Ovarian Endometriosis: Symptoms, treatment, rehabilitation, pregnancy

Ovarian Endometriosis - a pathological condition in which the female sex glands are endometrial cells. With the advent of endometrioid foci occur cyclical changes as the inner layer of the uterus. They start to bleed during menstruation, causing the appearance of single or multiple endometrial cysts.

The causes of ovarian endometriosis

The exact cause of endometriosis lesions in the ovaries, doctors are not known. But there are several theories of abnormal endometrial growths.

The most popular theory is the implantation, whereby the particles are thrown endometrium through the fallopian tubes to other organs during menstruation.

Factors contributing to the development of adenomyosis of the uterus and ovarian endometriosis include the following:

• genetic predisposition;
• hormonal disruptions in the body;
• surgical procedures in the urogenital organs, including abortion, diagnostic curettage;
• installation of an intrauterine device;
• endocrine disease;
• infectious and inflammatory diseases of the reproductive organs;
• stress;
• intense physical activity;
• immunosuppression.

Comment! Proliferation of endometrial tissue begins often accompanied by increased concentrations of follicle-stimulating the body, luteinizing hormone and progesterone levels decrease.

classification of diseases

Experts identify several levels of endometriosis:

• at 1 degree formed small endometrioid ovarian heterotopia, their size does not exceed 10 mm and they may also appear on the abdomen;
• Degree 2 characterized by the appearance of multiple pathological portions whose diameter greater than 10 mm;
• at 3 degrees on the ovaries visualized multiple endometrial plaque diameter over 20 mm, there endometriotic cysts formed thin adhesions in the peritoneum;
• Grade 4 is diagnosed when the patient has to identify more endometrioid (chocolate) ovarian cysts, multiple large endometriosis, disturbance of the Fallopian tubes, dense adhesions, bowel connecting ovaries, urinary ways.

In many patients, the pathology is detected simultaneously with adenomyosis. To deal with the nuances of ovarian endometriosis can be, watching the video:

The symptoms of ovarian endometriosis

With the progression of endometriosis symptoms may occur in patients:

• constant aching pain in the lower abdomen;
• increase in pain during sexual intercourse, increased physical activity;
• abundant and highly painful menstruation;
• the emergence of acyclic bleeding.

These symptoms are also typical for adenomyosis, inflammatory diseases of the reproductive organs, oncology.

Diagnostics

To install the diagnosis it is necessary that the woman has passed a comprehensive examination, which starts with a tour in the chair.

In endometriosis left ovary woman during a two-handed examination of the appendages may feel pain on the left. With the defeat of the right ovary pain will be expressed on the right. At 3, 4 degree endometriosis gynecologist during palpation can detect tyazhistost whose appearance triggered by numerous spikes. Some women palpable volume of education, where mobility is limited.

After the examination the doctor if there is suspicion of adenomyosis, the emergence endomerioznyh formations sends a woman to the ultrasound. If during the ultrasound diagnosis is not possible to specify the diagnosis, you can assign a CT scan or MRI.

The most reliable method is laparoscopy. When the operation fails to consider the lesions, which appeared to remove cysts and send pieces of tissue histology.

Ehopriznaki ovarian endometriosis

Suggesting the development of endometriosis in the tissues of the ovaries doctor can on such ehopriznakam:

• deformation gonadal circuit;
• seal and thickening of the ovarian capsule;
• Visualization round or oval lesions on the surface of the ovary, in which clear and homogeneous structure boundaries;
• Increased echogenicity rounded education.

In endometrial cysts during ultrasound is seen double contour of the capsule. The pelvic doctor can observe ehopriznaki adhesions.

Ovarian Endometriosis: ICD-10

In accordance with ICD-10 ovarian endometriosis N80.1 assigned code.

As treated ovarian endometriosis

When adenomyosis and endometriosis, ovarian treatment may be surgical or medical. Tactics of treatment should be chosen gynecologist. Doctor focuses on:

• the state of health of the patient;
• degree adenomyosis, endometriosis, severity of disease and the depth of tissue damage;
• presence of comorbidities.

Attention! The value is also the presence of the children of the patient. After all, one of the treatments is the complete removal of organs affected by adenomyosis and endometiroznymi centers.

Before choosing a method of treatment, it is desirable that the woman had consulted an endocrinologist, a geneticist, a surgeon and other narrow specialists. In most cases, treatment of ovarian endometriosis should begin with the selection of medicines. If conservative therapy is ineffective, then the operation is prescribed.

Laparoscopy with ovarian endometriosis

The most accurate method of diagnosing endometriosis, adenomyosis is laparoscopy. During the operation the doctor can see all the centers, to assess the state of the ovaries, the degree of involvement of other organs. If it is determined that the patient begins endometriosis of the right ovary, it will be enough to cauterize the detected lesions. Remove healthy tissue or the whole is not necessary gonads.

At laparoscopy the doctor through punctures in the abdominal wall to gain access to the reproductive organs of women. During surgery the surgeon may excise the diseased tissue, cauterize the endometrial lesions or completely remove the diseased organ. Tactics therapy is determined depending on the extent and depth of tissue destruction.

Removal of the uterus and ovarian endometriosis

Patients who during laparoscopy endometriosis found appendages 3-4 degree physician can remove affected the sex glands and fallopian tubes.

Women who are of childbearing age, it is recommended to do ablative surgery. But the likelihood of relapse in this case will be high. Patients older than 40 years with adenomyosis, endometiroznyh appearance of inclusions in the ovaries, which are not amenable to conservative treatment, remove the affected gonads.

If in addition to endometriosis diagnosed adenomyosis, then carry out radical removal of the uterus and appendages. Organ-operation in such pathologies are not effective as a high risk of relapse.

Radical removal of the uterus and appendages indicated if the patient both ovarian endometriosis, adenomyosis of the uterus, in the pathological process involved and other abdominal organs. After carrying out such an operation in women are pain, stop bleeding.

medication

In identifying foci of endometriosis and adenomyosis physicians prescribe the initial stages of conservative therapy. It is directed to the inhibition of the process of reproduction of endometrial cells. Often endometriosis ovarian hormonal failure detected, get rid of it, you can use Pharmaceuticals which suppress the production process of FSH and LH hormones in body.

For the treatment of adenomyosis, endometriosis foci disposal of used:

• oral contraceptive drugs: Diane-35, Marvelon, Anovlar, Femoden;
• antigonadotropiny: Gestrinone, danazol;
• progestins: Depostat, Norkolut, Djufaston;
• analogs of gonadotropin-releasing hormone (GnRH) Buserelin, Zoladex, Dekapeptil;
• antioestrogens: tamoxifen, toremifene.

Funds related to a GnRH lead to the emergence of the state, which is similar to menopause. The body is reduced estrogen production is suppressed and ovulation.

Ovarium kompozitum endometriosis

In the combined therapy gynecologist for treatment of adenomyosis, endometrial changes may appoint Ovarium compositum. The tool is designed to normalize the ovarian operation, improving tissue metabolism and amelioration of the inflammatory process.

Visan ovarian endometriosis

Visan prescribed for 1 and 2 degrees of endometriosis as the preparation is used after surgical removal of endometriosis and adenomyosis foci. In the treatment fails to get rid of the pain, to normalize the duration and regularity of the cycle, to improve the condition of the endometrium and normalize hormones.

Candles with endometriosis ovarian cysts

Candles with endometrial cysts, adenomyosis is rarely prescribed. After all, if these pathologies are observed prolonged menstruation, acyclic breakthrough bleeding. Permanent make copious use of candles ineffective.

For ease pain in adenomyosis and other pathologies gynecologists may prescribe painkillers rectal suppositories. Assign advantage Diclofenac and Indomethacin. Maximum efficiency is observed in cases where the pathological process involved the intestines.

Treatment of ovarian endometriosis folk remedies

To get rid of uterine adenomyosis and endometrial foci with drug therapies, the use of alternative medicine methods. Popular infusions and decoctions of herbal.

Herbs for endometriosis ovaries

For the treatment of adenomyosis, endometriosis recommend the use of:

• decoction upland uterus;
• celandine infusion;
• decoction of the bark of Viburnum;
• the infusion of plantain.

Popular herbal tea, which is made from nettle, elder flowers, sage, raspberry leaf, peppermint, and chamomile. Get rid of endometriosis and adenomyosis foci with it will not be possible, but said agent has anti-inflammatory, analgesic and mild antimicrobial action.

Prognosis and possible complications

In the absence of adequate treatment of endometriosis and adenomyosis progressing. Complications of the disease include:

• violation of the regularity of menstruation;
• adhesions in the pelvic area;
• endometrioid cyst;
• bowel obstruction;
• problems with urination;
• neurological disorders;
• infertility.

There is a risk that the endometrioid cyst formed on the sex glands may begin to degenerate into malignant tumors. Possible complications include rupture of endometrial formations.

About 20% of women even after removal of the endometriosis foci of relapse in the first year after surgery. With the help of hormone therapy can stop the progression of the disease and to normalize the state, but become pregnant while it is impossible to conduct.

Rehabilitation after laparoscopy and endometriosis, ovarian cysts

Laparoscopy refers to a minimally invasive surgical interventions. When it is complete women quickly restored. The rehabilitation period it is important to maintain a healthy lifestyle, eat right, observe the sleep and rest.

Experts advise in the rehabilitation period:

• abstain from sexual relations for 2-4 weeks;
• avoid heavy lifting;
• refuse to intense exercise.

These recommendations must be followed in cases where the operation did patients with adenomyosis.

Power ovarian endometriosis

To prevent the occurrence of endometriosis and reduce the severity of symptoms of complications to patients recommend that a special diet for ovarian endometriosis and adenomyosis. The diet must be enabled:

• vegetables - broccoli, cabbage, tomatoes, garlic;
• products with a high content of unsaturated fatty acids omega-3 - fish, seafood;
• sources of phytoestrogens - fruits, vegetables, cereals, legumes;
• iron products;
• fiber.

Refuse to be red meat, alcohol, coffee, fast carbohydrates, fats.

Can I get pregnant with endometriosis ovary

Endometrioid education in the gonads and adenomyosis are among the most common causes of infertility. It occurs due to impaired patency of the oviducts, ovarian atrophy, changes in the muscle layer of the uterus. Therefore, the presence of endometrial cysts on the ovary and pregnancy are incompatible concepts.

To increase the likelihood of pregnancy is recommended to patients:

• assess patency of the fallopian tubes;
• determine whether ovulation occurs;
• check the condition of the uterus.

Important! Achieve pregnancy helps restore patency of the fallopian tubes, removal of endometriotic lesions, adenomyosis during laparoscopy.

Is it possible to do IVF with ovarian endometriosis

If within 6 months after treatment pregnancy does not occur, then the doctor may recommend IVF.

If the problem is blockage of pipes, the chance of pregnancy with ovarian endometriosis during IVF reaches 90%. The effectiveness of artificial insemination is reduced if a woman has inflammatory diseases of the uterus or broken hormones.

Prevention of ovarian endometriosis

Reduce the likelihood of endometriosis and adenomyosis formations can be, if you do not allow the influence of factors causing the disease. It is important to monitor the condition of hormonal and immune system. Doctors allocate such methods of prevention:

• minimize the number of abortions, diagnostic curettage;
• naturally bear;
• to monitor the regularity of menstruation;
• maintain immunity.

The probability of occurrence of adenomyosis, endometriosis foci will be lower if the woman will follow the diet, exercise, avoid stress, to comply with sleep and rest.

conclusion

Ovarian Endometriosis is a serious disease that can lead to health problems. In identifying pathology is important to follow doctor's recommendations for treatment, monitor the status and health checked regularly even after hormone therapy or surgery done. The probability of disease recurrence is high.

Reviews for the treatment of ovarian endometriosis