Endometriosis

Endometriosis's disease overview

Endometriosis is a disease that has been increasingly interested in recent times, in which the tissue that should have been developed in the uterus has been found in the ministries. other fate on the body. These tissues may have response or have different functions than the tissue developed in the uterus. Most cases of endometriosis are discovered in the pelvis:

Ovarians

fallopian tubes

The back of the uterus

On the uterine support tissue

In the lower gastrointestinal tract or bladder

Endometriosis related to the ovaries will form endometriosis. Even in some rare cases, endometriosis can be detected outside the pelvis such as lungs, brain or other parts of the body.

Estimated in the world there are 6-10% of women with endometriosis. In fact, this figure may be more due to a large number of women who are sick but have no symptoms.

Endometriosis can cause two important complications: infertility and cancer. These are two dangerous complications, so there are many opinions that are interested in the endometriosis can be cured . Fortunately, there are currently many effective methods of treating this pathology

Causes of Endometriosis's disease

Although so far, the cause of the disease is unclear, there are still some mechanisms considered and mentioned:

Menstrual reflux: then endometrial cells in the menstrual blood flow will flow backwards on the fallopian tube and the pelvic area instead of escaping from the body. The peanut cells are involved in the walls of the pelvic area and the surface of the organs in the pelvic area, where they will continue to grow, thicken and bleed in the menstrual cycle

Change of peritoneal cells: This is mentioned in the "induction theory", scientists think that hormones or immunosuppressive factors promote the transformation process. of peritoneal cells into endometrial cells

Improvement of embryo cells: Hormones such as estrogen can convert embryo cells into endometrial cells during puberty

Scarring left by surgery: After some types of surgery such as uterine surgery, endometrial cells can stick to the incision

Endometrial cells move: blood vessels or tissue fluid can cause endometrial cells to move to other parts of the body.

Abnormal immune system: abnormalities in the immune system can cause the body to not detect and not destroy the uterine endometrial development outside the uterus. P>

Symptoms of Endometriosis's disease

Initial symptoms of endometriosis are pain in the pelvis, usually during menstruation. This pain tends to increase over time.

Normal symptoms of endometriosis include:

Pain during menstruation: Pelvic pain may start earlier and last after the end of the menstrual period. Patients may have abdominal pain and under the back

Pain during intercourse: Pain in the process or after intercourse is very common in endometriosis

Pain when moving or urinating

massively bleeding: Patients may bleed massively during menstruation or between menstrual cycles

Infertility

Some other symptoms and symptoms such as fatigue, diarrhea, constipation, nausea ... take place during menstruation.

Endometriosis can be confused with some other diseases that cause pelvic pain symptoms such as pelvic inflammatory, ovarian tumors. This pathology may also be confused with irritable bowel syndrome, disease with symptoms such as diarrhea, constipation, abdominal cramps. The irritable bowel syndrome may also come with endometriosis, making the diagnosis more complicated.

complications of endometriosis:

Infertility: This is the main complication of the disease. About 1/3 of women with endometriosis have difficulty getting pregnant. Endometriosis prevents eggs and sperm from meeting each other for fertilization, in addition to destroying eggs or sperm. However, there are patients with endometriosis that can still be pregnant, so the doctor still advises that endometriosis patients should not delay having children, because the symptoms may be possible heavy over time

Cancer: Although rare, endometriosis can cause ovarian or endometriosis.

People at risk for Endometriosis's disease

Studies have shown that a woman is at higher risk of endometriosis when:

Not born

Having a mother, sister/sister, daughter sick

Early menstruation (before 11 years old)

Late menopause

Short menstrual cycle (less than 27 days)

Bleeding a lot and lasts more than 7 days in the menstrual cycle

High body estrogen levels

Low BMI index

Any causes of menstruation cannot escape from the body

Abnormality in the system of reproductive organs

Subjects at lower risk of disease:

Late menstruation

Exercise regularly for more than 4 hours per week

Low body fat ratio

Prevention of Endometriosis's disease

Although there is no measure to completely prevent endometriosis, women can still take some measures to reduce the risk of disease such as:

Exercise regularly to control body fat ratio

Avoid alcoholic beverages

Overall health check regularly to detect abnormalities

Diagnostic measures for Endometriosis's disease

To diagnose the disease, the doctor will ask the patient to describe symptoms, including the position and time of pain. In addition, the doctor will perform a number of other techniques to diagnose endometriosis such as:

Pelvic examination: The doctor will use your hands to check for abnormalities in the pelvis, such as the tumor in the genitals or scars if any.

ultrasound: There are 2 ultrasound methods: abdominal ultrasound and transducer ultrasound. Both ultrasound methods provide images of the genital system and can detect endometriosis

MRI scan

Endoscopy combined with biopsy to diagnose the location, endometriosis, in addition, it is also possible to treat the disease in combination with diagnosis.

Endometriosis's disease treatments

Endometriosis treatments often combine both measures: drugs and surgery. Depending on the severity of the symptoms and the desire to get pregnant of the patient, the doctor will decide to choose the appropriate method. Usually doctors often advise conservation treatment first, then surgery.

In addition to analgesic, hormone therapy can reduce or lose symptoms of endometriosis. Hormonal additional therapy helps reduce blood hormone levels during a menstrual cycle, thereby slowing down the growth of endometriosis. However, hormone therapy does not completely treat endometriosis. When stopping in use, endometriosis symptoms may return.

Conservation treatment: If the endometriosis patients want to become pregnant, surgery to remove the endometriosis and the conservation of the uterus and the ovaries will increase billions Le Thanh Success. In addition, conservation surgery also has an analgesic effect for patients. Doctors may choose laparoscopic surgery or conventional surgery for patients.

Infertility treatment: The doctor may consider performing in vitro fertilization for patients

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