Endometriosis of the uterus - is a significant change in its wall on the background of hormonal disorders in women. With these disorders is very difficult to conceive, carry and give birth to a child. Therefore, the disease is best evaluated and treated before pregnancy in preparation for a planned it.

Can occur in endometriosis uterine pregnancy

This happens because of the hormonal changes that have resulted in the development of endometriosis uterus. In this case, a woman's body produces too much of the female sex hormones estrogen and low female sex hormone progesterone Progesterone - norm and pathology . This often leads to a lack of ovulation Ovulation - How to determine as accurately as possible?   (release of the egg from the ovary). Without ovulation, pregnancy is impossible.

But there is another factor that ensures sterility: this is a significant growth of uterine lining (endometrium) in the first half of the menstrual cycle and the transition process growths (proliferation) in the second half of the menstrual cycle in the phase of secretion, which prepares the uterine lining for the introduction of the embryo. Phase secretion occurs under the action of progesterone, and since it is not enough, the endometrium is unprepared for the introduction of the embryo.

The cause of infertility can be in the dissemination of endometriotic lesions of the uterus to other reproductive organs. Thus, the spread of lesions in the fallopian tubes can lead to their complete obstruction, which in turn will lead to the inability to fertilize an egg, or the development of an ectopic (tubal) pregnancy.

In this case, fertilization may occur, since the sperm has a very small size can slip through impenetrable pipes. But most of the fertilized egg (embryo) can not pass the obstacle in the form of impaired patency of the fallopian tube and begins to develop in its lumen, this leads to rupture of the fallopian tube for about 5-8 weeks of gestation.

Endometriosis can get out of the uterus and ovaries, leading to the formation of endometrial cysts, sclerosis and an inability to release an egg from the ovary.

Dangers of the first half of pregnancy

The main risk in this situation in the first half of pregnancy is the threat of miscarriage. In women with endometriosis Endometriosis - a serious problem with serious consequences   uterine progesterone produces too little, it is not capable to suppress the uterine muscle. In addition, the muscle contractions are provoked and patches of endometriosis in the uterine wall.

All of this leads to the fact that the muscles of the uterus begins to contract and actively pushes the embryo from the uterus - there comes a spontaneous miscarriage. To suppress muscle contraction, women are prescribed drugs - Synthetic analogues of progesterone, such as djufaston Djufaston - helps female body   during the first and possibly the second trimester of pregnancy.

Dangers of the second half of pregnancy

As is known, uterine endometriosis - this sprouting portions of the uterine mucosa (endometrium) in its muscular layer. If pregnancy occurs against the backdrop of the first stage of germination of the endometrium in the uterine wall and the pathological focus is not growing too fast, then there is usually no threat. But at the second stage of a pathological process when the endometrium penetrates half the thickness of the muscle layer, there is a danger of perforation of the wall and the rupture of the uterus.

When third-degree germination endometrium it permeates the muscle layer of the uterus cavity while separated from the pelvic cavity only a thin serous membrane. This creates a serious threat of uterine rupture and often makes recourse to premature delivery by cesarean section.

But any surgery on the uterus will lead to further spread of endometriosis, including not only the genitals, and it is other distant organs and tissue with blood and lymph.

How to combine endometriosis uterine pregnancy

Best of all they do not combine. To avoid such troubles, as the detection of endometriosis uterus during pregnancy, the last better plan to conduct preliminary planning survey of both spouses. In this case, the detection of endometriosis uterus it can treat, and then (after a few months) after doctor's permission to think about the child's birth.

Galina Romanenko

Pregnant women are always interested to know everything related to pregnancy, especially when it concerns children. Often, any, even the smallest deviation from the norm during the pregnancy, the woman begins to panic. It should not do it, because to explain and reassure the woman can always obstetrician-gynecologist of female consultation.

What is the placenta and its proper attachment

The placenta is also called the afterbirth. This is a temporary body which is formed and works only during pregnancy. But it is very important because it is through the placenta to the baby communicates with the mother. Hence, it receives the necessary structure for tissue protein for energy and maintaining the body - carbohydrates for proper metabolism Metabolism: The basis of life of all living things   - Fats, vitamins and minerals. The placenta and the baby gets oxygen - without it, the fetus can not exist. These are all products of metabolism as the placenta.

Placenta is given disk diameter of about 15 cm and weight of approximately 0, 5 kg, which is attached to the uterine wall. It covers two records: one that is addressed to the fetus (it fits the umbilical cord of the fruit), and the one that is attached to the uterine wall. Between the plates there are numerous blood vessels. Place placental important. Normally, the placenta is attached to the front or rear wall of the uterus closer to its bottom (the bottom of the uterus is at the top) - in this place a lot of blood vessels, so to create the most favorable conditions for the formation of placental and utero-placental blood flow.

Types and causes of improper placental

In some cases, the placenta is attached is low, sometimes closing part or all of the output of the uterus - the attachment is called a partial or complete placenta previa. This is a very dangerous condition, which almost always ends with heavy bleeding during childbirth, so the delivery is usually done by cesarean section.

But it also is the attachment of the placenta when it is low, but the seats out of the uterus does not reach. This attachment is called a low attachment of the placenta or low placentation.

The reason for improper attachment of the placenta are a violation of the state of the mucous membrane of the uterus (endometrium), which result from the previously transferred abortion, obstructed labor, post-partum and post-abortion infection, pelvic inflammatory disease. Changes prevent endometrial implantation (introduction) of a fertilized egg in the right place and location of implantation shifts.

The dangerously low placentation

At low placentation placenta it is only a few centimeters from the exit of the uterus, as well as the baby grows, its mass increases, the movements become more and more active, and increased pressure on the placenta. Any physical exertion and sudden movements (especially jumping) increase the pressure on the low-lying placenta and can cause bleeding.

During labor, the uterine muscles contract, the uterus shrinks, decreasing in volume. Placenta is not decreasing, so her blood vessels, welded to the wall of the uterus tighten, they can break and cause premature detachment of the placenta - a very dangerous condition, which is always accompanied by heavy bleeding.

That is why women with low placentation be carefully observed obstetrician-gynecologist of female consultation. But it is not all bad: the placenta can be shifted, often in time of 33-34 weeks, she goes up (after growing uterus) and thus removed all the dangers it is not attached properly.

Rules of conduct for pregnant women with low placentation

Women with low placentation should observe the following rules:

• Avoid strenuous exercise, do not make sudden movements, do not jump;
• sitting and lying down to attach the legs elevated position (it improves blood circulation in the placenta and contribute to its recovery);
• refuse sex life;
• If the doctor suggests to go to the department of pathology of pregnancy to save, you should not refuse - perhaps the child needs "feeding";
• the appearance of the first signs of bleeding or spotting should consult a doctor, and if the bleeding is strong enough - to call an ambulance.

Low placentation does not require treatment, but to a regime and to monitor their state of the woman is obliged.

Galina Romanenko