How to diagnose the common five characteristics of endometriosis and pay attention to them

Endometriosis is a common gynecological disease in women and one of the diseases that we should pay attention to. It not only affects women's health, but also seriously affects pregnancy.

Symptoms of endometriosis

1. Menstrual abnormalities: About 80% of patients have menstrual abnormalities, mainly manifested as dysmenorrhea, excessive menstruation, or irregular menstruation. Dysmenorrhea is secondary, which occurs several years after menarche and worsens year by year. It is most severe the day before menstruation, and the pain completely disappears after menstruation. There may also be excessive or irregular menstrual flow, which may be related to the invasion and destruction of the ovarian stroma by the endometrium, severe adhesion around the ovaries, inability to ovulate, and imbalance in ovarian hormone secretion.

2. Sexual pain: It is evident before menstruation and often located deep in the vagina. Patients refuse sexual activity, have frigidity, and have a reduced chance of pregnancy. This may be related to touching the cervix during sexual intercourse, causing the uterus to move and stimulating the congested pelvic peritoneum.

3. Intestinal symptoms: There are bowel pain, abdominal discomfort, diarrhea and other intestinal symptoms, as well as symptoms such as constipation and bloody stools when the lesion is large or invades the intestinal mucosa. Most of them are periodic, with deterioration the day before or during menstruation, leading to periodic bloody stools and incomplete intestinal obstruction.

4. Infertility: Patients with endometriosis often have infertility. The causal relationship between infertility and endometriosis is still controversial. Pelvic endometriosis often causes adhesions around the fallopian tubes, affecting oocyte pickup and lumen blockage. Ovarian lesions affect the normal progression of ovulation, leading to infertility. However, some people also believe that when long-term infertility and menstruation do not stop, there is a chance of endometriosis pregnancy, and the ectopic endometrium will be suppressed and atrophied.

5. Stool swelling: Usually occurs before or after menstruation, and patients feel unbearable pain when their feces pass through the rectum. They do not feel this sensation at other times, and it is a typical symptom of endometriosis in the uterine and rectal fossa and near the rectum. People who accidentally see ectopic endometrium reaching deep into the rectal mucosa, suffer from menstrual rectal bleeding, endometriosis, and narrowing around the rectum, resulting in symptoms of internal urgency, severe complications, and blockage, similar to cancer.

Endometriosis examination

1. Laparotomy examination: If there is no laparoscopy or if the laparoscopy examination fails, and the diagnosis is unclear, a laparotomy examination can be performed.

2. Live examination: Suspected of endometriosis in areas such as cervix, vagina, and abdominal wall wounds, and undergo live examination at local lesions.