Endometriosis. The symptoms and treatment of folk remedies, agents. What is it, the prognosis is treated in menopause, pregnancy

What triggers uterine endometriosis is not known. However, the symptoms of the disease sufficiently studied. Usually, endometriosis appear characteristic symptoms, but the disease may not manifest itself. In any case, untreated endometriosis causes serious complications.

What is Endometriosis

Endometriosis - a gynecological disease that is characterized by proliferation of mucosal tissue lining the inside of the cavity of the uterus. Foci of the endometrium can occur in any place, on any of the organs and tissues: on the cervix, in the gut, lungs, urinary bladder. It is believed that the disease is spread through the lymphatic system.

Found it quite often - 10% of all gynecological diseases.

At what age is developing

Disease often affects women 20 to 50 years. And the sooner the disease is more frequent in women over the age ranging from 30 years to 50.

Now endometriosis may well be diagnosed in women 20-25 years old. Mistakenly believed that endometriosis is not observed in postmenopausal women, but it is not. It can be diagnosed in women older than 50 years.

Types and forms

If sprawl affects only the reproductive system, then this type of endometriosis is called internal. That it is diagnosed more often. But there is more and extragenital form when the endometrium affects other body structures.

Depending on the nature of the disease, there are three forms of endometriosis:

1. diffuse adenomyosis - suggests a benign tissue growth in all areas of the endometrium, and in the muscle wall of the uterus formed.
2. nodular adenomyosis - characterized by the formation of spaced-apart non-encapsulated units.
3. focal endometriosis - it involves local mucosal damage.

Degree (step)

In the development of the disease is stage 4:

1. In the first step endometrium is affected to the core layer - myometrium, but the muscle layer is not affected.
2. In the second step process is already affecting the myometrium in some areas.
3. In the third step foci are distributed throughout the layer of the myometrium, formed cysts on the ovaries.
4. stage 4 characterized by the highest morbidity, during this period in the process of proliferation of endometriosis damaged serosa, proliferating cysts formed adhesions. between the bodies.

If untreated endometrial cells can spread throughout the body. The painful symptoms did not correlate directly with the development process step.

Causes

The causes of the disease may be very different. Provoking factor is difficult to define, and even doctors can not come to a unanimous opinion, what actually leads to the development of endometriosis.

Several distinct theoretical assumptions:

1. According implant hypothesis, abnormal behavior of endometrial cells provoke disturbances in the hormonal and immune systems. As a result, the cells acquire increased capacity for implantation in other tissues. They are able to migrate to other tissues and organs of the increased intrauterine pressure.
2. Metaplastic theory suggests that endometrial cells grow not, and other tissue cells regenerate in endometrial. This process is called metaplasia.
3. Some doctors tend to associate the chance of developing endometriosis with a hereditary factor, what is the truth.
4. According to another opinion, the risk of developing endometriosis increases significantly with a decrease in immune function, ie, immunity, blocking in normal development of any tumors at weakening allows the distribution of cells Endometrial.
5. Another theory links the development of endometriosis, retrograde menstruation. Menstrual blood containing endometrial cells, and it is believed that under certain conditions, they penetrate into the abdominal cavity and implanted there.
6. Other scientists believe that the impetus for the development of endometriosis is the accumulation in the body of dioxin. This toxic substances that pollute the environment. They accumulate in the fatty tissue - more and more every year. If the woman lives in adverse environmental conditions, it is at risk Hone.

The impetus for the development may also provide:

• abortion made previously;
• obesity;
• reduction of hemoglobin;
• Surgical operations, particularly caesarean section;
• diseases of the sexual sphere, accompanied by inflammation of the tissues;
• contraceptive spirals;
• drinking alcohol and smoking;
• addiction to caffeinated products;
• disruption of the functioning of the endocrine system;
• decreased immunity.

After surgeries and diseases affecting the genitals, it is strongly recommended to periodically observed by a doctor to diagnose endometriosis is possible as early as possible.

Symptoms of endometriosis in women

Specific to the uterus of endometriosis symptoms are not at all. Often the first signs and symptoms associated with the progression of the disease, when it is required serious treatment.

symptoms:

1. The most striking symptom - pain in the body of the location of the projection. Soreness can be transmitted in the groin, leg. They are amplified when approaching menstruation. May be terminated in the absence of selection, and can be observed throughout the entire cycle. But, characteristically, after menstruation pain in any case weaker.
2. Before menstruation women can detect a slight separation from the blood content of 2-5 days before menstruation. It is important not to confuse them with the beginning of menstruation. These periods come later and is characterized by a more intense discharge.
3. Women who have endometriosis, menstruation duration above average.
4. During intercourse in women appear spotting.
5. There is pain during intercourse (this is especially true for cervical endometriosis).
6. Bleeding can occur in the interim period between periods.
7. Endometriosis is becoming a common cause of spontaneous abortion.

With the progression of endometriosis woman may feel malaise, particularly drowsiness, fatigue, dizziness, which is a consequence posthemorrhagic anemia.

It can be seen bladder problems. Doctors say that women experience a frequent urge to the bathroom, and in the urine sometimes visualized blood.

Symptoms after cesarean section

endometriosis (symptoms and treatment are determined by a specialist) arises as a result of a caesarean section. For example, it could trigger a material which sewn seams. It found a 20% of the total number of caesarean sections performed.

We have the following symptoms:

• pain in the lower abdomen;
• itching and burning at the seam;
• selection of cutting fluid;
• slow wound healing;
• palpation of nodules under the skin in the weld area.

How does the disease in older women

After menopause endometriosis manifests itself flapping or profuse bleeding, which is also accompanied by an unstable psychological state - irritability and tearfulness, as well as the deterioration of the physical condition, including weakness, nausea, vomiting, headaches, dizziness.

complications

Despite the fact that endometriosis may not affect the quality of life in the early stages of development, in the future, without proper treatment, it leads to serious consequences.

They are as follows:

• adhesions in the uterus, fallopian tubes, ovaries, which in turn causes infertility;
• miscarriage;
• anemia;
• Ovarian cysts;

• rupture of damaged organs;
• intestinal obstruction;
• disruption of menstruation cycle;
• degeneration of endometrial tissues;
• compression of nerves sprawling fabrics;
• degeneration into cancer.

Diagnostics

In the first place if you suspect you need to conduct gynecological examination internal and external genitalia, palpate the cervix and the uterus itself, the area location of the ovaries.

At this stage the foci can be detected visually. On palpation, you can assume the presence of endometriosis, if the uterus is painful, shifted back and hardly moves or does not move at all, if the enlarged epididymis. However, for completeness, for suspected endometriosis, the doctor is required to appoint an additional examination.

Possible methods:

• hysteroscopy - this minimally invasive technique, allowing for visual inspection of the interior of the uterus using a hysteroscope - a special optical system. Hysteroscope transmits visual information to a monitor, so you can see in detail what happens in the womb.
• Laparoscopy. With this method, the diagnosis carries a small incision, through which investigated the uterine cavity. At the same time it can be carried out and the necessary treatment. Also, tissue can be taken during laparoscopy for subsequent cytological and histological examination.

• US. This kind of investigation to determine the degree of damage to its structure, localization. The most reliable results are obtained by ultrasound during the 23-25 ​​days of the menstrual cycle.
• MR. Method of magnetic resonance rarely used for the diagnosis of endometriosis because it is an expensive procedure. However, when the possibility of such diagnostic results are informative.
• Blood analysis. Examines concentration CA125 markers CEA and CA 19-9 in combination with carrying out the diagnostic test PO.
• Cervicoscopy. Carried out inspection of the cervix with the help of special tools.
• Separate scraping. It is carried out to determine the presence or absence of endometrial cells in the assay.

When to see a doctor

Medical care is required when cutting cramping severe pain in the lower abdomen, as well as abdominal pain, accompanied by nausea, dizziness, fever.

How to treat

endometriosis treated with medication, and surgical removal, in some cases, completely removed the uterus.

However, operation is performed only in the most extreme cases, when particular symptoms (e.g., unbearable pain) since removal uterus and appendages not only deprives a woman's ability to bear children, but also triggers hormonal changes of a lifetime.

Treatment prescribed by a doctor include:

• diet;
• receiving analgesic and anti-inflammatory drugs;
• a course of taking vitamins;
• the passage of therapeutic measures aimed at stimulating the immune system and to normalize hormonal function of the endocrine and hypothalamic-pituitary system.

In this case, the doctor takes into account:

• stage of the disease;
• distressing symptoms;
• The possibility of subsequent pregnancy;
• age of the woman;
• state immunity;
• accompanying chronic diseases;
• opportunity to undergo a long period of inpatient treatment.

Medications

For the treatment of endometriosis used 2 groups of drugs: hormonal and non-hormonal. Their action is aimed at the suppression of endometrial growth.

Appointed by:

1. Intrauterine system Mirena therapeutic. Is a plastic spiral, the internal volume of which is filled with a synthetic analogue of progesterone - levonorgestrel. It alters the structure of the endometrium.
   
2. COC (combined oral contraceptives). For example, Jeanine, Jess, Yarina, Marvelon, regulon Rigevidon, Three-regolith.
3. Drugs that inhibit gonadotropin release of LH and FSH, in particular danazol). After the regular six-month cease receiving monthly and restored only after discontinuation of the drug.
4. progesterone drugs, in particular Djufaston, Utrozhestan, Norkolut, Ekslyuton and other
5. agonist drugs (i.e., similar to the effect exerted by them exposed to the natural hormone), gonadotropin-releasing hormone - Sinarel, Lyukrin, depot Gonapeptil, Zoladex.
6. Preparations -antiestrogeny - Tamoxifen.

Further specific preparations may also be assigned further:

• Antiseptic and antispasmodic effect;
• sedatives;
• vitamin;
• iron;
• immunological.

Treatment begins with 1st day cycle after the surgery and is conducted 3-9 months. Independent of the treatment specific preparations dangerous to health.

Surgical treatment of endometriosis

Surgery is conducted to resection of endometriosis, by partial or complete removal of the uterus and appendages.

The indications for surgery are:

• infertility;
• swelling;
• severe pain.

It can be assigned to a particular type of surgery:

1. Uterine artery embolization It represents a vascular occlusion that supply a tumor with blood. With the catheter is introduced into the vessel polyurethane or similar substances. On the one hand, this reduces the bleeding manipulation during subsequent operation, on the other hand, leads to a decrease in tumor nodes then it is possible to complete disappearance. The procedure can be performed under local anesthesia.
   
2. Abdominal surgery. Typical operation, during which the body part is removed completely or uterus.
3. Through the vagina. The uterus is removed completely in this way.
4. Laparoscopy. Manipulations are performed through a small incision.

Abdominal surgery, vaginal removal, laparoscopy involve general anesthesia.

Recovery after surgery

Remediation activities after surgery - physiotherapy.

These include:

• electrophoresis with zinc and iodine;
• ultrasound treatment;
• radon baths;
• douching with anti-inflammatory drugs.

After the operation it is necessary to do every season ultrasound observed at the gynecologist, to monitor blood levels of CA-125 marker.

Folk remedies

uterus Endometriosis - symptoms and (treatment of folk medicines should only complement the main) symptoms confirms the doctor.

Treated with the following home remedies:

1. Shoots cucumber is recommended to be dried, ground and used as a welding. Admission of such tea is not normalized.
2. Beets should grate and squeeze through cheesecloth. It is allowed to settle for 4 hours and then taken three times a day, starting with a small dozirovkt and bringing it over time to 100 ml.
3. 2 tablespoons upland uterus is brewed 4 tbsp. boiling water. Capacity in which brewed grass, covered with a lid and wrapped in a towel, preventing infusion immediately cool. After 30 minutes, the liquid should drain and infusion can be administered at 0.5 v. four times a day, 30 minutes before a meal or 1 tbsp. l. 3 p. / Day, one hour before a meal.
4. It is necessary to prepare a mixture of herbs by taking 20 g of raspberry leaf, peppermint, stinging nettle, sage, elder flowers and chamomile. A mixture of herbs need to make 2 liters of liquid and infuse in a sealed vessel to reach the light spot of about 5 hours. Then, the infusion is filtered and drink 1 tbsp. 4 p. / Day, 30 minutes before the meal. The course of treatment is up to 2 weeks.
   
5. This infusion soothe inflamed tissue and has a slight anesthetic effect 50 g of plantain leaves must make 1 liter of boiling water and leaving it stand for an hour. Fluid need to filter and pour 500 ml of boiled water cooled. Dosage 2-3 tablespoons 4 p. / Day for 30 minutes before eating. Course - 10 days.
6. 2 tbsp. l. crushed celandine poured 0.5 l of boiling water and insist 3 hours a dark place, then filtered through cheesecloth. Dosage 50 ml 4 times a day before meals.
7. Infusion of painkillers.
8. Bark Viburnum increases tone of the uterus, thereby reducing the risk of bleeding. 100 g of bark, crushed into dust, it is necessary to make 2 liters of boiling water and boil on a steam bath for half an hour. Then it was allowed to cool, filtered and the cooled liquid is taking 2 tablespoons four times a day before meals.

Is it possible to have sex with endometriosis

Direct contraindications to have sex with the disease is not present, however, it can cause discomfort women and even lead to some complications, such as bleeding endometriosis affects the cervix uterus.

Other problems:

1. During sexual intercourse it is possible mechanical damage of the hearth endometritis due to which discharge of blood starts.
2. Where implanted abnormal cells, inflammation develops. Since the compression occurs at a bed tissue pain syndrome occurs. It can be a small and sharp.
3. Also in the treatment of diseases gormonosoderzhaschimi means there is vaginal dryness that does not add to the pleasurable sensations.

If possible, avoid sexual activity in the first half of the cycle, as at this time there is an intensive growth of the endometrium.

Can I get pregnant

Can get pregnant, however, the chances of a successful conception small fault of trophic changes in the ovaries, the fallopian tubes adhesions.

To increase the chances of conception, assigned:

1. Hardware verification of the Fallopian tubes, and the presence of adhesions their excision.
2. Removal of the endometrium which decreases the patency of the fallopian tubes.
3. Determination of ovulation one of the available methods - home or clinical.
4. Stimulation of ovulation hormones, if it does not occur due to abnormal hormonal levels.
5. Removal of foci of inflammation in the uterus.

If the disease risk of losing a child due to a miscarriage. At the same time symptoms of the disease during pregnancy is reduced, since there is conducive to the hormonal changes. The woman should be prepared for the fact that it will take a serious control of the disease at all during pregnancy.

Effectively IVF

endometriosis (symptoms and treatment have been mentioned above) does not exclude in vitro fertilization. It is possible, however, this does not always mean a favorable outcome. Before the procedure is necessary to conduct a more comprehensive diagnosis can be.

Especially favorable prognosis IVF if the woman could not become pregnant due to adhesions in the ovaries or fallopian tubes. But if a woman has an abnormal hormonal changes, and major changes in the uterus, accompanied by an inflammatory process of IVF can not give a positive result.

If the fetus is safely implanted and pass the critical period, it is likely to be defeated by endometriosis.

Is it possible to sunbathe

Prolonged exposure to the sun can cause complications in endometriosis.

Firstly, fever UV rays create conditions for progression of endometriosis, including destruction of new organs and tissues due to the general speed up metabolism. Secondly, due to the action of ultraviolet radiation is a risk of occurrence of mutations, namely the degeneration of a benign tumor into a malignant.

Doctors recommend a moderate exposure to the sun to meet the well-known rules:

• enabling the clock to 10:00 am and from 17:00 pm;
• short sun exposure.

Women are advised to avoid the impact of these factors and other conditions, for example should not use the sauna, steam room and solarium.

Do I need a special diet

In order to maintain favorable conditions for curing disease and maintaining normal state of health it is recommended to follow a diet.

Doctors recommend a diet to include:

• marine fish and seafood;
• vegetables that contain Anticarcinogens, these include, for example, garlic, cabbage;
• vegetables and fruits rich in iron. This buckwheat, dried apricots, apricots, liver, hips;
• products containing estrogens of vegetable origin. They block the growth of the endometrium. These include legumes and cereals, apples, carrots, parsley, garlic, pomegranate, grapes and others.

Cakes, sweets, alcohol, red meat, foods that contain Omega 6, alcoholic drinks and coffee you want to exclude.

Forecast

endometriosis recurs quite frequently during the first year after the operation - this is one of 5 cases. Therefore, according to symptoms the doctor will determine the treatment regimen in each individual case.

When receiving hormonal therapy after surgery risk is dramatically reduced. However This leads to disruption of natural processes in the uterus, because of what a woman can not conceive a child. The symptoms of endometriosis are dulled or disappear during menopause and during pregnancy.

Intrigue of the uterus of endometriosis is that the disease can manifest itself in the early stages. But at the same time, this is the disease, which can develop into cancer. That is why doctors recommend to seek medical help, even with mild symptoms, in time to begin treatment and prevent fatal consequences.

Video of the uterus endometriosis

Symptoms and causes:

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