Many ladies do not know what endometriosis is. However, some of this illness is unknown. The disease is characterized by an excessive increase of the endometrium (lining of the uterus, which is undergoing constant change to ensure the child’s conception), covering the inner wall of the uterus. It is not known what causes endometriosis. A woman may not be aware of his presence, to accurately determine the pathology can only be a gynecologist. But there are signs of endometriosis, by which one can understand the presence of disease.
Classification of endometriosis and the manifestation of
Endometriosis can be genital (divided into outer and inner), it is called adenomyosis. Extragenital often affects remaining from operations scars, eyes, brain, kidneys, bladder, nerves, fat, or rectum, intestines. The outer is divided into peritoneal endometriosis affecting the fallopian tubes and ovaries; extraperitoneal, hitting cervix retrotservikalnogo area, vagina, external genitals.
Classification Acosta (1973) to distinguish between different forms of manifestations of the disease. Easy endometriosis is a type of in which not there are peritubal adhesions, but there may be minor manifestations of the disease on the ovary, devoid of adhesions and scar tissue. Can manifest heterotropia on the peritoneum. At an average the form of one or two ovaries may have cysts, lesions and scars. This form of the disease characterized by manifestations in the peritoneum, not penetrating into the nearby parts of the body, but having a retraction and scarring.
Severe form is determined by the defeat of one or all of the fallopian tubes, which causes scarring, difficulties in terrain, distortion of pipes. During the formation of adhesions on one or both ovaries or the occurrence of cysts on them, with an area exceeding four square centimetres, we can talk about severe stage of the disease. This form of include where the affected urinary tract, the bowel, the recto-uterine recess or utero-sacral connection.
Often endometriosis can occur in the genital form, which is divided into external and adenomyosis, the inner course of the disease, when the endometrium enters the muscular wall of the uterus. The external form of the disease implies «defeat» of the fallopian tubes, vagina, ovaries, retrotservikalnogo endometriosis of the cervix. Genital type appears as a result of gynecological surgery, problems with hormones, difficult birth, excessive early or late first menstrual period, abortion, use of intrauterine device, obesity.
Endometriosis of the uterus, called adenomyosis, is a form of disease in which the endometrium penetrates into the middle layer of the uterus, but does not leave these boundaries, and other organs remain intact. Endometrial cells can be seen on the intestine, vulva, liver and continue to function in accordance with the cycle of menstruation. The result is inflammation affecting the myometrium. Signs of internal endometriosis is the periodic discharge of blood, enlargement of the uterus before menstruation or after menstruation strong.
With this type of disease endometrial tissue leaves the uterus. Affected are the fallopian tubes, cervix, ovaries, vagina. Often affects women aged thirty-five to forty-five years. He is one of the most common gynecological diseases, after inflammation and uterine fibroids. Even if external endometriosis has progressed for a long time, it can be cured by conservative methods.
The sexual organs remain unaffected, but affects those parts of the body that are nearby. This type of disease are distinguished by the site of the lesion, because of this he can be identified as endometriosis of the bowel, Appendix, pleura, kidney, peritoneum remaining after surgery scars, lungs, navel, diaphragm, bladder and urethra. Possible conservative treatment involving a course of hormonal medications and the use of folk medicine, but more often the disease is removed by surgery.
A symptom of the disease are the skin, nodules or spots, acquiring a slightly wrinkled appearance brown, pink, red, white or blue. Color depends on blood flow, fibrosis, edema, hemorrhagic moments. This type looks similar to an ectopic pregnancy. Often it is similar to the consequences of the introduction into the peritoneum contrast agents for hysterosalpingography or during the peritoneal surgery.
Extraperitoneal endometriosis – lesions of external genital organs. It comes rektovaginalnoy the septum, the vaginal area, cervix, vagina. There pozavcherashny kind, often manifesting as a consequence of determinantal cervical or gynecological surgery. Exact determination of the location of the lesion is difficult, since the endometrial tissue is distributed and the picture looks blurry. Treatment may be radical, by removal of the ovaries and fallopian tubes.
The main signs and symptoms of endometriosis in women
Endometriosis can remain invisible for a long time, so it is especially important regular preventive visits to the gynecologist. In the presence of the disease pain can reduce or disappear after menstruation, which is associated with the cycle of the endometrium. There is a photo with images of how the disease. The symptoms and signs of endometriosis include:
- Pain, increasing the duration of menstruation.
- The occurrence of spotting discharge shortly before and after menstruation.
- Severe pain during sexual intercourse.
- Constant fatigue, craving for sleep, increased irritability, fatigue.
- Pain during defecation, urination can be a sign of advanced disease in which endometrial cells spread so that he was in the bladder and intestines.
Methods of diagnosis
Many women wonder, how to detect endometriosis? The blood test will show the presence of markers of tumors. Colposcopy helps to know the exact locations and sizes of endometriosis. Can reveal signs of endometriosis on ultrasound. Ultrasonography is a cheap, simple tool, but in many cases will be able to pinpoint on the echographic picture of the prevalence of the disease and will provide an opportunity to monitor the treatment process. Spiral computed tomography will show all the problems in the pelvic cavity.
Magnetic resonance imaging shows the pelvic cavity with maximum detail and gives almost absolute guarantee of detection of any problems. Hysteroscopy is used at suspicion on internal endometriosis. Laparoscopy accurately identifies the presence of the disease. To do this, use the laparoscope, which is injected by piercing the abdominal wall. The apparatus will ascertain the presence of foci of the disease, their activity and size. Especially successful this method of diagnosis with endometriosis of the ovaries.
Video about the symptoms and treatment of endometriosis in women
In the video below, the doctor talks about the symptoms of a disease and the symptoms of endometriosis. He explains why the proliferation of the endometrium leads to obstruction of the fallopian tubes. Expert describes signs of infertility in women, Recalling that the diagnosis of endometriosis is the best way to identify the disease and give yourself a chance to conceive a child. Reviews of people in the Studio make for a clearer picture, to answer some of the questions on treatment. Another presenter will talk about the causes of disease and in what age there is a risk to buy it.