Types of endometriosis.Endometriosis and pregnancy

Endometriosis is a gynecological disease that is considered the most dangerous in terms of preserving the reproductive function of a woman.

The essence of the disease is as follows: the inner sides of the uterus are lined with a specific tissue - the endometrium.Normally, this tissue should be updated monthly - it "breaks away" from the walls of the uterus and during the months goes out together with the blood.But it is possible to develop a pathology in which the endometrium does not leave the body, but settles down and begins its development on other organs.Theoretically, this is possible with the separation of pieces of the endometrium with a blood flow to the ovaries, uterine( fallopian) tubes.

In the case of non-standard placement of the endometrium, its swelling occurs, then the bleeding of the localized site appears.Moreover, the blood does not leave the body anywhere, but accumulates and begins to exert strong pressure on the nerve endings - this provokes severe pain.

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Classification of endometriosis

Gynecologists in the diagnosis should determine the specific type of endometriosis - this determines the purpose of the treatment of the disease. There are two main types of endometriosis :

1. Genital - small fragments of the endometrium are found in the uterus, cervical canal, on the ovaries or fallopian tubes.
2. Extragenital - foci of the inflammatory process are found not only on the organs of the reproductive system.

In turn, genital endometriosis is divided into two types:

1. Internal - only the uterus is affected.Very often, with this type / type of the inflammatory process under consideration, myoma is diagnosed.
2. External - the endometrium is located in the cervix, ovaries, fallopian tubes, vagina.

When fixing the results obtained after the examination of the patient, the gynecologist can classify endometriosis at its location - for example, ovarian endometriosis, cervical endometriosis, and so on.

In addition to the types and types of the pathological process under consideration, there is a classification of endometriosis according to the degree of development and depth of organ damage:

• 1 degree - only single inflammatory foci are found on the uterine surface;
• 2 degree - the inflammatory process did not cross the boundaries of the uterus, but penetrated deeply into its tissues;
• 3 degree - foci of the pathological process on the uterus are deep and multiple, the examination easily diagnoses multiple ovarian cysts and the presence of adhesions;
• 4 degree - foci are deep, plural and are located not only on the uterus, but also on the appendages, adhesive adhesion affects all the organs of the reproductive system.

Do you need to treat endometriosis?This question is answered by a gynecologist:

Endometriosis and pregnancy

Endometriosis is the cause of female infertility - practically exposed walls of the uterus, adhesions in the fallopian tubes prevent the egg from fertilizing or falling for the development of the fetus in the uterus.

If a woman is planning a pregnancy, the gynecologist will recommend first to undergo a course of treatment for the inflammatory disease in question.But in some cases, conception occurs with diagnosed endometriosis, however, it is worthwhile to clarify - this development of events is possible only at the early stages of the development of the pathological process.

What should I know about pregnancy in endometriosis?

First, the most severe in terms of bearing the baby will be the first 2-3 months.The walls of the uterus are too thin, a fertilized egg can not "cling" to anything, and the reproductive system produces too few hormones for the development of the fetal egg.If the endometriosis was diagnosed in a woman before the onset of pregnancy, she immediately goes to a medical institution and receives the appointment of hormonal drugs - only they can support the body and keep the pregnancy.

Secondly, during the gestation period the future mother must be under the close attention of gynecologists - the threat of miscarriage and premature birth persists for 9 months.Very high probability of spontaneous abortion is available for up to 3 months of pregnancy, if this period is successfully passed, the chances to endure and give birth to a healthy baby grow at times.This is due to the fact that by 3 months of pregnancy an absolutely healthy placenta is formed.

Note : no effect on the intrauterine development of the baby endometriosis( even numerous and neglected) does not.

Third, pregnancy can have a beneficial effect on the inflammatory process.According to statistics, in the period of gestation the foci of endometriosis significantly narrow, they become less deep - this is due to the correct, full-fledged production of hormones by the woman's reproductive system.

Note : Pregnancy is not a treatment for endometriosis - after birth, foci of inflammation can begin to develop actively.Endometriosis should not sound like a sentence - a woman in any case should strive for recovery.This pathological process is often diagnosed in the reproductive age, but a competent selection of hormonal therapy or a timely decision on surgical treatment returns almost 100% probability of conception.

Tsygankova Yana Aleksandrovna, medical reviewer, therapeutist of the highest qualification category.