Endometriosis causes pain and economic burden to women of childbearing age's bodies, minds, and lives because of its lingering and recurrent course.
According to statistics, the incidence rate of endometriosis is about 10~15% in women of childbearing age. The clinical manifestations of endometriosis vary from person to person and in lesion location. The symptom characteristics are often related to the menstrual cycle. The main clinical signs of endometriosis are progressive dysmenorrhea, pelvic mass, and infertility. These three problems go deep into women's daily lives and affect marriage quality.
Progressive chronic pelvic pain: 80% of patients have different degrees and types of chronic pelvic pain.
1. Dysmenorrhea: it is a common and prominent symptom. Some patients have abdominal pain and abdominal drop at the beginning of menarche. Some patients have normal menarche menstruation and have intermittent abdominal pain from a certain period, which can occur before or after menstruation. In severe cases, they need to stay in bed or use drugs to relieve pain, which seriously affects patients' life, study, and work.
2. Sexual intercourse pain: if the focus of endometriosis occurs in the posterior fornix of the vagina and the uterosacral ligament, it will thicken the sacral ligament, harden and shorten, and the pelvic floor peritoneum adheres to the surrounding tissue or involves nerves. It will feel pain during sexual intercourse and affect sexual life.
3. Stool pain: Patients often feel unbearable pain during menstruation when feces pass through the rectum. It is a typical symptom of hysterorectal fossa, vaginal rectal septum, and rectal endometriosis. If the lesion invades the rectum seriously, it will cause intestinal stenosis, and there will be symptoms of urgency, constipation, and obstruction. If the lesion invades the rectal mucosa, there will be menstrual hematochezia. It is often misdiagnosed as rectal cancer.
4. Periodic frequent urination, painful urination, and blood urination are the symptoms of bladder endometriosis.
5. The endometriosis of abdominal cesarean section incision and perineal incision scar appears periodic local mass enlargement and pain around the incision.
6. Acute abdominal pain: ovarian endometriosis cysts often increase during menstruation or late menstruation and are prone to rupture, resulting in sudden severe pain in the lower abdomen with anal distension.
Menstrual disorders and pelvic mass: endometriosis is often accompanied by ovarian dysfunction, resulting in increased menstrual volume, prolonged menstrual period, and menstrual cycle disorder.
Infertility: the causes of infertility caused by endometriosis are: adhesion around the fallopian tube affects the collection of eggs at the umbrella end of the fallopian tube, and leads to tubal obstruction. Chocolate cyst of the ovary affects follicular maturation and ovulation; The increase of pelvic inflammatory factors affects pregnancy.
If you have the above symptoms, it is recommended to check and treat them as soon as possible. At present, drug and surgical treatment are the primary means of treatment of endometriosis. Different methods are adopted according to various clinical manifestations of the disease and the characteristics of patients.
The drug treatment mechanism of endometriosis is to inhibit endometriosis by controlling the endogenous hormone environment. Because estrogen stimulation can lead to the occurrence and development of endometriosis, estrogen and progesterone receptors appear in ectopic endometrial tissue.
Although it can control the progress of pain and endometriosis, the side effects of most drugs, especially some hormone drugs, also arise. Therefore, drug treatment should be appropriate and avoid excessive ovarian inhibition. Improper drug selection and extended use time may cause excessive inhibition of the gonadal axis, delay the opportunity of pregnancy assistance, and cause irreversible damage to fertility.rnFor unmarried patients with reproductive requirements and small lesions, the natural medicine
Fuyan Pill can prevent the development of endometriosis, reduce the activity of endometriosis lesions, and reduce adhesion formation. And it can also clean up the environment in the uterus and increase the chance of natural pregnancy to conceive healthy babies.
Laparoscopic surgery is the standard method for the treatment of endometriosis. Evidence-based medical evidence indicates that laparoscopic surgery can improve the pregnancy rate in patients with stage I / II "endometriosis" infertility. Disease stage and fertility index score should be performed during the operation.
The objectives of this operation include the optimal treatment of visible and deep diseases, the restoration of typical anatomical structures, and the prevention of adhesion. Extensive data analysis showed that the improvement rates of mild, moderate, and severe pain caused by laparoscopic surgery were 100%, 70%, and 40%, respectively. The initial and subsequent surgery recurrence rate was 20% - 40%.
Repeated surgery should be avoided as much as possible due to the risk of surgery, including reducing ovarian reserve function caused by postoperative adhesion and iatrogenic ovarian destruction.