What is endometriosis
Medical terminology determines endometriosis as a gynecological disease in which the cells of the uterine mucosa increase outside this organ. This disease occurs among the female female population very often, in its prevalence it ranks third after Moma uteri and a variety of inflammation in the organs of a small pelvis. In the risk group there are ladies older than 40 years old, as well as those who never gave birth to children. In rare cases, endometriosis is diagnosed in young girls and in women in the post-block cellteric period.
Depending on the localization, this disease is divided into two main groups:
- Genital endometriosis is characterized by the growth of the uterine epithelium in the organs of the genitourinary system. This species, in turn, are divided into two types:
- internal is the attachment of endometrial cells to the surface of the channel and the cervix;
- Outdoor genital endometriosis implies the growth of the uterine epithelium in the ovarian area, phallopy pipes, vagina, vulva.
- Extgazenital endometriosis is observed if the disease amazes various organs that are not related to the reproductive system of women. Thus, endometrium cells may affect urinary tract, gastrointestinal tract, skin, lungs, diaphragm, etc.
Causes of the disease
The manifestations of the disease under consideration are quite varied. Sometimes the symptoms are very weak or almost absent, and in some cases the disease is accompanied by strong pains and other unpleasant phenomena. The severity of symptoms largely depends on the form and degree of the disease, as well as on the availability of related problems. As a rule, endometriosis is characterized by such manifestations:
- Poles at the bottom of the belly And in the lower back. These sensations may be of different intensity, but, as a rule, in a period of monthly pains are noticeably increased. Some patients even complain that during menstruation is forced to take painful agents. We also note that such uncomfortable sensations are manifested during intercourse or under defecation.
- Disorders of the menstrual cycle. A few days before month and approximately within a week after their end, a woman can observe the appearance of cargo beds discharge. Monthly monthly becomes rich and incremented by duration.
- Infertility. Sometimes endometriosis itself proceeds almost asymptomatic, but a woman for many years cannot become pregnant, despite all attempts. In such cases, the identification of the true cause of infertility becomes an unexpected discovery. As a rule, the inability to conceive a child is observed in the defeat of the ovaries and phallopy pipes. And if this process is accompanied by inflammation and education of adhesions in the organs of a small pelvis - the probability of successful pregnancy is significantly reduced.
- Symptoms of intoxication of the body. Together with painful sensations, women can appear nausea, vomiting, chills, lethargy, increase Temperature Body.
- Specific symptoms depending on what kind of body will be the cells of the endometrium. For example, with a damage to the bladder, urination is studied, it becomes painful and may be accompanied by blood discharge. The intestinal endometriosis disrupts its peristaltics, and the presence of endometrium implants in the lungs can cause the separation of blood sputum during periods of menstruation.
Treatment of the disease
There are three main methods of treating endometriosis, consider each other:
- Conservative treatment. This method implies the use of hormonal medicines. Note that this kind of therapy lasts long enough and is carried out with the help of the following drugs:
- combined oral contraceptives;
- levonorgestrel-based drugs;
- prolonged MPa;
- androgenic hormone derivatives;
- To eliminate or relieve symptoms, antispasmodic, anti-inflammatory, soothing agents, as well as vitamin complexes.
- Operational treatment of the disease. In some cases, when endometriosis has a severe degree or drug treatment does not give good results, doctors resort to surgical intervention. Modern medicine makes it possible to minimize all the negative effects of the operation, therefore, in most cases, endometrioid lesions are removed using laparoscopy. If the disease is too launched and there is no other option, doctors spend a traditional surgery - laparotomy.
- Combined therapy is a combination of the first two treatment methods. In most cases, surgery is performed only after the course of drug therapy - it helps to reduce the manifestations of the disease and avoid a complex operation, replacing it with laparoscopy. There are other situations when, after removing the damaged part of the organ, the patient additionally prescribed the necessary drugs.
In the event that endometriosis was identified in a timely manner, the operation turned out to be successful, the patient conscientiously adhered to the prescribed treatment plan - the unfavorable effects of the disease will be reduced to a minimum. Woman will quickly come back to normal, pain and other unpleasant symptoms will disappear, and the reproductive function will be completely restored.