Endometriosis
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About the disease
Endometriosis in women can be genital (localized in the internal genital organs) and extragenital (developing in other organs and systems of the woman’s body).
Diagnosis and treatment of uterine endometriosis at the K+31 Clinic medical center involves examining the patient, taking an anamnesis, and ultrasound examination to clarify the stage and focus of the disease.
Treatment of endometriosis in our clinic is carried out by specialists both conservative and surgical. Drug treatment is based on correcting the patient’s hormonal levels.
If hormonal correction is ineffective, as well as with peritoneal endometriosis, ovarian endometriosis, retrocervical endometriosis or fallopian tube endometriosis, our specialists resort to surgical intervention. To do this, laparoscopy is performed with coagulation of endometriosis and removal of formations. This allows pathological lesions to be removed through surgical treatment with minimal damage and health risks.
It is important to remember that endometriosis is a serious disease that requires timely medical care, especially for women of reproductive age. Therefore, at the first signs of illness, you should contact a specialist.
Internal (adenomyosis) – endometriosis, affects the body of the uterus, isthmus and interstitial part of the fallopian tube
External genital – endometriosis, affects the cervix, ovaries, external genitals, vagina, fallopian tubes, pelvic peritoneum
The most commonly diagnosed is genital endometriosis of the uterine body, which itself is a benign disease. However, under certain circumstances it can give symptoms of tumor growth. There is a risk of progression, in which case ingrowth occurs into neighboring organs in the pelvic cavity. Then the endometrial cells enter by lymphogenous or hematogenous route into the abdominal cavity, where they affect the muscle layer, the walls of the kidneys, colon and tissues of other organs. Classification of genital Varieties of the disease include endometriosis of the ovaries, retrocervical, fallopian tubes, cervix, vagina, perineum, etc.
The exact causes of the disease have not been established, but there are many theories:
Signs of endometriosis as a pathological process depend on the location of endometriotic lesions. For endometriosis of the uterine body (adenomyosis) algodismenorrhea develops (severe pain syndrome accompanied by heavy menstruation). As a rule, severe pain, which can radiate to the lower back, groin area, rectum, are typical for the first days of the cycle. Menstrual irregularities with menometrorrhagia (prolonged heavy menstruation) are often observed. In many cases, there is spotting before or after menstruation. Sometimes with common forms of endometriosis, bloody spotting is possible during the intermenstrual period. The consequence of such disorders is often anemia, accompanied by chronic fatigue, increased fatigue, malaise, deterioration of the condition of hair and nails, etc. In the early stages of the disease, there are practically no signs, as endometriosis develops and affects the muscle layer of the uterus, the severity of symptoms increases in proportion to the stage of the disease.
In addition, endometriosis leads to the development of chronic pelvic pain, which undoubtedly reduces a woman’s quality of life, including sexual intercourse. Frequent spotting can lead to bleeding, creating a life-threatening situation for the patient and requiring immediate hospitalization. In addition, endometriosis can cause the formation of adhesions in the pelvis; adhesions appear in the fallopian tubes, ovaries, etc. A common complication of endometriosis is infertility, i.e. reproductive dysfunction.
If endometriosis is already in the abdominal cavity and has spread beyond the uterus, and there are tumors in other organs, problems with bowel movements (constipation, diarrhea) are possible. pain when urinating, blood in the urine, frequent abdominal pain for no apparent reason. Uncontrolled growth of the endometrium continues for a long time asymptomatic, and only a specialist can notice the development of endometriosis. If the first symptoms and complaints occur, you should contact your doctor as soon as possible. for help. This is due to the fact that the disease has serious consequences, for example, operations to remove the uterus, ovary, which are undesirable for women of reproductive age. Prevention of endometriosis is possible only after examination and doctor’s prescriptions.
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During examination, our doctors determine a dense, sometimes uneven, spherical uterus, which is especially painful on the eve of menstruation.
An important informative test for diagnosing endometriosis is ultrasound (best done in the first phase of the cycle).
In order to clarify intrauterine pathology, and, if necessary, to stop bleeding, doctors perform hysteroscopy, during which doctors diagnose the presence of characteristic endometrioid “eyes” in the uterine cavity (endometrioid ducts). Their appearance makes it possible to accurately diagnose this pathology, even if the patient does not have characteristic complaints.
For common forms of genital endometriosis, specialists at K+31 clinics in Moscow, if necessary, perform MRI to determine the location of lesions and the extent of damage to neighboring organs. This is necessary to select effective treatment methods.
An obligatory stage of diagnosis is taking blood tests, including hormone tests and separately to determine estrogen levels. Based on the results of these studies, hormonal drugs are selected for the conservative treatment of endometriosis.
In some cases of external genital endometriosis, laparoscopy may be required, which is not only a diagnostic method, but also a therapeutic one (in the presence of endometrioid cysts, we remove these formations).
Laparoscopy is one of the most accurate diagnostic methods that detects any type of endometriosis. It often happens that a woman turns to a specialist, thinking that the cause of her pain is one thing, but in reality it turns out to be different: during laparoscopy, the specialist diagnoses extragenital endometriosis (endometriosis of the intestines, bladder or other internal organs).
In the postoperative period, to prevent the development of relapses of endometriosis, our specialists carry out hormonal therapy. If you have suffered from endometriosis, you should remember that in your case it is necessary to plan your pregnancy in advance in order to avoid problems with conception and pregnancy.
Our specialists know how to treat endometriosis. We treat any form of the disease, regardless of the cause of endometriosis, and also help cope with other problems of the reproductive system.
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