Endometriosis (EMS), a persistent gynecological disease, is essentially the appearance of the endometrium in other parts of the body than the inner surface of the uterine cavity, and the periodic bleeding that accompanies menstruation.
To put it simply, in normal cases, a woman’s menstruation occurs inside the uterus, which is the same as the vagina, and blood flows out of the vagina when the uterus is menstruating, whereas in endometriosis, menstruation occurs elsewhere in the body, but there is no channel for it to flow out (there are also cases where it can flow out, such as endometriosis of the nasal mucosa, which can manifest as nosebleeds during menstruation, and endometriosis of the ureter, which manifests as hematuria during menstruation, etc.).
The reason why it is said to be a persistent disease is threefold.
1, not easy to get well.
2, easy to recur.
3. “Benign disease, malignant behavior”, meaning that it is obviously not cancerous, but implantation and metastasis can occur.
Typical symptoms of endometriosis: dysmenorrhea! OR progressive aggravation of dysmenorrhea! OR secondary dysmenorrhea, progressive aggravation!
”Progressive aggravation”, is the typical key word! It means getting worse. “Secondary”, meaning that it was not even painful originally, and then it started to hurt; “secondary dysmenorrhea, progressively worse!” It means that the pain was not painful, but later became worse and worse.
The most painful of all is adenomyosis, which is worse than death, and the uterus becomes larger and larger, to the point that it may lose the function of pregnancy. Of course, there are some adenomyosis that do not hurt, and those that do not hurt are generally less serious.
Another typical symptom is contact pain during intercourse, mainly seen in ectopic nodules of the sacral ligament. Other symptoms depend on where it grows, long in the nose, nosebleeds; long on the ureter, bleeding urine; long in the intestinal wall, bleeding stools ……
Another major effect of endometriosis on women of childbearing age is “infertility”!
This is complicated by the fact that, on the one hand, patients with endometriosis often have pelvic adhesions and, on the other hand, the inflammatory factors in the pelvic fluid of endometriosis patients affect conception. However, many of these are hypotheses, and it is not clear why exactly.
Note: endometriosis can affect pregnancy and even “infertility”; however, it does not mean that if you have endometriosis, you will not be able to conceive. To put it simply, it is not easy to get pregnant with endometriosis.
On the other hand, the long process from pregnancy to delivery to breastfeeding is the best treatment for endometriosis! The reason why endometriosis gets worse is that the blood that comes out of each period accumulates there and never flows out, and it gets bigger and bigger and more painful.
If you can make a person not to have a period, then this problem will be solved. After pregnancy + breastfeeding for a long year or so without menstruation, the ectopic endometrium will gradually degenerate and die, so some people have children and their endometriosis is greatly relieved or even cured.
How to treat endometriosis?
1.If you can get pregnant, the later the harder it is to get pregnant!
2, through the drug way not to have a period, or less menstruation!
Simulation of menopause: representative, Norelide (a shot top a month, a drug more than two thousand, will have menopausal symptoms).
estrogen suppression: representative, progesterone (take 2.5mg twice a week, the main side effect is liver function damage).
Endometrial atrophy method: highly effective progestins can cause endometrial atrophy. Compound short-acting oral contraceptives can also make the endometrium grow less to reduce menstruation.
3, pain. The problem of pain, can endure, can not bear to eat painkillers. The general is Fenbid these, strong points have Tramadol. Only as a last resort, consider using Dulcolax.
4, surgery!
Surgery is a serious matter and there are clear indications for surgery.
(1) ovarian chocolate cysts, ≥4cm in diameter.
(2) infertility.
(3) special areas of endometriosis, causing serious symptoms or consequences. It also includes dysmenorrhea that severely affects life, endometriosis is considered and laparoscopy is considered for diagnosis.
Surgery: As endometriosis manifests itself differently, the surgical approach naturally varies!
To sum up, it is not good where to move!
If you have ovarian cysts, do ovarian cysts; if you have ectopic nodules, electrocoagulate the ectopic nodules; if you have serious intestinal problems, you may even consider intestinal resection and intestinal anastomosis; the only surgical procedure for adenomyosis is excision, including local adenomyoma excision, and hysterectomy; if you are older and have serious problems, you can end up with a pot, the uterus and ovaries are all cut, and it will never come back.
There are also surgical methods that simply solve the pain, which have been done rarely, with high risks and poor results, including hysterosacral ligament resection and anterior sacral nerve resection.
How to prevent?
1. Have a baby early and enjoy the benefits! Having children is the best way to treat and prevent endometriosis, have him two or three if you have the conditions.
2, do not reject the short-acting oral contraceptive pill, although it is troublesome to eat every day, but it does have the effect of preventing endometriosis.
3, do not want to have a baby, contraceptive measures well, less abortion.