What is endometriosis: symptoms and treatment
Definition and classification
According to the medical definition, endometriosis is a hormone-dependent disease (proliferation of endometrial tissue outside the uterus). This gynecological disease is observed in 30% of women of different ages. According to doctors, it is in third place in terms of the prevalence of fibroids and various inflammatory processes in the female organs. In women of reproductive age, endometriosis is more common. Symptoms for this disease may be completely absent (in rare cases), and only an experienced gynecologist will be able to correctly diagnose the ailment. In medical practice, endometriosis is classified by localization (internal, genital, peritoneal, external, extraperitoneal and extragenital). Depending on the form, the disease may occur outside the uterus (in the bladder, lungs, kidneys, intestines, peritoneum). Often there is mixed endometriosis.Symptoms are pronounced: 60% of patients complain of pain in the pelvis and heavy periods. There is severe pain during the menstrual cycle.
Endometriosis: common symptoms
Most women experience bleeding between cycles, or light brown secretions that persist for 3-5 days. In almost 20% of patients, severe pain during sexual intercourse is noted. In 40% of patients infertility is detected. Although a clear relationship between endometriosis and conceiving a child has not been proven, it is possible that the cause of infertility is a hormonal imbalance that is observed in this disease.
Endometriosis and Conception
With this pathology, the possibility of becoming pregnant is maintained by means of drug treatment. In medical practice, there are cases of conceiving a child even with endometriosis. But at the same time the probability of miscarriage increases several times. In such rare situations, women in a position should always be under the supervision of a physician and strictly follow the recommendations in order to maintain pregnancy. In the course of research in such patients, despite the regular menstrual cycle, ovulation may be completely absent, therefore the onset of conception is not possible.To restore a vital function, drug or operative therapy is required. In 56% of cases, after the correct treatment comes a long-awaited pregnancy.
"Duphaston" (pills) is often assigned to the initial stage of the disease. Under its influence, the process of growth of uterus tissues and cells of other organs is suppressed. As a result, the cycle is normalized, pain is reduced, bleeding stops. Most importantly, egg maturation is resumed (ovulation). As a result, a woman is able to conceive a child. To achieve efficacy, the dosage is adjusted individually, depending on the severity and nature of the lesion. The drug reduces the risk of degeneration of growths into malignant neoplasms. Indications for surgical treatment are observed in 12% of cases and mostly in women after menopause.
How to prevent endometriosis?
Symptoms of it can appear in young girls, and even in teenage girls. To avoid this disease if possible, you should be attentive to your health and regularly visit a gynecologist.With heavy periods, you need to undergo a full examination in order to identify inflammatory diseases. Special attention should be paid to this for women with impaired metabolism, as well as those who use intrauterine contraceptives and who have elevated levels of estrogen.