Post Date November, 16 2024
Endometriosis is a familiar gynecological disease and one of the diseases we should pay attention to. After illness, patients also have many abnormal manifestations, which is also the basis for our judgment.
What is endometriosis
Endometriosis refers to the presence of endometrial tissue in non uterine parts, also known as endometriosis. Ectopic endometrium can invade the navel, bladder, kidneys, ureters, lungs, pleura, breast lungs, pleura, breast, and even arms, thighs, etc., but it is mostly located in pelvic organs and parietal peritoneum. The ovaries and uterosacral ligaments are the most common, followed by the uterus and other visceral peritoneum, vaginal rectal septum, and other parts.
Endometriosis is a hormone dependent disease. After female amenorrhea, ectopic endometrial lesions can gradually atrophy and absorb; Pregnancy or the use of sex hormones to suppress ovarian function can temporarily prevent the development of the disease.
Endometriosis has the characteristics of malignant tumors such as implantation, invasion, and remote metastasis in clinical manifestations. Continuously worsening pelvic adhesions, pain, and infertility are important clinical manifestations.
Symptoms of endometriosis
1. Lower abdominal pain and dysmenorrhea: Pain is the main symptom of endometriosis, with typical symptoms being secondary dysmenorrhea and worsening of dysmenorrhea. Pain often occurs in the lower abdomen, lumbosacral bone, and middle part of the pelvis, sometimes in the perineum, anus, and thighs. It often occurs during menstruation and lasts until the physiological day. A small number of patients may exhibit persistent lower abdominal pain, which worsens physiologically.
2. Infertility: The infertility rate in patients with endometriosis is 40%. The causes of infertility include changes in the pelvic microenvironment that affect sperm egg binding and transport, abnormal immune function leading to an increase in anti endometrial antibodies and disrupting normal metabolism and physiological function of the endometrium, ovarian dysfunction leading to ovulation disorders and poor luteal formation. Moderate to severe patients can affect the transportation of fertilized eggs due to adhesion around the ovaries and fallopian tubes.
3. Discomfort during sexual intercourse: There are ectopic lesions in the rectum and uterus, and local adhesions fix the uterus. Pain is caused by collisions or contractions during backward leaning sexual intercourse, usually manifested as deep sexual pain, with the most obvious pain during sexual intercourse before menstruation.
4. Menstrual abnormalities: 15% -30% of patients with endometriosis have excessive menstrual flow, prolonged menstrual periods, insufficient menstruation, or premenstrual bleeding, which may be related to ovarian parenchymal lesions, anovulation, luteal insufficiency, or combined adenomyosis and uterine fibroids.
