Simultaneously, endometriosis, and uterine fibroids are common. So, uterine fibroids in women older than 35 years more than 30% of cases. No less widespread endometriosis and uterine. And as the causes of these diseases often coincide, and they often occur together.

What is endometriosis and uterine fibroids, and why they can occur simultaneously

Endometriosis of the uterus - is the growth of tissue similar to the mucous membrane of the uterus in the muscle layer of the uterus. Myoma is a benign tumor that develops from muscle tissue. Fibroids looks clear demarcation from surrounding tissues rounded dense knot diameter of 0, 5 to 30 cm. In large sites fibroids often occur secondary changes in the form of areas of necrosis, hemorrhage, softening, education pseudocysts, proliferation of connective tissue.

The cause of these diseases are often hormonal disorders, inflammation of the uterus after childbirth, abortion, miscarriage. The reason may be the uterus and trauma following the same processes.

What matters is also a violation of immunity. It is the immune system does not allow to penetrate the "other" cells in a particular tissue, as is the case with endometriosis (uterine lining cells penetrate into the muscle layer of the uterus) and the tumor cells to proliferate in the uterine.

Matter and the overall impact of such as unfavorable ecology environmental various intoxications (smoking, alcohol and drug abuse, industrial hazards), high nervous and mental stress, as well as a genetic predisposition to the disease.

The main symptoms

Fibroids and endometriosis of the uterus may be asymptomatic and be a random finding during examination female infertility. Infertility in this case is primarily due to hormonal reasons.

After menstruation pain usually lose their intensity, but can be amplified by sexual contact.

Typical is also a violation of the menstrual cycle in the form of heavy and prolonged menstrual bleeding and irregular intermenstrual bleeding.

It is also possible the appearance of pain during defecation, constipation during menstruation. Similar symptoms may be from the urinary tract - during menstruation frequent painful urination, who recovered after its completion. This is due to the fact that portions of endometriosis during menstruation swell, increasing in size, compressing the urinary tract and intestine.

As revealed

Both of these diseases can be suspected already during the examination of the gynecologist. Confirmation of diagnosis is ultrasound. Also, to clarify the diagnosis for diagnostic hysteroscopy Hysteroscopy - examination of the uterus inside   - Endoscopic method of research, which allows to consider using optical apparatus internal surface of the uterus, where you can see typical symptoms of fibroids and endometriosis.

Work is also X-ray examination of the uterus (hysterosalpingography) and laparoscopy Laparoscopy - why is it necessary?   - Research using optical apparatus of the laparoscope, which is introduced through small holes in the body of a woman, and can not only see the surface of the uterus, but also take a piece of tissue for analysis.

How to treat endometriosis and uterine fibroids

In the first place it is recommended to conduct the operation. Depending on the woman's age, her general condition and the extent of the fibroids and endometriosis are carried out different types of operations. For example, women of childbearing age are trying to carry out organ operations, cleaning using laparoscopic and hysteroscopic operations units fibroids and endometriosis.

Today, such treatment is most often carried out using agonist rizlin hypothalamic hormones (GnRH agonist) which suppress gonadotropin secretion of pituitary hormones, affecting the pituitary-ovarian-endometrium. When this condition occurs, "medical menopause" - temporarily ceased menstruation, resulting in suppressed proliferation of the endometrium. Restoration of the menstrual cycle normally occurs in one to two months after discontinuation of treatment.

In women, the elderly and the uterus are sometimes removed through laparoscopic surgery.

Galina Romanenko

Endometriosis can affect not only the woman's genitals, but also all the organs and tissues in the body. This type is called extragenital endometriosis. It is found much less frequently than genital endometriosis, in 6-8% of all cases of the disease.

Why develop extragenital endometriosis

This disease often develops in organs adjacent to sex. Land endometriosis can occur therein by germination endometriosis and endometrial cells in contact via the blood and lymph vessels. Thus the intestine may be affected - mostly straight, sigmoid, cecum and appendix. Less common sites of endometriosis found in the small intestine. By sprouting frequently affected wall of the bladder and ureters.

Since endometrial cells bloodstream can reach any distant organ - lungs, pleura, diaphragm, kidneys and so on.

Of great importance in extragenital endometriosis have immune disorders, as the normal immune system destroys foreign cells trapped in other organs and tissues.

What are the symptoms of endometriosis bowel

Symptoms of bowel endometriosis depend on the location and depth of the lesion of the intestinal wall. Most often, patients have grueling abdominal pain, accompanied by nausea and vomiting and associated with the beginning of menstruation. If the areas of endometriosis fully germinate the intestinal wall in the stool may appear mucus and blood.

With the spread of abdominal pain Abdominal pain: Types and Symptoms   may take a permanent nature, but during menstruation, they are amplified. When this occurs in the intestinal wall growth of connective tissue, which leads to narrowing of the lumen of the intestine (bowel stenosis). Stenosis of the intestine can always be complicated by complete or partial obstruction of the bowel, accompanied by severe pain. This is the main danger of this type of endometriosis, which often requires surgical treatment.

There are also perforated (tampering) intestinal wall with peritonitis.

What are the symptoms of endometriosis lung, pleura and diaphragm

With the defeat of these bodies are found in the lungs areas endometrial tissue, which exhibit the ability to infiltrative growth, that is, to grow deep into the tissue. The tissues surrounding these foci detected edema, hemorrhage and proliferation of connective tissue with a gradual loss of respiratory function.

Endometriosis is a sign of pulmonary hemoptysis, which occurs cyclically during menstruation can occur as increasing shortness of breath. In endometriosis of the pleura and diaphragm developed pneumothorax Pneumothorax - when help is needed immediately   (accumulation of air in the pleural cavity) or hemothorax (accumulation of blood in the pleural cavity). This complication requires emergency medical care.

How does endometriosis, kidney and urinary tract

Most often affected the bladder - endometriosis can grow into its wall of the vagina. An indication of this type of disease is the frequent painful urination. If endometriosis grows to the inner shell, the blood appears in the urine.

If the process is applied to the ureters, the lumen can taper them, and the area in front of such a clearance and renal pelvis are expanding due to stagnation in their urine. This leads to compression of kidney tissue and a gradual increase in the lumen of the pelvis. Kidney tissue atrophy (decrease in volume), and loses its function - a condition called hydronephrosis.

What are the symptoms of endometriosis scars and navel

These lesions occur as cyclic changes associated with the menstrual cycle. During the operation of the scars and the navel appear spotting Spotting - it is important to rule out pathology Accompanied by pain. After menstruation, all these phenomena are usually held.

Diagnosis, treatment and prognosis of extragenital endometriosis

If the disease progresses too, during menopause while reducing the functional activity of ovarian endometriosis in most cases regress. However, in some patients, and during this period may cause an exacerbation - it is due to an increase in individual women during menopause the secretion of female hormones estrogen.

Due to the possibility of extragenital endometriosis, a woman who had revealed the disease fully examined in order to identify all of the lesions. Treatment is chosen individually to each woman.

Patients with endometriosis Endometriosis - a serious problem with serious consequences   You should be aware of the possible development of extragenital lesions and suspected internal organ immediately contact a doctor.

Galina Romanenko