Post Date November, 17 2024
Endometriosis is a common gynecological disease, and we should also pay attention to its harmfulness. When there are abnormal conditions in the body at ordinary times, we must timely check.
What is Endometriosis?
Endometriosis refers to the presence of endometrial tissue outside the uterus, 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, the focus of endometriosis can gradually shrink and absorb; Pregnancy or the use of sex hormones to suppress ovarian function can temporarily prevent the development of the disease.
The clinical manifestations of Endometriosis are characterized by implantation, invasion, remote metastasis and other malignant tumors. Persistent 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, and the typical symptoms are secondary dysmenorrhea and deterioration of sexual 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 few patients may present with persistent lower abdominal pain and exacerbation of menstruation.
2. Infertility: The infertility rate of patients with Endometriosis is 40%. The reason for infertility is that changes in the pelvic microenvironment affect the binding and transportation of sperm and eggs, abnormal immune function increases anti endometrial antibodies, disrupts normal metabolism and physiological function of the endometrium, and abnormal ovarian function causes ovulation disorders and corpus luteum dysfunction. In moderate and severe cases, adhesion around the ovary and fallopian tube may affect the transport of Zygote.
3. Sexual intercourse discomfort: There are ectopic lesions in the rectum and uterus, and local adhesion and fixation of uterus cause pain due to collision or uterine contraction during backward sexual intercourse, which is generally manifested as deep Dyspareunia pain, and Dyspareunia pain is most obvious before menstruation.
4. Abnormal menstruation: 15% -30% of patients with Endometriosis have excessive menstruation, prolonged menstruation, insufficient menstruation or bleeding before menstruation, which may be related to ovarian parenchymal lesions, anovulation, luteal insufficiency, or the combination of adenomyosis and Uterine fibroid.
