Endometriosis is one of the most multifaceted and mysterious diseases. According to the classification allocate internal (adenomyosis) and external genital endometriosis. Endometriosis is one of the most urgent problems of modern gynecology. We know that the vast majority of patients suffering from this disease suffer severe pain every second - infertility, many of them identified violations of the endocrine and immune status, functional changes in the central, autonomic and other systems that provide homeostasis. Most endometriosis affects women of reproductive age, physically debilitated, with metabolic and endocrine disorders.
The forms of external endometriosis
To forms of external genital endometriosis include:
- endometrioid ovarian cysts
Ovarian cysts - normal or dangerous?
- peritoneal endometriosis;
- endometriosis, tubal ligation;
- retrotservikalnogo endometriosis;
- endometriosis of the vagina;
- endometriosis peritoneal recto-uterine pouch;
- endometriosis, external genital organs.
Endometrioid ovarian cysts
The clinical picture of ovarian endometriosis is very diverse. Lead is a pain of varying intensity. Patients complain of constant, occasionally aggravated aching pain in the abdomen, which irradiate the rectum, the lower back and sacral region. The pains are worse before menstruation and during it. When spontaneous perforation of the cyst and the outpouring of its contents into the abdominal cavity of the picture of acute abdomen that resembles an ectopic pregnancy. In addition, when there is a progressive endometrial cysts algomenoreya
Algomenoreya - with age and can not pass
Often accompanied by vomiting, dizziness and general weakness. When bimanual study of patients defined by tumor formation tugoelastichnoy consistency of the side and back of the uterus, restricted mobility due to adhesions, sharply painful on palpation, rounded dimensions 8-10 cm.
Patognomichnymi symptoms of the disease are:
- menstrual dysfunction (menorrhagia and metrorrhagia);
- Pain in the lower abdomen and the lumbar region of varying severity;
- pain during intercourse;
- infertility (usually primary).
There are patients with "asymptomatic" the pathological process.
Endometriosis Fallopian tubes
Isolated fallopian tubes endometriosis is rare. The main feature of the disease is pain, which intensified during menstruation. Bimanual palpation with the study identifies thickened and painful pipe. Relatively frequently observed in this disease infertility and tubal pregnancies.
By retrotservikalnogo endometriosis growths are endometrial lesions in the form of CKD or infiltrative forms directly from cervical tissue pryamokishechnovaginalnoy. Characterized by severe persistent pain in the pelvic area, which irradiate the rectum, vagina, perineum, external genitalia, and in the femoral region. Pains worse during defecation and sexual intercourse.
Endometriosis vaginal observed less frequently than the main types of this disease. Superficial endometriosis vaginal shown pre- and post-menstrual bloody discharge
Spotting - it is important to rule out pathology
. During germination of the vaginal wall The main symptom is pain in the vagina and lower abdomen during menstruation. Also, there are pain during intercourse. Before and during menstruation in the area of proliferation of endometrial heterotopias palpable painful melkokistoznye units and formations which are under examination bluish-purple or brown. During menses are dark blood can flow.
Endometriosis peritoneal recto-uterine pouch
For this form of the disease characterized by complaints of abdominal pain
Abdominal pain: when to sound the alarm?
and in the lower back, sometimes taking arching nature anxious during intercourse. When vaginal study, some patients manage to test the endometriosis nodules on the peritoneum, or sacro-uterine ligaments as "beads".
Endometriosis of the external genitalia
It is a rare gynecological diseases. Often affects the labia lips, at least - the labia and large gland vestibule. Endometrial process usually clearly limited myagkovata consistency often looks bluish "eyes" or cysts.