In chronic inflammation of the appendages of the symptoms of this disease are expressed not as bright as the symptoms of acute adnexitis. In some cases, chronic adnexitis Chronic adnexitis: dangerous consequences   asymptomatic, but this does not mean that such a flow can not give complications. Any form of adneksita should be identified and treated.

What happens in a woman's body

Chronic inflammation of the uterus body (chronic metroendometritis) and its appendages - fallopian tubes and ovaries (chronic adnexitis) are generally undertreated consequence of an acute inflammatory process. The cause of the disease is often the infection in the uterine cavity with heavy labor, abortion, uterine trauma on the background of reduced immunity. Inflammation of the uterine region switches to its appendages, thereby developing adnexitis.

In chronic inflammatory process in the wall of the uterus is dominated by sclerotic processes. The inner surface of the uterus becomes uneven, her there polypous proliferation, muscular layer thickens due to connective tissue.

At the same time as a result of adhesions in the fallopian tubes and ovaries are irreversible changes. resulting in infertility. Changes in the uterine appendages are always accompanied by impaired blood circulation in this area because of the large number of adhesions. Also change the elastic properties and the tone of the blood vessels of small and medium-sized - all this leads to a deterioration of capillary blood flow, difficulty of venous outflow of blood.

The main symptoms

Chronic inflammation of the uterus and appendages occur in waves - exacerbations are replaced by remissions. Sometimes the flow is constant softly pronounced.

The uterus at the same time increased, dense, but not painful. From the vagina sometimes appear bright yellow (with a small admixture of pus) discharge. It is characterized by menstrual irregularities as a uterine menstrual and intermenstrual bleeding. Some women decreases the blood levels of estrogen, a second phase of the shortening of the cycle, the occurrence of anovulatory cycles.

Often accompanied by chronic inflammation of the uterus metroendometrity Inflammation of the uterus - is one of the most common gynecological diseases   also generally proceeds chronically with erased symptoms. Primary chronic adnexitis in this case due to the change in the properties of infectious agents because of the widespread use of antibiotics for the treatment of acute inflammatory processes in the uterus. Against the background of chronic inflammation in the uterus and decreased immunity, which leads to a deleted course of the disease.

Chronic adnexitis generally proceeds with frequent relapses occurring under the influence of provoking factors - hypothermia, fatigue and injuries, against menstruation and so on. The pathogen does not play a decisive role, furthermore, the inflammatory exudate is most often sterile. Exacerbations occur quite short and normal, even without the use of antibiotics are under the influence of anti-inflammatory treatment.

Chronic adnexitis is a consequence of an acute inflammatory process in appendages of the uterus or from the beginning of the proceeds chronically erased. Today, because of the frequent independent patients receiving antibiotics for any reason, chronic adnexitis often asymptomatic and detected only in screening women for infertility.

Symptoms more pronounced during exacerbation. Aggravation is accompanied by mild abdominal pain on the affected side, light, sometimes with bloody discharge, low temperature rise, violation of general condition. But some women have rather strong pain persists during remission, due to severe changes in the fallopian tubes, adhesions in the pelvis, and disorders of blood circulation in this area.

Against the background of continuous inflammation in the uterine appendages in women develop change of mental state with severe anxiety Anxiety - how to distinguish normal from disease?   and increased emotionality. A characteristic feature of these disorders is that they decrease with treatment of the underlying disease.

Chronic adnexitis without an adequate treatment leads to adhesions, impaired patency of the fallopian tubes, ectopic pregnancy, infertility.

Chronic inflammation of the uterus and appendages are rarely cured completely. This is almost always disturbed menstrual cycle, disrupted reproductive function, resulting in full or infertility or miscarriage Miscarriage - why you lose the most precious thing? , Placental pathology, the weakness of labor. The uterus after childbirth these women recovering very slowly and incompletely.

The number of patients with endometriosis Endometriosis - a serious problem with serious consequences   It is growing, which is certainly due to the high neuro-mental load of women and deteriorating environmental conditions. But it is also important and a high detection rate of the disease, which depends on the quality of diagnostic studies (primarily on the quality of modern diagnostic equipment) as well as on women's awareness of such diseases as endometriosis.

Symptoms of endometriosis

This disease may be asymptomatic and discovered incidentally during a survey of women on another occasion. Sometimes the disease begins to manifest itself gradually, its symptoms grow as the dysfunction of various organs.

Endometriosis can be a genital (genital organs - is the bulk of the disease) and extra (to other organs and tissues, occurs in about 8% of cases). Endometriosis is divided into domestic (affects the uterus and fallopian tubes) and outer (all other organs).

The main signs of endometriosis uterus Symptoms of endometriosis uterus - they are every woman should know   are abdominal pain Abdominal pain: when to sound the alarm?   during menstruation and bleeding. Menstrual bleeding can be, when, after a long break starts heavy and prolonged menstrual period and mezhmenstraulnymi - they can also be abundant. Pains thus are usually most intense in the first two days of menstruation.

Endometriosis Fallopian tubes manifested their obstruction and infertility, and ectopic pregnancy to rupture of the fallopian tube. In any case, internal endometriosis with frequent and significant blood loss quickly leads to the formation of iron-deficiency anemia, which appears weakness, drowsiness, malaise, faintness and persistent decline in performance.

If the disease develops in the cervix, then these symptoms are joined small dark bloody discharge, appearing a few days before menstruation. The same isolation and appear after finish the menstrual bleeding, and kept for several days. Symptoms of ovarian endometriosis can be a pain in the lower abdomen on one side, worse during menstruation.

Symptoms of endometriosis may appear in all the internal organs, which leads to disruption of their function.

General principles of treatment of endometriosis

Treatment of endometriosis depends on the age, severity and localization of the pathological process, and general condition of the woman. Thus, the internal genital endometriosis, when he smote the uterus and fallopian tubes in some cases treated conservatively with the use of hormonal therapy. If the nodes of endometriosis great, and the woman still wants to have children, spend a combined treatment: Endometriosis nodes removed by sparing laparoscopic surgery and then spend a long hormonal therapy, prevents relapse.

After 40 years of endometriosis uterus when conservation of fertility is not required, and significant bleeding and pain, the way out can be supravaginal amputation of the uterus.

Since endometriosis can develop in other organs, the approach to treatment should be individualized.

Conservative treatment of endometriosis

Conservative treatment of endometriosis - this suppression of secretion of female sex hormones estrogen - the main "culprits" proliferation of the mucous membrane of the uterus (the endometrium). Inhibit release of estrogen with drugs - synthetic progesterone analogues Progesterone - norm and pathology   (progestin), drugs that suppress the synthesis of pituitary gonadotropins and agonists (analogues) Riesling gonadotropin hormones, which are released by the hypothalamus.

By progestogens include such a drug as djufaston, which is often used to treat endometriosis. Inhibitors of production of gonadotropins include danazol, it inhibits the synthesis of follicle stimulating hormone (FSH) and luteinizing hormone (LH), pituitary hormones, growth of uterine lining (endometrium), causes a decrease in the amount of endometrial tissue, located in the uterus, and in other organs and tissues endometriosis. Danazol also helps to reduce blood loss during menstruation.

Today, for the treatment of endometriosis are often used analogues of gonadotropin-releasing - hormones such as Zoladex. The mechanism of action of the drug based on the blockade of gonadotropin secretion of pituitary hormones, resulting in suppression of estrogen secretion and development states medical castration.

Treatment of endometriosis should be initiated as early as possible, pick it individually, using both conservative and surgical methods.

Galina Romanenko