Endometriosis of the uterus: species, symptoms, reasons. Diagnosis, Treatment and Prevention of Endometriosis

About such a common female problem, like endometriosis, should know each. The article will help to recognize the symptoms of the ailment and tell me how to cure it.

The human body is very complex. In all its components - organs of tissues and cells, their own place and function. But it happens that some cells appear where they should not be. An example of a similar case - endometriosis. This disease is one of the most common causes of appeal to the gynecologist in women of reproductive age.

Causes of endometriosis of the uterus

• The uterus, the organ of the female reproductive system, has a complex structure. Its inner layer is called endometrial. This multicomponent fabric performs the function of the cradle for the fertilized egg
• Its makeup depends on the phase of the menstrual cycle and is regulated by hormones. In the last phase of the cycle, the endometrium thickens, it becomes more iron tissue, the blood supply to the endometrium is enhanced
• If the egg fertilization occurs, implantation occurs. If the egg leaving remains unoppoded, the functional part of the epithelium is brazed and evacuated from the uterus during menstruation

The structure of the uterus in a woman.

Sometimes endometrium grow out where it should not be, that is, outside the uterus. There is a pathological condition, referred to as endometriosis in medicine.
Why this happens, doctors do not know yet. They are known only by some predisposing factors. It:

• heredity
• hormonal disorders
• immune violations
• late childbirth
• birth with complications
• rhodework by checking cesarean section
• artificial abortion of pregnancy
• short menstrual cycle
• monthly with a duration of more than 7 days
• abundant monthly
• iron-deficiency anemia
• others

Endometrium can replace the tissues of the vital organs of a woman.

Scientists have developed several theories of the occurrence of endometriosis:

1. Retrograde menstruation. Back in 1927, they suggested that during menstruation, blood and particles endometrials are expelled from the uterus not only outside, through the cervix and vagina, but also through the uterine pipes inside the female organism. Through scientific experiments, this theory was confirmed. Later, with the invention of the lapovoscopy method, it was confirmed that during menstruation in 9 women out of 10 the contents of the uterus in one or another quantity through the uterine tubes enters the abdominal cavity. Next, hormonal and immunological processes affect the mechanism of development of endometriosis
2. Metaplasia. It is known that the epithelium, lining the peritoneum inside, and the endometrium in the process of embryonic development is formed from one incarnation. For unknown reasons (one of which can be retrograde menstruation), peritonean epithelium can be substituted with endometrial
3. Heredity. It was found that endometriosis is often found from those women who are close to whose relatives also encountered this problem. Today, genetic studies are being conducted to identify the gene responsible for the occurrence of such pathology.
4. Hormones. It is known that estrogens are needed for the development of endometriosis, which are synthesized by the organism of a female child age. Pathology arises in women 20-45 years

Video: Endometriosis

Types of endometriosis of the uterus

Endometriosis is genital and extragenital.

Depending on where "extra" endometrium is located, endometriosis is divided into separate types:

1. Genital. In this case, the foci of endometrials are located in the uterus cavity, on its surface, on the ovaries, on the peritoneum, other
2. Extragenital. Endometrial foci are found on the abdominal organs that are not sexual

Genital endometriosis.

Genital endometriosis is also classified for two types:

• internal (adenomyosis, in which the endometral tissue is introduced into the intermediate and muscle layers of the uterus)
• external (endometrial tissue is detected on the cervix, in the vagina, in the fallopian tubes, ovaries, other)

Signs of internal endometriosis of the uterus

Doctors say that adenomyosis (internal endometriosis) suffers from every fourth woman.

Endometriosis symptoms.

Often, pathology becomes the cause of infertility or reincines the tumor.
In adenomyosis, the woman addresses the genikogu with such complaints:

• blood selection in the middle of the menstrual cycle
• menstrual cycle failures (both early periods and delays)
• pain during menstruation
• abundant monthly
• pain during sexual intercourse
• the feeling of teaching belly
• unsuccessful attempts to pregnant
• pain in the abdomen, lower back and back

Stages of endometriosis of the uterus.

A sharp increase in the number of cells of the endometry leads to their introduction into the intermediate and muscle layers of the uterus. Depending on how deeply they introduced, there are four stages of adenomiosis. With the first endometrial tissue, it is found in the intermediate layer, with the fourth it is completely embedded in the muscle of the uterus and even comes out of it in the peritoneum.

IMPORTANT: The first and second degree of internal endometriosis is easy to treat, but with the third and fourth, in which the uterus is broken through the pathological endometrial tissue, problems often arise. It is important to pay attention to your health and visit the gynecologist is not just at first symptoms of the disease, but also in preventive purposes, every 6 months

Diagnosis of endometriosis

Endometriosis symptoms are largely similar to the symptoms of other gynecological diseases, including tumor. Therefore, the doctor is important to carry out a range of diagnostic measures to confirm this particular disease.

The diagnosis of endometriosis is engaged in a gynecologist.

Doctor:

• heads the complaints of the patient
• learn her anamnesis
• conducts a gynecological examination
• makes video concloscopy
• gives way to laboratory tests and ultrasound
• conducts hysteroscopy

Hysteroscopy.

Important: In the process of diagnosis, it is necessary not to only differentiate endometriosis from other female diseases, but also to determine the localization of pathological endometrial tissue (diffuse, spreading to the entire organ, local or node), as well as the degree of illness

1. At the first stage of the diagnostic survey, the gynecologist examines the genital organs of the woman with the help of mirrors. In this way, you can find external genital endometriosis (on the vagina and cervix), take fabric samples on the biopsy
2. Through blood analysis, you can reveal tumor markers, which in endometriosis increase (SA-125 markers 19-9 and Ra)
3. Through ultrasound, the internal endometriz inside the abdominal cavity and in the uterus. For example, with diffuse adenomyosis, the uterus wall thicken, the boundary between the mucous and muscle layers of the uterus becomes fuzzy and uneven
4. The most reliable method for diagnosing endometriosis of the uterus is hysteroscopy. In the process of the procedure of the cervix, the uterus cavity and the uterine tubes are examined using a special optical tool. So you can detect even the most minor foci of endometriosis (areas of pathological tissue less than 1 cm on ultrasound are not visible)

Important: If there are suspicions of extragnenital endometriosis, a woman is prescribed a diagnostic larposcopy. The abdominal cavity is examined with Laparacop. In the process of the procedure, the fabric fence is possible on the biopsy

Diagnostic larposcopy.

Another reliable, but expensive method of diagnosing the spread of endometrial tissue is MRI.

Is it possible to cure endometriosis of the uterus?

Endometriosis of the uterus in the early stages very well treat. Doctors do not hide the fact that every third woman has himself. The fact is that the immune system connects its own resources and squeezes pathological cells from there, where they should not be, whether it is worth trusting to fate and let the disease on samonek? Of course not.

After conducting all the necessary diagnostic procedures, the doctor chooses the tactics of the patient. He has three options:

1. If the endometriosis is focal, the first degree, the doctor simply observes the disease. If the clinical picture does not deteriorate, there is no need for treatment
2. If the foci of endometriosis is significant, the patient has complaints about unpleasant symptoms, a disease of 1 or 2 degrees, it is treated conservative
3. 3 and 4 degrees of endometriosis are treated surgically. If a young woman, childless or elsewhere wants, her reproductive function is trying to save: remove foci, disconnect the spikes. In very difficult cases, the removal of uterus, uterine pipes and ovaries is required

How to treat endometriosis of uterus medication? Preparations for the treatment of endometriosis

Regulation - hormonal drug from endometriosis.

Conservative, or drug, the treatment of adenomyosis is always taken in easy cases, and in heavy - if there is a need to preserve fertility. Therapy includes the reception of drugs from several pharmacological groups:

1. Hormonal. A woman is prescribed estrogen-gestagenic drugs, usually, in the form of oral contraceptives (Diana-35, Zhannin, regular, other). Hormone treatment usually long-term
2. Anti-inflammatory. They are prescribed in the form of rectal (Voltaren, Diclofenkak, Moviece, Others) and Vaginal (Terezhin, Floomizin, Other) Suppositories
3. Symptomatic. This ordinary antispasmodics and analgesics, and prostaglandins

IMPORTANT: The issue of the use of immunomodulating drugs for the treatment of endometriosis with the preservation of genital function of women

Fluomezin - anti-inflammatory drug from endometriosis.

Therapy also includes physiotherapy, gymnastics, acupuncture, etc.

How to treat endometriosis, uterine folk remedies?

Endometriosis is treated with leeches.

As additional traditional methods of treating endometriosis are applied:

1. Hirudotherapy. Leeches are used to relieve pain and reduce inflammation
2. Clay. White or blue clay diluted with water, then put it in a water bath and heated. With food film formed cake. Impose a cake on his stomach below the navel and keep it for two hours, while the clay cools. This compress reduces inflammation, stimulates local immunity, relieves pain
3. Beet juice. It is believed that beet juice helps with many women's diseases, including, and endometriosis. His need to squeeze and to insist about 6 hours. Begin to take its one tablespoon, and gradually increasing the dose, it was adjusted to 50 ml. Drink beet juice twice a day.
4. Phytotherapy. For the treatment of endometriosis and other menstrual disorders using upland uterus, raspberry, yarrow, sage, and other herbs

"Women's" grass - upland uterus.

RECIPE: Borovaja uterus of endometriosis

Needed: upland uterus pharmacy dry - 2 tbsp. spoons, vodka - 0.3 l

• dry plant raw material is poured in a glass of vodka
• put the bottle in a dark place
• held for 2 weeks
• take on a dessert spoon three times a day

RECIPE: Infusion for the treatment of endometriosis, uterine

Needed: mint leaves, nettle leaves, yarrow leaves, elder flowers, chamomile flowers, herbs, sage and marshmallow - 1 tbsp. spoon, water - 2L.

• herbs mixed in a dry state
• fill them with boiling water
• wrapped
• insist 2 hours
• 200 ml of broth drink before meals 3-4 times a day

IMPORTANT: To reduce inflammation and improve the microflora of the vagina, so you can douche broth

Prevention of endometriosis

Prevention of endometriosis does not provide anything supernatural, and is as follows:

• girls and women should visit the gynecologist at least once in 6 - 12 months
• painful, prolonged or too plentiful monthly - a reason to see a doctor
• after abortion or surgery on the uterus should frequently visit the gynecologist
• inflammatory disease of the reproductive system of a woman should be treated immediately
• you must take prevention of diseases, sexually transmitted diseases, and in time to treat them in case of infection

IMPORTANT: Some doctors believe pregnancy is the main preventive measure

Can I get pregnant uterine endometriosis?

Opinion of doctors: endometriosis and infertility - have no equivalent. Firstly, because in light of its powers to conceive safely carry and give birth the baby turns out in many women. Secondly, because endometriosis is treated.

Endometriosis does not exclude pregnancy.

Women with such disorders need to know the following:

• 2-4 degrees with endometriosis reduces the likelihood of conception
• endometriosis 2-4 degrees, if conception has occurred yet, a high risk of miscarriage (60%)
• if a woman is treated with medicines or endometriosis did sparing surgery, doctors recommend that she get pregnant in the first 6 - 14 months after recovery
• diagnosis of endometriosis - a reason the entire pregnancy to be under special control by doctors

VIDEO: IS IT POSSIBLE TO GET PREGNANT endometriosis

The consequences of endometriosis

endometriosis is truly terrible disease, if left untreated. The disease can:

1. Go to the chronic form. This happens after the medical treatment attempts severe endometriosis
2. Result in infertility. Or a woman can not conceive and bear a child due to the disease itself, or it becomes necessary operation in which the removal of the uterus and appendages shall be
3. Lead to the formation of adhesions in the peritoneal cavity
4. Reborn in oncologic disease

VIDEO: Endometriosis - Symptoms, Causes and Treatment