Treatment of endometriosis uterus must be carried out individually, taking into account the age and general condition of the woman, as well as the type of endometriosis. Thus, the diffuse form of endometriosis are usually treated with medication, while in the nodular form is more often used surgery. But the more correct holistic approach to treatment - a combination of surgical and conservative methods.

Features of endometriosis uterus

Endometriosis is the body of the uterus - is the inner form of the disease, the introduction of its muscular layer portions of the endometrium, which can be distributed evenly across the muscle membrane, and can form foci or nodes (diffuse and focal form).

The main manifestations of endometriosis uterine cramping are severe pain during menstruation nature which may become constant aching afterwards. The second feature of this disease is long and heavy menstruation intermenstrual bleeding. The woman suffers from continuing blood loss, which leads to the formation of iron deficiency anemia.

How we treat

Treatment always begins with a complete examination of women and to identify possible foci of the disease in other organs. Directly endometriosis, fibroids can be treated conservatively, promptly and comprehensively.

If it is not effective, and women continue to bother a lot of pain and bleeding, hysterectomy is performed supravaginal followed antirecurrent conservative treatment.

When nodal forms of the disease are trying to remove them, preserving the uterus with the help of modern techniques, followed by conservative treatment. But if a woman wants to have a baby, sometimes it is recommended to make as soon as possible after the operation, as it relapses occur very often. Pregnancy itself here is antirecurrent state as this for a long time in the womb there is no cyclical changes.

In addition, endometriosis Endometriosis - a serious problem with serious consequences   try to hold the uterus immunocorrection. Today, it is carried out using preparations of interferon and interferon inducers (stimulating the interferon production of its own).

Be sure to carry out the treatment of iron deficiency anemia using iron supplements, special diets, and in severe anemia blood transfusions. Appointed as widow and hemostatic agents.

Hormone therapy

For the hormonal treatment of endometriosis uterus used drugs that inhibit the activity of the female sex hormone estrogen as a result of which there are pathological changes in the uterus.

In severe diffuse processes often begin with the most effective use of hormonal drugs - synthetic analogues Riesling-hormones of the hypothalamus, which inhibit the secretion of pituitary gonadotropins (TG). Without the effect of TG ovaries can not function, they are turned off, artificial menopause occurs, which can be maintained as long as necessary. But it is rarely supports more than three months in a row, as the complete lack of estrogen leads to the development of osteoporosis - bone fragility. For drugs in this series are Diferelin, Dekapeptil, nafarelin, buselerin, zolodeks depot, lyukrin Depot and others. They are used and after breast-conserving surgery for the prevention of recurrence of the disease.

Antigonadotropnym drugs inhibit the action of the pituitary gonadotropins, acting directly on the hormonal receptors of the target organs. Usually prescribed for a long period of time, not less than six months. A side effect of these drugs is to increase the level of male sex hormones, and such violations as male pattern body hair, gruff voice, improving oily skin with the development of acne Acne: facial trouble   and so on. For drugs in this series are Danol, danazol, danogen and others.

Often, to suppress the action of estrogens and progestins used progestins - synthetic versions of progesterone Progesterone - norm and pathology . These drugs are djufaston Djufaston - helps female body , Norethisterone, checking linestrenol and others.

Finally, with small knots in the uterus, as well as after organ-saving operations used combined oral contraceptives (COCs) that can create an artificial lengthening of the menstrual cycle. To this end, COCs are assigned to 63 consecutive days, followed by one week apart for menstrual bleeding. Such COCs is an excellent prevention of recurrence of endometriosis.

Surgical treatment

Surgical treatment of today most often performed using a laparoscope - an optical device allowing to operate with minimum damage to surrounding tissues, which is very important in endometriosis of the uterus, as adhesions formed after surgery will prevent pregnancy and cause additional pain.

Modern combined treatment of endometriosis uterus is carried out strictly on an individual plan.

Galina Romanenko

Endometriosis - a disease that can affect any internal organs and tissues, so its symptoms are very diverse. Still, the main symptoms - symptoms of the genital organs and especially the uterus have their own characteristics.

Types of endometriosis

Endometriosis - a hormonal disease associated with the development of foci of endometrium (inner lining of the uterus) to other organs and tissues. Most of these foci appear in the middle, muscular layer of the uterus, where applicable to the fallopian tubes. This form of endometriosis called genital internal. The defeat of the remaining genital organs - cervical retratservikalnogo space (the rear surface of the cervix), the vagina, vulva, ovaries called external endometriosis External endometriosis - a mysterious disease .

Meet and extragenital endometriosis - failure of organs and tissues outside of the reproductive system. But this kind of endometriosis develops is many times less genital contact and is the result of endometrial cells into the bloodstream.

Signs of internal endometriosis

Internal endometriosis - this is the most common form of the disease, which has a very characteristic features. The first signs of endometriosis, uterine body Endometriosis uterine body - symptoms can be very painful   are bleeding and pain.

Bleeding may be menstrual and intermenstrual. Menstrual bleeding usually appear after a long break, can be long and heavy. Link these bleeding that the body produces too much of the female sex hormone estrogen cause the endometrium greatly expands and then, when the extinction of the hormonal effects, rejected, but usually not all at once, and the areas, which creates long-term significant bleeding .

If estrogen allocated waves, portions, it is the cause of intermenstrual bleeding - they can also be significant.

Such blood loss leading to iron-deficiency anemia, which is always accompanied by internal endometriosis and shows weakness, sleepiness, decreased performance, sometimes - fainting.

Pain in the inner endometriosis may be permanent, aching and very strong cramping associated with menstruation.

Endometriosis Fallopian tubes infertility seen - become impassable fallopian tubes for the egg. However, since sperm are much smaller than the egg, they can pass through a modified tube and fertilize the egg that holds the development of ectopic pregnancy with subsequent rupture of the fallopian tube and internal bleeding.

Signs of external genital endometriosis

In the propagation of endometrial lesions in the vaginal portion of the cervix and vagina appear dark spotting, which begin a few days before menstruation and after menstruation and continue for several days. There may also be slight spotting and pain during sexual intercourse.

Very typical symptoms develop in lesions retratservikalnogo space. There are severe pain in the pelvis and sacrum. This type of endometriosis tends to germinate in the adjacent organs - the vagina, rectum and bladder, so it is often accompanied by constipation and urinary disorders associated with menstruation. In addition, for retratservikalnogo endometriosis is characterized by loss of nerve plexus, which can cause severe pain.

When ovarian endometriosis during menstruation causing severe attacks of abdominal pain accompanied by nausea and vomiting. Furthermore, ovarian endometrial cysts may form. If violated the integrity of such cysts, the symptoms of acute abdomen - condition requiring emergency care.

Signs of extragenital endometriosis

Most often suffers when the intestine, which is in the vicinity of the uterus. Symptoms his defeat depend on the location and depth of the process of germination endometriosis in the intestinal wall. There are usually dull aching pain in the abdomen Abdominal pain: Types and Symptoms , Accompanied by nausea and increased peristalsis, coinciding with menstruation. With the defeat of the entire thickness of the bowel wall of the rectum mucus and blood. Prolonged process may stenosis ulcer - a state where the wall grows in connective tissue replacement smooth muscles, which decreases the intestinal lumen and the development of intestinal obstruction.

In endometriosis bladder during menstruation appear frequent painful urination, sometimes with blood. Changes in bladder Urinary bladder - structure and function   can lead to a gradual decline in kidney function.

Symptoms of endometriosis, it is desirable to know each woman.

Galina Romanenko