The thickening of the uterine wall - a concept that is acceptable for both gynecologic pathology and for midwifery. The thickening of the uterine wall - a ultrasound indicator and during routine gynecological examination
Gynecological examination: an important component of women's health
can only be suspected deviation from the norm, and confirm the diagnosis and identify the disease only allows ultrasound. In addition, pelvic ultrasound, and in particular of the uterus, are subject to additional methods such as hysterosalpingography, hysteroscopy, magnetic resonance imaging. But not in all cases, thickening the uterine wall can talk about the disease.
The structure of the uterine wall
The uterus is a round hole, and its walls consist of three layers. The outer layer which covers the uterus, which is in the pelvis - is serous submitted peritoneum. Middle, the thickest layer is a muscle, or myometrium. Its function is to reduce the uterus during menstruation, childbirth, postpartum and postabortion period.
The inner layer is composed of a mucous membrane, which is called the endometrium undergoes periodic changes throughout the menstrual cycle.
In the case of any disease uterine wall thickens, wherein the side of either of the layers.
The main causes thickening of the uterine wall
The term "thickening of the uterine wall", as noted, the ultrasonic parameter and identifies the following pathologies:
- the threat of termination of pregnancy;
- uterine fibroids;
- adenomyosis of the uterus;
Threat of abortion
During the ultrasound, especially in the early stages of pregnancy, often a mismatch is detected thickness of the front and back walls of the uterus. This feature is found in up to five weeks of pregnancy, no evidence of disease, but only demonstrates the implantation of the ovum in the uterine wall. In case of local hypertonicity of the uterus, changes in the shape of the embryo (it becomes the navicular or teardrop), changes in the outer contour of the uterus (uterine wall to lift the plot on a flat surface) can assume the threat of termination of pregnancy.
But US data have confirmed the presence of the clinical picture (complaints of dragging pain in the abdomen, lower back, spotting). In addition, during an ultrasound examination revealed subhorialnaya hematoma (a small portion of the streamed blood as a result of detachment of the ovum). Sometimes typical ultrasound signs of hypertonicity of the uterus are found as a result of irritation of the uterine wall sensor, excitement, women and the absence of symptoms is not considered to be signs of the threat of interruption.
Myoma nodules are detected virtually every woman older than 30 years. They may have different dimensions and arranged in the bottom, the body (the front or rear wall) close to the uterus or cervix. Depending on the location of myoma nodules in a particular layer of the uterus secrete submucosal fibroids (node grows in the uterus), muscle (nodes located deep in the myometrium) and subserous (node grows into the abdominal cavity).
Clinically myoma nodules (with their large size) appear irregular menstruation, uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
, Abdominal pain, constipation and urinary disorders, infertility. Myoma nodules of small size do not require treatment. During a pelvic exam palpated dense, hilly or uneven uterus, sometimes with large individual sites.
Adenomyosis of the uterus
Adenomyosis of the uterus, or internal endometriosis is diagnosed based on characteristic symptoms and ultrasound data. On palpation of the uterus before menstruation detected spherical, somewhat increased in size and uterine tenderness. Patients complain of spotting before menstruation, the occurrence of pain during sexual intercourse and menstruation, no pregnancies.
On US cellular structure is defined by the wall of the uterus, its thickening, rough boundary between the mucosa and the muscular wall of the uterus.
Endometritis - an inflammation of the uterus
Inflammation of the uterus: required hospitalization
Which is manifested by pains in the abdomen
Abdominal pain: when to sound the alarm?
A violation of cycle, pus-like, foul-smelling discharge, signs of intoxication (fever, weakness, nausea, vomiting). When bimanual palpation is determined painful increase in the size of the uterus. On US noticeable thickening of the endometrium, its heterogeneous structure, areas of fibrosis and calcification.