Practice diagnosis and treatment of endometriosis

2021-03-25 12:00 AM

The misplaced pieces of the endometrium still respond to the menstrual cycle like the endometrium, meaning that it still bleeds with the menstrual cycle.

Endometriosis is a condition in which pieces of the endometrium appear in unusual places, such as in the pelvis.

Endometriosis is common in women aged 25-40 years, and can cause infertility. Endometriosis is a major cause of secondary dysmenorrhea.

Reason

The definite cause of endometriosis is unknown. In the actual process, some of the endometrial fragments that slough off during menstruation drift back into the oviduct and enter the pelvis, then stick and grow there.

The misplaced pieces of the endometrium still respond to the menstrual cycle like the endometrium, meaning that it still bleeds with the menstrual cycle. This amount of blood cannot escape, so it converges into a larger blood sac after each period, causing menstrual pain.

Diagnose

Endometriosis often causes abnormal vaginal bleeding and heavy bleeding during menstruation.

Lower abdominal pain with back pain. Pain often increases in severity towards the end of the period.

Pain during intercourse.

There may be some symptoms of the gastrointestinal tract such as diarrhoea or constipation, pain with each bowel movement ...

Sometimes there is rectal bleeding during menstruation.

A few cases of endometriosis have no symptoms.

Diagnosis is confirmed through laparoscopy, examination of the abdominal cavity with endoscopy.

Treatment

Take prostaglandin synthetase inhibitors, such as mefenamic acid 250mg - 500mg, 3 times a day, or naproxen 250mg - 500mg twice daily for pelvic pain.

Combination pills with a high progesterone content, such as Eugynon, can be used when there is a need for contraception.

Progestogens, such as dydrogesterone or medroxyprogesterone 30mg per day.

Danazol 100 - 800mg per day, depending on level of symptom control. The main side effects are masculinity.

Severe symptoms require a specialist referral, may require surgical removal of blood wraps in combination with medication. In some cases, when the patient enters menopause or decides to no longer have children, the uterus can be surgically removed.