Endometriosis of the cervix is less common than a similar process in the body of the uterus. It also occurs retrotservikalnogo endometriosis, in which abnormal foci arise in the cervical canal (cervix). Both of these belong to the external endometriosis
External endometriosis - a mysterious disease
Which tends to spread to other organs.
How it is manifested endometriosis of the cervix
This disease belongs to the outer forms of endometriosis. The pathological lesions in the cervix may have various sizes ranging from microscopic to 2 cm in diameter. Outwardly, they have a round or polygonal shape and kind of mulberry. Best of all pathological foci are seen in the second phase of the menstrual cycle (progesterone) - this is due to the fact that in this phase they acquire a characteristic blue-purple color.
Speakers in the cervical canal endometrial polyps have the form of pockets, but by histological examination confirmed the presence of endometriosis.
Manifested this kind of endometriosis bloody discharge
Spotting - it is important to rule out pathology
That appear before and after the primary menstrual bleeding, or after intercourse.
During menopausal these pathological foci undergo the reverse process, which leads to an improvement of the patients. But sometimes, if the period produced a significant amount of estrogen, endometriosis, by contrast, is activated, even if it was previously inactive phase.
How it is manifested retrotservikalnogo endometriosis
When retrotservikalnogo endometriosis
Retrotservikalnogo endometriosis - is not such a rare disease
there are pockets of value from 0, 5 to 6 cm on the back wall of the cervical canal and the isthmus of the uterus at the level of attachment of the sacro-uterine ligaments. It is also the outer form of endometriosis.
Lesions in this area dense as incorporate a lot of connective tissue. A feature of this type of disease is infiltrative growth focus in the direction of the rectum, posterior vaginal fornix and the vaginal-rectal septum.
Manifested retrotservikalnogo endometriosis severe pain in the pelvis, gave into the rectum and the vagina, is amplified in the first half of the menstrual cycle. In the propagation of the pathological process in these organs pain even more amplified.
For this type of endometriosis is characterized by neurological disorders - the defeat of the pelvic nerve plexus (pelvic complex), as well as the nerve plexus in the rectal area.
How to distinguish endometriosis from other diseases
Manifestation of endometriosis of the cervix is difficult with something confused, but retrotservikalnogo endometriosis should be differentiated tumors, including malignancies of the rectum and bladder.
To do this, conducted studies such as sigmoidoscopy, cystoscopy (endoscopic examination of the rectum and bladder), ultrasound, and a piece of tissue is taken from the pathological focus on histological examination. If necessary, carry out X-ray examinations, CT and magnetic resonance imaging.
Furthermore, since the outer endometriosis tends to spread rapidly, the woman fully examined in order to identify foci drugiz organs and tissues.
The treatment of endometriosis of the cervix and endometriosis retrotservikalnogo
Today it is considered that the main method of treatment is the removal of external endometriosis lesions surgically. Therefore, in this case, treatment is initiated with the operation, since the outer endometriosis tends to spread to adjacent organs - the rectum, bladder, ureter.
Surgical treatment of endometriosis, cervical cancer is to remove the endometriosis by applying chemical applications solutions with properties of cauterizing the affected areas, remove them with electrocautery, radiofrequency or laser scalpel and by cryoablation (destruction of the cold). To prevent recurrence of the disease prescribe hormone therapy (suppression of estrogen action) for several months.
When retrotservikalnoy form of endometriosis is performed endoscopic surgery using a laparoscope (an optical device that allows you to perform operations not through incisions, and a few holes in the skin). Pathological foci removed from the most careful attitude to the neighboring organs. In some instances, conserving surgery is not possible in this case carried hysterectomy
Hysterectomy - the uterus is sometimes necessary to remove
with appendages. At the same time carry out plastic surgery on the rectum, bladder, and so on. After surgery, hormonal treatment is also assigned for the prevention of recurrence of the disease.