Endometriosis is a common female ovary disease wherein endometrium layer expands beyond the body and appendages affects tissue. It is extremely important to immediately identify the reasons for the beginning of the pathological process. Only after it has been defined triggers, conducted a comprehensive diagnosis, treatment is prescribed. Often at the same time without surgery can not do.
Content
- Ovarian endometriosis: what it is
- Causes
- stage of the disease
- symptoms
- Diagnostics
-
Treatment
- Medication
- Surgical intervention
- Traditional methods
- Laparoscopy
- combined
- complications
- prevention
- Pregnancy and endometriosis
Ovarian endometriosis: what it is
Ovarian Endometriosis - a condition in which there is an abnormal growth of endometrial tissue. Defeats are appendages.
Most often, the pathology is diagnosed in women of childbearing age, but can occur in adolescents and after menopause. At the initial stage of the disease is asymptomatic, it has often detected in an advanced stage. The risk of complications increases significantly. In the presence of lesions in the ovaries is disturbed reproductive function and infertility is diagnosed. Therefore, it is important to promptly begin treatment.
Causes
ovarian endometriosis appears under the influence of various factors. The most common causes of the disease:
- hormonal disbalance;
- inflammation in the genitourinary system bodies;
- bad organization of diet;
- immunosuppression;
- disease, sexually transmitted;
- frequent abortive activities;
- susceptibility to stress;
- psycho-emotional overstrain;
- surgery in the reproductive system;
- alcohol abuse;
- failure menstrual cycle;
- established more than five years ago, intrauterine devices;
- genetic predisposition.
If growths sprouting appendages at the age of 30 years are not always diagnosed endometriosis of the right, the left ovary. Often found malignant tumors. Therefore, any changes in the body have become a reason for treatment to the doctor.
stage of the disease
Ovarian endometriosis takes place in several stages. Clinical manifestations of disease depends on the extent of the disease in many respects:
- only a few foci observed in the epididymis. Cavities have not yet been observed.
- There are small holes that do not exceed a rate of 6 cm. The appendages of the field begins the formation of adhesions.
- There are multiple education progresses adhesions. It is possible the affected tissue of the intestine endometrium.
- ovarian cysts occupy a large area. Both are affected by the appendage. neoplasms resolution often exceeds 6 cm. Affected areas are observed in the intestine, bladder and rectum. Adhesive process becomes pronounced. Developing infertility.
symptoms
For ovarian endometriosis characterized by the presence of acyclic bleeding. Additionally, you experience the following symptoms:
- persistent or recurrent pain in the right or left ovary, and lower abdomen and lower back;
- the impossibility of conceiving the presence of regular sexual relations;
- abundant menstruation or smearing with pain, dizziness and nausea;
- discomfort during intercourse;
- pain during bowel movements.
The manifestation of symptoms at an early stage pathology is weak. All changes begin to occur as a result of excessive growth of the mother layer and an increase in pathological sites.
Diagnostics
In order to make an accurate diagnosis are assigned a variety of lab tests. Among the main ones are the following:
- ultrasound;
- MRI;
- examination by palpation of affected areas;
- laparoscopy. In the course of its produce endometrial tissue excision and send them to the histological laboratory;
- a blood test for CA-125 tumor marker.
Tactics of treatment is chosen only after a complete diagnosis.
Treatment
The scheme of treatment depends largely on the extent of endometrial growths, general state of health of women and the presence of a history of comorbidities. In some cases, halt the pathological process is possible with the help of medication, but often without surgery treatment is ineffective.
Medication
Treatment with hormonal agents is carried out at small scale formations in the presence of contraindications for surgery. As a rule, in this case, the following groups of drugs:
- oral contraceptives;
- agonists, gonadotropin-releasing hormone;
- hormonal preparations based on progesterone.
Under the influence of hormonal agents function appendages are suppressed and the disease process is suspended.
Surgical intervention
More often resorted to this method of therapy. This is due to the fact that large tumors do not tend to regress, there is a risk of degeneration into malignant cells. Thus affected tissues excised and subsequently sent to the histological laboratory.
Sometimes doctors resort to more drastic measures, and to the full hysterectomy and appendages. As a rule, the decision was taken at frequent relapses of the disease and an increased risk of malignancy.
Traditional methods
Treatment of endometriosis folk remedies without the use of traditional medicine is not possible. Therapy in this case is only able to alleviate the condition and eliminate unpleasant symptoms. They are used in the treatment decoctions of sage, melissa, eucalyptus, viburnum and upland uterus. With the use of these tools on a daily basis do douching. Also, the drug may be taken orally.
Laparoscopy
Ovarian Endometriosis is most commonly diagnosed and treated with laparoscopy. This minimally invasive surgical procedure in which the abdominal area to make a few punctures. Through them all the tools and introduced a special device - a laparoscope, which allows you to visually monitor the progress of the operation.
Affected areas are removed and quickly cauterize bleeding vessels. As a result, the risk of the onset of bleeding and complications reduced substantially.
combined
In the treatment of endometriosis, uterine and ovarian cancer is the most efficient combination method. Treatment includes surgery, intake of drugs and physiotherapeutic procedures. Through this approach, the risk of relapse is reduced to almost zero.
complications
If a woman begins to timely treatment, then it increases the risk of serious complications. Among the main ones are worth the following:
- the development of inflammatory processes;
- disruptions to the reproductive system and infertility;
- the risk of miscarriage and birth prematurely;
- neurological disorders, triggered by compression of the genitourinary system due to an increase in the size of appendages;
- anemia;
- degeneration into malignant cells.
prevention
In order to prevent pathological changes and preserve the health of the reproductive system must adhere to the following guidelines:
- Systematically undergo examination by a gynecologist.
- Renounce the use of alcohol and smoking.
- Live a healthy life.
- Eliminate stressful situations.
- Avoid casual intimate relationships.
- Observe the rules of personal hygiene.
- Not supercool.
- Enough time to devote to recreation.
- Do not resort to carrying out abortive events.
Pregnancy and endometriosis
In the initial stages of the disease it is possible fertilization. Further Pregnancy with endometriosis often accompanied by the threat of miscarriage and birth prematurely, because of what the woman during the entire period of gestation is under strict medical supervision.
In a state of neglect, as a rule, women develop infertility. If therapy is initiated in a timely manner, in the future there is every chance of successful conception and normal pregnancy.
Endometriosis of the ovary - is a serious pathology requiring treatment. Leave it unattended impossible. There is a risk of complications, the most dangerous of which are considered cancer and infertility. If timely treatment is started prognosis is favorable.