Endometriosis is a common benign gynecological disease in women of childbearing age. Patients' quality of life and fertility will be affected if endometriosis occurs. Therefore, we should not think that endometriosis is a trivial matter. If we can strengthen the prevention and treatment at an early stage, it will be helpful to alleviate the patient's bad symptoms and improve the patient's fertility.
So, how to make an early diagnosis of endometriosis? These three methods may be what you need.
1. Patient's signs
The so-called physical signs are some abnormal manifestations that the patient usually shows and can be seen by the naked eye. When doctors see patients, they will comprehensively judge whether patients are likely to suffer from certain diseases through visual inspection, palpation, interrogation, auscultation, etc.
The same is true for patients with endometriosis. Such patients may have dysmenorrhea of different degrees. Under the stimulation of dysmenorrhea, with the aggravation of the disease, they can also show secondary dysmenorrhea and progressive disturbance.
In addition, infertility, chronic pelvic pain, and other characteristics of patients can become an essential basis for the diagnosis.
2. Imaging examination
Imaging is an effective means to diagnose endometriosis, especially ovarian endometriosis. In clinical practice, many patients find cysts on the ovary through B-ultrasound when they do a physical examination or feel that their lower abdomen is not on time. This kind of cyst is likely to be endometriosis, that is, an endometriosis cyst.rnHowever, although B-ultrasound can find the mass, it cannot make an accurate judgment only on this point. Because ovarian mass is not necessarily endometriosis, it needs to be combined with other monitoring means to obtain multiple indicators and then conduct a comprehensive evaluation to determine whether it is endometriosis.
3. Serological examination
There are some essential factors in serum that can be used to diagnose endometriosis. Through serum examination, it is often convenient to obtain materials. Clinically, a doctor can diagnose whether the patient has endometriosis by the patient's serum CA125 and human epididymal protein 4.
If there is endometriosis, patients usually show an increase in serum CA125 and human epididymal protein 4. Take serum CA125 as an example. Although the specificity of this indicator is not high, when the serum CA125 is significantly higher than the average value and more than several times the normal value, it is necessary to be alert.
In addition, serum CA125 can be used as a monitoring indicator for the postoperative recurrence of patients with endometriosis. Because the disease can lead to the elevation of serum CA125, and inflammatory factors can also cause the abnormality of serum CA125, the diagnosis and follow-up monitoring can not be utterly dependent on serum CA125 and human epididymal protein 4. A comprehensive evaluation should be carried out in combination with the patient's clinical performance and other indicators.
Can endometriosis patients be pregnant?
Although infertility is one of the clinical manifestations, most patients, especially in the early stage, can still conceive naturally. Generally speaking, about 40% of patients with endometriosis will have infertility, especially those without treatment for a long time—the probability of infertility increases. Most patients with endometriosis can still conceive naturally for early lesions when the symptoms are not severe, and the ingenious sac does not increase significantly. And it is perfect for endometriosis after pregnancy.
One year of pregnancy can generally inhibit the development of endometriosis and even cause the regression and cure of endometriosis. Therefore, patients with endometriosis should be encouraged to have children. Surgical treatment is generally required for genuinely infertile, including exfoliation, decomposition of surrounding adhesions, and removal of pelvic endometriosis. The postoperative pregnancy rate is about 50% to 60%.
Endometriosis is a common disease that can affect women's pregnancy. It is easy to affect the function of the ovary and cause pelvic adhesions, which can easily cause fallopian tube obstruction or ovulation disorder. Therefore, women with endometriosis sometimes cause infertility, but it does not mean that endometriosis cannot be pregnant.
For patients with mild endometriosis, try to conceive naturally. Many patients with mild endometriosis can be pregnant naturally. Active treatment is necessary for patients with endometriosis who have had severe symptoms. The treatment of endometriosis can be based on the patient's age, physical condition, time of illness, and whether there is a requirement for fertility.
Patients can choose
Fuyan Pill, a traditional Chinese medicine, to eliminate symptoms and causes. You can try to conceive after the remission of the disease, and a considerable number of people can also conceive normally. When the above two methods cannot make women pregnant, they can only choose to be test tube babies.
Females should pay attention to the following items in life.
Contraception. For women who have children or have no birth plan temporarily, if they have dysmenorrhea, they can choose oral contraceptives to prevent contraception and reduce the occurrence of endometriosis. Pay attention to contraception, avoid accidental pregnancy and reduce induced abortion.
Prevent menstrual blood backflow. During menstruation, pay attention to menstrual hygiene, and prohibit all intense sports and heavy physical labor; Walk around properly and avoid sex during menstruation. Treat cervical adhesions and other diseases complicated by menstrual blood retention as soon as possible.
Age-appropriate marriage and childbearing. Late childbearing women, especially those with dysmenorrhea, should give birth as soon as possible.