looking for what should go wrong and what should go right. “It is important to research the person, don’t just go off social media pictures like I did. “Look for healed pictures of someone’s lips, not just fresh off the needle as they will look nice and plump straight after.” Harriet believes that social media and reality shows like Love Island play a major role in people wanting to get cosmetic procedures. She said: “I won’t have anything done to my face now, at one point my TikTok was full of jaw filler and Botox which swayed me into wanting to get it done. “It seems like such a normal thing to do now - that is the problem. “Shows like Love Island, all the girls on there have had something done to enhance their look which is not natural. “You don’t really ever see anyone there who is ‘natural’ and not had something done. “It feels more common and appealing to others that if you have filler and botox you are seen as more attractive.” Read More Woman defends picking up ‘$8k’ sofa from New York street Couple with 37-year age gap who met when he was 15 have hopes dashed Eamonn Holmes makes startling claim about Phillip Schofield’s ‘nonsense’ This Morning statement

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