Normally, menstruation is discharged from the body through the vagina. However, due to some reasons, part of the menstrual blood in the uterus flows back into the pelvic cavity through the fallopian tube. At this time, the endometrial fragments mixed in the menstrual blood may be planted on the surface of the pelvic organs and peritoneum and continue to grow. Under the stimulation of ovarian endocrine, it undergoes cyclic changes like the endometrium in the uterus, but the menstrual blood it produces cannot find a way out of the body, so it forms locally composed of endometrial tissue. of nodules. The endometrium is a normal tissue in the body, but because it grows in places where it should not grow, it forms a unique and strange disease in the human body – endometriosis. Endometriosis lesions can be found anywhere in the pelvis. But it generally occurs in the lowest concave uterine rectal fossa and ovarian surface where menstrual blood is likely to accumulate. Endometriosis that occurs on the ovary can often form a larger size, and its performance is quite similar to that of ordinary ovarian cysts, but its contents are menstrual blood that has accumulated over the years and looks like chocolate sauce. This is known as a chocolate cyst.
The main symptom of endometriosis is dysmenorrhea, which starts a few days before menstruation or the first half of the month and lasts throughout the menstrual period until a few days after menstruation. Only then gradually disappeared. The pain is mostly in the middle of the lower abdomen. When the disease invades the uterine-rectal fossa, it can radiate to the rectum and perineum. Dysmenorrhea often worsens over time. During an attack, you will be bedridden, restless, sweating profusely, accompanied by nausea, vomiting, and even collapse. However, those who do not have dysmenorrhea do not necessarily have endometriosis; and those who have dysmenorrhea, especially severe dysmenorrhea, are all caused by endometriosis.
Endometriosis can damage a patient’s ability to conceive to varying degrees. Early mild endometriosis can also prevent pregnancy due to immune and endocrine reasons and the result of elevated prostaglandins in the body. According to clinical analysis, about half of patients with endometriosis are accompanied by infertility; and about 1/3 of infertility is entirely caused by endometriosis. Therefore, endometriosis has become one of the most important causes of female infertility today. If the patient is unmarried or married without children at the time of onset, it will pose a threat to future fertility problems, even exceeding the pain caused by the disease itself. Surgical removal of the uterus can make more than 80% of patients recover, and if the ovaries are removed at the same time, 100% can be cured. However, this method will cause the patient to permanently lose his reproductive function and is not suitable for young patients who long for children.. In order to preserve and improve the fertility of these patients, two commonly used treatments include drugs and surgery. The drugs mainly include progesterone, danazol and gossypol. Their function is to control the proliferation and shedding of the endometrium. After taking the drug, there will be no menstrual cramps and the ectopic endometrial lesions will subside. However, it is only suitable for mild cases and inconspicuous lesions. Patients with a diameter exceeding 2 cm. For those patients with severe or large chocolate cysts, the most effective approach is conservative surgical treatment. With the most delicate and soft surgical operation, all lesions are removed as much as possible and all adhesions are separated; the uterus and appendages can be left intact, providing patients with the greatest chance of fertility after surgery. This type of surgery or drug treatment is difficult to achieve a radical cure.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao