The endometrium is the inner lining of the uterus, which often sloughs off during menstruation and is rebuilt at menopause. It also serves as a soft cushion to help the fetus 'lie' there.
Endometriosis (LNMTC) is a condition in which the endometrium (inner lining of the uterus) is in the wrong position, present not only on the inside of the uterus but also "moving" to the abdominal cavity, the wall. uterus, ovaries, etc., in which the endometrium continues to be influenced by sex hormones, developing and regressing according to the menstrual cycle
All of the factors that cause menstrual flow to reverse can be the cause of endometriosis. In girls, it may be because during the menstrual period, the cervix is closed (should have been opened), so when the uterus contracts, the menstrual blood flows.
In married women, most of the reason is due to intercourse during menstruation, the penis pushes the menstrual blood in reverse
This is a fairly common disease, accounting for about 2% of women of reproductive age.
The disease usually progresses silently, possibly for many years, causing the most devastating consequences of infertility.
Patients with endometriosis have symptoms such as severe abdominal pain during the menstrual cycle, the longer the disease gets worse, the more severe the pain and especially infertility if not treated promptly.
In addition, patients often suffer pain during and after sex, when using the toilet and some other symptoms such as fatigue, nausea, heavy bleeding, the disease is likely to develop into some types of cancer. .
Medical treatment is indicated for patients who experience menstrual pain, lower abdominal pain, infertility, or to support surgical treatment before and after surgery.
There are many medications available, but be cautious because there are many side effects such as masculinization, osteoporosis, menstrual disorders, blood clotting disorders .
Indications for surgical treatment are usually breast cancer tumors. , severe adhesion, deep endometriosis, endometriosis grade III, IV
Often diagnosed with endometriosis, you're less likely to get pregnant. Gynecologists will give you birth control pills to limit the development of the disease. Laser endoscopy can be performed to burn ‘peanuts’. If an older woman has endometriosis, the 'peanuts' at menopause will shrink on their own.
Endometriosis is common in women of reproductive age, especially between 31 and 45 years of age. Typical clinical manifestations are pre-menstrual abdominal pain, which may even persist until the second half of the menstrual cycle, with some people having abdominal pain until the last day of the cycle.
Over time, abdominal pain will get worse, accompanied by symptoms such as nausea, vomiting, diarrhea .
.. The endometrial fragments and excess prostaglandin content are the causes of abdominal pain. this. Endometriosis fragments contain menstrual blood; When this wrap breaks, the patient will have an acute abdominal pain.
* Treatment method
- Medication: Taking drugs to suspend menstruation, fake pregnancy. When the patient is too painful, it is possible to coordinate the use of antagonists with prostaglandin prostate substance.
- Surgery: Including the following methods:
+ Antagonistic surgery: If the patient is young or needs to preserve the sexual function, it is possible to dissect the endometriosis.
This method is simple, the incision is relatively small. After surgery, patients can soon enlist pregnancy. The downside is high recurrence rates.
+ Surgical removal of the entire uterus: For those who no longer wish to have a baby, it is possible to perform an entire hysterectomy until the infected area, retaining part of the ovary. After surgery, the patient must take medication for treatment. The recurrence rate is very low.
+ Surgery to eradicate the disease: If a woman is in pre-menopause, it is possible to choose a method to remove the entire uterus, ovaries, fallopian tubes and infected areas..
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