Diagnosis of endometriosis: examination and analysis
The most common endometriosis is diagnosed in girls and women of fertile age - on average, from 25 to 45 years.The danger of this pathology lies in the fact that for a fairly long time it can not be manifested at all.Only in time there are serious clinical signs.
The endometrium is the inner "lining" of the uterus.His cells are normally removed from the body during menstruation.Endometriosis is characterized by pathological proliferation of endometrial cells outside the uterus.Endometrioid ovarian tumors( cysts) are volumetric formations, and to distinguish them from other ovarian cysts, repeated ultrasound examination is indicated.Table of contents: Possible symptoms of endometriosis Diagnosis of endometriosis Normal Treatment of endometriosis
Possible symptomsRecommended to read:
Pathology is manifested by the following clinical signs:
- dysmenorrhea( cycle failure);
- feeling of discomfort( and even pain) with sexual contact;
- severe pain in the lower abdomen( initially during menstruation, and then - almost constant);
- inability to become pregnant( in the total absence of other factors).
Diagnosis of endometriosis
The diagnosis of "endometriosis" is the task of a gynecologist.The basis is the history data, as well as a comprehensive clinical and gynecological examination.
A number of additional instrumental studies may be required to clarify the diagnosis:
- ultrasound scan of pelvic organs;
Hysterosalpinography involves X-ray examination of the body of the uterus and fallopian tubes.
ultrasound can visualize the condition of the pelvic organs.
Colposcopy is a visual examination of the entrance to the vagina.
Diagnostic laparoscopy is a low-traumatic operation that is performed with a diagnostic purpose.In the course of this intervention, the doctor examines the pelvic organs by means of an optically-equipped flexible optical tube of small diameter.For this purpose, the abdominal cavity is punctured under local or general anesthesia.
Important: sample CA-125 allows you to identify a specific marker.A positive test result is a confirmation of the diagnosis of "endometriosis".
The woman has no cause for concern if:
- shows no pathological changes during ultrasound examination;
- level of the CA-125 marker - within the normal range;
- with hysteroscopy, coloscopy and hysterosalpingography does not determine pathological changes;
- during laparoscopy of pathological changes is not detected.
Treatment of endometriosis
At present, therapeutic or surgical treatment of the disease is possible.
Therapeutic technique involves modeling the patient's complete absence of menstruation.Due to this, pathological foci themselves atrophy.The method requires long term treatment - for 6 months or more.
Pharmacological agents have a number of side effects.In addition, after the end of treatment is high probability of relapse.
The surgical method is considered more reliable.Relatively recently, radical surgical interventions involving resection of the uterus and other affected organs were performed.At present, thanks to the methods of laser therapy and electrocoagulation, it is possible to eliminate only lesions, while retaining the organs of the reproductive system.
A number of specialists recommend nulliparous women with diagnosed endometriosis, as soon as possible conceive and give birth to a child( of course, if there is a physiological possibility).There is evidence that the disease passes after childbirth.In addition, the woman will no longer remain childless, if radical intervention is required, involving resection of the uterus.
Important: according to statistics, the risk of endometriosis, oddly enough, is somewhat lower in women with nicotine addiction.Women taking oral contraceptives are also less likely.Of course, smoking can not be recommended to prevent endometriosis, but hormonal birth control pills are even used to treat pathologies in the early stages.
Vladimir Plisov, medical reviewer