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.
- treatment of endometriosis