Beware of the Four Strange Manifestations of Low Menstrual Volume or Endometrial Tuberculosis

Endometrial tuberculosis is a gynecological disease that we should pay attention to, and its appearance also has abnormal manifestations. Once we have abnormalities, we must promptly check.

Symptoms of endometrial tuberculosis

1. Menstrual abnormalities: early endometrial congestion or ulcers, excessive menstruation, later endometrial damage, affecting endometrial function, sparse menstruation, amenorrhea.

2. Infertility: Endometrial tuberculosis lesions destroy the implantation and development environment of Zygote. Tubal tuberculosis lesions make the fallopian tubes impassable and sterile. Many patients with infertility come to the hospital for inspection and are finally diagnosed as endometrial tuberculosis.

3. Lower abdominal falling pain: often accompanied by pelvic tuberculosis, pelvic congestion, adhesions, abscesses, etc., causing lower abdominal pain.

4. Systemic symptoms: In severe cases, symptoms such as fatigue, night sweats, low fever, weight loss, and loss of appetite may occur.

Causes of endometrial tuberculosis

1. Pathogenic factors

Endometrial tuberculosis is often spread by fallopian tube tuberculosis. After the incubation period, in the case of poor body resistance, Mycobacterium tuberculosis mainly invades the endometrium, often involving the basic layer of endometrium.

2. Pathogenesis

Female genital tuberculosis first infects the fallopian tubes and gradually spreads to the endometrium, ovaries, cervix, and other areas. Due to the periodic shedding of endometrium, the focus of endometrial tuberculosis is discharged. Most of the lesions are confined to the endometrium, scattered in miliary nodules at the early stage, and few serious lesions invade the muscle layer. The size of the uterine body is normal or slightly small, and the appearance is normal.

Under the scraping endometrium microscope, tuberculosis nodules can be seen, and in severe cases, cheese like necrosis may occur. There are 1-2 giant cells in the center of the typical tuberculous nodule, and the cells are arranged in a horseshoe shape. There are epithelioid cells around, and a large number of lymphocytes and Plasma cell infiltrate outside. The characteristic of endometrial tuberculosis nodules is that the glands surrounding the nodules are not sensitive to ovarian hormone response, manifested as sustained proliferation or insufficient secretion. Severe endometrial tuberculosis can lead to cheese like necrosis, presenting as shallow ulcers, with most or all of the endometrium destroyed, resulting in scarring and complete loss of endometrial function leading to amenorrhea.

Endometrial tuberculosis hazards

1. Boring sexual interest: In addition to the increase of Vaginal discharge, patients with endometrial tuberculosis also have symptoms such as low back acid and abdominal pain, and women's interest drops sharply.

2. Harmful to the fallopian tubes and pelvic cavity: When acute endometrial tuberculosis is severe, the endometrium will become congested and the uterus will experience tenderness. After further development, uterine muscle tuberculosis, fallopian tube tuberculosis, and pelvic tuberculosis will emerge.