Endometriosis. Causes, symptoms, modern diagnosis, effective treatment of the disease

Endometriosis of the body of the uterus, in another way adenomyosis, is the germination of endometrial tissue into the muscular layer of the uterus. Another name for this disease is internal genital endometriosis. How can it be diagnosed and properly treated? Endometriosis of the body of the uterus, what is it and why is it dangerous?

Let's start with the signs of the disease. It's pelvic pain discomfort during and after intercourse, profuse menstruation, pelvic pain, spotting before and after menstruation. In the early stages of the disease, there may be no symptoms of endometriosis.

Diagnosis of the disease is carried out on the basis of the characteristic complaints of the patient. Usually these are women 30-40 years old, that is, in reproductive age. And the disease itself is hormone-dependent. Patients are advised to undergo an ultrasound, which can also reveal signs of the disease. But keep in mind that the diagnosis of endometriosis of the uterus on ultrasound is not made. Magnetic resonance imaging (MRI) is more informative, but this examination is expensive, not every woman can afford it. Signs of endometriosis of the body of the uterus are also detected during hysteroscopy - examination of the uterus with a special optical device. A biopsy is taken from places that have signs characteristic of endometriosis. And on the basis of scrapings, the doctor can make an accurate diagnosis.

Internal endometriosis of the uterine body requires treatment if it has unpleasant and life-threatening symptoms. For example, with severe bleeding, which can lead to anemia. Or with severe pain. Or if diffuse endometriosis of the body of the uterus interferes with the onset of the desired pregnancy.

There are only 2 traditional methods of treating the disease - surgical and medical (conservative). Medication includes taking combined oral contraceptives with levonorgestrel, if there are no contraindications, then a long one. Endometriosis of the uterine body of the 1st degree is thus well treated. Pain and blood loss are reduced, the development of the disease is suspended. Exactly the same effect, even more tangible (since it is local), is exerted by hormonal intrauterine system. There are other hormonal drugs for treatment - GnRH agonists - they are more effective, but have severe side effects in the form of negative impact on bone tissue - leads to osteoporosis, plus not all women can endure "hot flashes" for a long time - manifestations of menopause. And these drugs temporarily introduce a woman into this state.

Collapse

Disease of the uterus, in which the growth of the endometrium begins, is called "focal endometriosis." It can be external (applies to the vagina) or internal (affects the uterine area). The disease is benign, but requires immediate treatment.

What is adenomyosis?

Focal endometriosis (adenomyosis) of the uterus is a pathology in which the endometrium grows. And as a result of changes that occur monthly, cysts are formed that are filled with fluid.

Adenomyosis occurs as a result of hormonal fluctuations in the female body. Before puberty, the development of the disease is not possible. The number of lesions decreases during menopause, when menstruation stops. Due to this, the endometrium does not undergo monthly changes.

Damage types

There are three main types of adenomyosis:

1. diffuse. In this case, blind pockets form on the surface of the endometrium, penetrate into the inner layers of the uterus. Very often, as a result of this, fistulas are formed - channels lined with epithelial tissue.
2. nodal. The glandular epithelium penetrates into the muscular layer of the uterus, as a result of which nodules of various sizes form on the surface of the organ.
3. Mixed. It is a combination of diffuse and nodular type. On the inner layer of the uterus, nodes and blind pockets are formed at the same time.

stages

Gradually, the endometrium grows deeper and deeper into the inner layers of the uterus. Depending on the degree of ingrowth, several stages of the disease are distinguished:

• in the first stage, endometrial foci penetrate to the beginning of the muscle layer;
• in the case of the second stage, the endometrium grows into half of the muscle layer;
• Stage 3 - the lesion has spread to the serous membrane, which covers the uterus from the side of the peritoneum;
• Stage 4 - Adenomyosis affects the peritoneum.

If qualified treatment is not carried out, it is possible that one stage of the disease will develop into another.

Causes

Endometriosis of the uterus is a disease that is affected by hormonal levels in the body. Pathology can appear as a result of immune disorders, as well as due to a violation of the integrity of the connective tissue that separates the endometrium and myometrium. It is this tissue that prevents the germination of the endometrium inside the uterine wall. Connective tissue can be damaged during abortion, curettage, due to the use of a spiral.

There are other factors associated with the activity of the reproductive system that can lead to adenomyosis:

• the onset of menstruation before 11 years of age or after 17;
• deprivation of virginity at a rather late age - after 25 years;
• the use of oral contraceptives containing hormones;
• obesity, as a result of which the level of estrogen in the body increases;
• hormone therapy aimed at eliminating any gynecological disease.

And a decrease in immunity can occur due to living in poor environmental conditions - polluted air, poor-quality drinking water, etc. Allergic diseases can also lead to impaired immune system function. Chronic diseases, as well as lack / excess of physical activity, have a negative effect on the body.

Adenomyosis can also appear due to bad heredity. If a mother or grandmother had such a pathology, the risk of developing it increases by 50%. There is also congenital adenomyosis, which arose due to violations during fetal development.

The main symptoms of pathology

In most cases, the focal form is not accompanied by any symptoms. However, the following manifestations of the disease are possible:

1. Menstrual disorders. Menstruation lasts a long time - more than a week, accompanied by severe pain in the lower abdomen. The discharge is quite plentiful, may contain blood clots. In the period between periods, a spotting discharge of a brownish color may appear.
2. Pain that appears 2-3 days before the onset of menstruation and disappears after a few days. The severity of discomfort depends on where the adenomyosis foci are located, as well as on the degree of the disease. Most severe pain appear if the isthmus is affected. In this case, discomfort appears not only in the lower abdomen, but also in the perineum. Also often there are pains during sex, which are especially pronounced before the onset of menstruation.
3. infertility. Women are unable to conceive due to adhesions in fallopian tubes. Because of them, a fertilized egg cannot enter the uterine cavity. And if the structure of the endometrium is broken, the implantation of the egg in the uterus is also difficult. And even if conception occurs, due to the presence of an inflammatory process in the body, spontaneous miscarriage can occur.
4. Iron-deficiency anemia. It is caused by excessive menstruation. This pathology is accompanied increased weakness, decreased ability to work, drowsiness, dizziness and fainting. The skin turns pale, immunity decreases, therefore, the frequency of colds increases.
5. neuroses. Caused by heavy periods, lack of pregnancy, loss of strength, etc.

The severity of symptoms depends on the degree of pathology. As a rule, the disease of the 1st stage is asymptomatic. Pathology of 2 and 3 degrees can also be asymptomatic or with minor signs. Severe symptoms appear at stage 4 of the disease, which is due to the presence of adhesive processes.

How is adenomyosis diagnosed?

During the examination, the doctor determines how the shape and size of the organ has changed. At diffuse type pathology the uterus acquires spherical shape and increases in size, as in 8-10 weeks of pregnancy. The knotty type of adenomyosis is characterized by tuberosity of the organ and the formation of tumor-like nodules on its surface. If the disease is accompanied by the formation of fibroids, the size of the uterus corresponds to the parameters of the neoplasm. In this case, the body does not decrease after menstruation.

Colposcopy is also used for diagnosis. This is a test in which the doctor examines the cervix through the vagina. In the process of this, a special magnifying device is used - a colposcope. During the procedure, a small area of ​​the affected tissue may be taken for histological examination. The analysis gives an idea of ​​the qualitative and quantitative composition of tissues, allows you to detect atypical cells.

An examination of all organs is required - lungs, heart, gastrointestinal tract, etc. This is necessary so that the doctor can choose the right medicines. After all, drugs have contraindications and side effects, so they are not suitable for all patients.

Treatment

The first three stages of adenomyosis can be treated with medication, but surgery is sometimes required. But the 4th degree of the disease is eliminated only surgically.

Surgical treatments

A hysterectomy is used to remove adenomyosis. It is vaginal and abdominal. In the first case, the operation is performed through the vagina, and in the second case, through an incision in the abdomen. Vaginal hysterectomy is more common because it is less painless and the body recovers faster.

In order for the operation to be successful, laparoscopy is simultaneously performed - a laparoscope equipped with an optical element is inserted. Data from the camera is transferred to the screen, so the doctor can see all the organs during the operation. In this case, the operation can be complete (removal of the uterus and ovaries), as well as partial (excision of only foci of adenomyosis).

Hormonal treatment and vitamin therapy

Therapy for adenomyosis includes taking hormonal drugs. Namely:

• Oral contraceptives. After taking them, the production of FSH and LH decreases. Hormones help reduce the size of the ovaries.
• Antiprogestins. The effect of their intake is antiestrogenic and androgenic. The drugs of this group inhibit the growth of follicles, so the level of estrogen in the body decreases.
• Antiestrogens. Medicines of this group suppress the synthesis of prostaglandins necessary for the normal development of follicles.

At the discretion of the doctor, other hormonal drugs may be prescribed. It depends on the severity of the disease. To increase immunity, vitamin complexes are prescribed - Multitabs, Aevit and others.

Physiotherapy

At focal endometriosis physiotherapy procedures are carried out. Very useful is the effect of low-frequency current on the body, hydrotherapy, climatotherapy and others.

Combined treatment

Good results are obtained by a combination of medical and surgical treatment. For example, before the operation, the patient undergoes a course of hormone therapy. Due to this, the size of the foci of endometriosis decreases, so the operation is easier.

Folk remedies

The use of folk remedies is also very effective in eliminating the symptoms of adenomyosis. However, their use is possible only in the initial stages of the development of the disease. The following traditional medicines are used:

• Infusion of boron uterus. Take 1 tbsp. dried plant and pour 500 ml of boiling water. Insist for an hour. Then take 2-3 times a day, 50 ml.
• A decoction of the cinquefoil. Cut 50 g of fresh grass, which is poured with a liter of water. Bring to a boil and leave to cool. Then the broth is filtered and taken half a glass 2 times a day.

Treatment of adenomyosis should be carried out under the supervision of a specialist. Otherwise, the disease can lead to anemia, infertility, and even degenerate into oncology.

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When everything is in order in the female body, then the endometrium is the mucous membrane of the uterus, which undergoes cyclic changes, grows into the uterine cavity and is rejected at a certain time. However, due to reasons unknown to this day, a large number of women are faced with a disease called endometriosis. With it, endometrial cells grow in other parts of the body. There are times when they can be found far beyond the reproductive system.

Classification of endometriosis

Depending on the new location of the endometrial cells, the disease is classified into genital and extragenital. Genital endometriosis. in turn is subdivided into:

internal - a sign of internal endometriosis is the penetration of cells into the muscular layer of the uterus;

external - the pathology extends to the pelvic peritoneum and ovaries.

Extragenital develops outside the reproductive system and has varieties:

peritoneal;

extraperitoneal.

Endometriosis - signs and symptoms

Many representatives of the beautiful half of society, who do not consider it necessary to undergo a preventive examination by a gynecologist, at first may not be aware of the presence of the disease. This is due to the possible absence of any signs of endometriosis in women. But still, if you carefully listen to your body, then in the event of the appearance of endometriosis, you can immediately notice the following signs:

soreness and an increase in the duration of menstruation;

also the first sign of endometriosis is the appearance of spotting before and after menstruation;

indirect signs of endometriosis include recurrent pain in the pelvis and lower back;

pain during sex;

general weakness, fatigue, drowsiness, irritability can also be peculiar signs of uterine endometriosis, although such symptoms still indicate a number of other diseases that have nothing to do with the reproductive system;

if the disease is in an advanced form, and the endometrial cells have reached the bladder or rectum, then pain occurs during urination and defecation.

It is important to note that the pain syndrome subsides, or even completely disappears after the cessation of menstruation. This is due to the cyclic development of mucosal tissues.

Whatever the signs of endometriosis, the final diagnosis should be made by a qualified specialist after a series of examinations. The most reliable results of the state of the genital organs can be obtained using ultrasound. So, only the signs of endometriosis noted on ultrasound can be considered the most accurate for making a final diagnosis. So, for example, the characteristic echo signs of internal endometriosis are:

an enlarged uterus, also called a "round uterus";

thickening of some walls;

refers to the echographic features of internal endometriosis increased echogenicity myometrium;

open cysts before menstruation.

It is important not to miss the appearance of signs of endometriosis in a woman and prescribe treatment in time. Not only her general well-being and health, but also her childbearing function depends on this, which is especially important for women of reproductive age.

As a treatment, hormone therapy is practiced, which temporarily blocks the growth of the endometrium. After completing the course, its development can resume. Therefore, supportive drugs are prescribed next. Depending on the severity of the disease, age and further plans regarding pregnancy, surgical methods of treatment may be used. The most optimal in our time is laparoscopy. allows you to reduce the risk of consequences and preserve the functionality of the genital organs.

Endometriosis of the uterus

The female reproductive system is very complex, and sometimes it is even too easy to disable it, but it can be much more difficult to restore it. One of the most common diseases in women today is endometriosis. It occurs, perhaps, even too often.

Unfortunately, it is difficult to give more accurate information, since the disease is often asymptomatic. Previously, this disease occurred mainly in women aged 30-50 years. Unfortunately, today it has become much younger, more and more patients with endometriosis are 20-25 years old.

How the disease progresses

Endometriosis is a serious disease associated with disorders in the inner layer of the uterus - the endometrium. With endometriosis, endometrial cells begin to grow outside the uterus. The disease is very dangerous, including because it is quite difficult to diagnose. On the one hand, it is not uncommon for it to be asymptomatic, on the other hand, those symptoms that may still appear are characteristic of a number of gynecological diseases. Therefore, it is very important to undergo a complete examination at the first signs of endometriosis.

In this regard, I would like to emphasize the importance of regular preventive examinations by a gynecologist, which, unfortunately, many women neglect.

Types of endometriosis. Adenomyosis

Depending on the localization of the pathological tissue and the degree of damage, endometriosis is divided into several types. Yes, allocate genital endometriosis . that is, affecting the organs of the reproductive system, and extragenital . that is, affecting neighboring organs: bladder, intestines, kidneys, peritoneal walls and so on.

Genital endometriosis is divided into external, developing in the vagina, vaginal-rectal wall, fallopian tubes and ovaries, and internal endometriosis of the uterus, or adenomyosis.

Let's talk about the last type in more detail. Adenomyosis is, in fact, endometriosis of the body of the uterus. Under normal conditions, the endometrium develops cyclically: first it thickens, preparing for the implantation of the egg, then, at the end of the cycle, it is rejected and comes out along with the menstrual blood. At the same time, the endometrium grows only in the uterine cavity, and its muscular layer is under the reliable protection of a special membrane.

However, in some cases, the growth of the uterine mucosa changes, increases, and also finds weak spots in the protective membrane and grows into the muscular layer of the uterus. As a result, firstly, excess mucous tissues are not completely removed from the uterus, and secondly, muscle tissues are affected. Doctors allocate 4 various stages of this disease: endometriosis of the uterus of 1 or 2 degrees means that the endometrium has grown to about the middle of the myometrium. Grade 3 indicates that there is germination to the serous cover, but grade 4 means that the peritoneum is already affected.

Adenomyosis also differs according to the type of development. Perhaps the most difficult and unpleasant option is diffuse endometriosis of the uterus. With diffuse adenomyosis, the germination of the endometrium occurs evenly throughout the uterus, layer by layer. Treating this condition is very difficult.

However, focal adenomyosis still occurs more often, when only certain parts of the uterus are affected: the anterior or posterior wall. Another variant of endometriosis of the uterine body is nodular. It has a lot in common with focal, however, in this case, the muscle tissue begins to defend itself, to resist the "invasion". As a result, a seal, a small nodule, is formed around the foci of germination. This, in turn, leads to an increase in the size of the uterus. However, in terms of future treatment, there is simply no big difference between the second and third types.

Reasons for the development of the disease

Unfortunately, doctors and scientists still cannot say with certainty what exactly leads to the development of adenomyosis. There are several theories, none of which, in other matters, has been proven.

So, some scientists argue that the cause of the development of endometriosis is retrograde menstruation . a phenomenon in which part of the menstrual blood enters deeper into the uterus, into the fallopian tubes and sometimes into the abdominal cavity. Menstrual blood always contains particles of the endometrium. As a result, these cells can attach themselves to very unusual places for themselves.

Various factors can also lead to the development of uterine endometriosis. procedures and interventions into her cavity. Miscarriages, abortions, curettage, removal of polyps, any operations that can break the integrity of the membrane, including laparoscopy and caesarean section. Of course, after the operation, the membrane recovers quite quickly, however, scar tissue appears at the site of damage, which is much less effectively able to resist the germination of the endometrium.

Undoubtedly, the development of the disease is influenced by hormones . so any failures in this area, disruption of the glands, can also cause endometriosis. According to research results, women are at risk, often facing stressful situations, as well as undergoing constant .

Some scholars note the influence hereditary factor . According to their research, if a case of endometriosis has already been encountered in the family, then the woman's risk of encountering this disease also increases.

On the this moment there is even information that doctors are developing a special DNA text that will allow early detection of a woman's genetic predisposition to endometriosis. This will allow women at genetic risk to focus on preventive measures.

Symptoms and Diagnosis

Diagnosis of endometriosis of the uterus, unfortunately, is extremely complicated by a whole range of reasons. Firstly, in a number of cases, the disease is completely asymptomatic until the moment when serious complications begin. Secondly, most of the symptoms characteristic of endometriosis can signal many other diseases.

To make an accurate diagnosis, it is necessary to conduct a number of studies, including a routine gynecological examination with mirrors, ultrasound, colposcopy and laparoscopy.

Ideally, every woman should know the signs of endometriosis of the body of the uterus in order to be able to consult a doctor in a timely manner. Most of the symptoms are somehow related to the menstrual cycle.

So, one of the most striking and common symptoms is painful menstruation. The pain begins to bother women 1-2 days before the onset of menstruation and reaches its greatest strength, as a rule, by the 3rd day of discharge.

The causes of pain during menstruation can be very different. In particular, it can be caused by an excess of prostaglandins, which cause muscle contraction. When the concentration of these substances in the tissues of the uterus is not uniform, there are pain. Also, pain can be the result of contact of the affected areas of the uterus with other organs and tissues.

Pain can haunt a woman not only during menstruation, but also in the middle of the cycle. The cause may be inflammation that occurs against the background of pathological processes.

A symptom of adenomyosis is a violation menstrual cycle. Especially often this symptom occurs in cases where the disease itself is of a hormonal nature. Perhaps a change in the duration of menstruation or, more often, a change in the nature of the discharge. Often, periods become much more abundant.

If the lesion extends to the cervix or vagina, the woman may experience sharp pain during intercourse. There may also be poor bloody issues after sex.

Not infrequently, with adenomyosis, an increase in the size of the uterus and a change in its shape are observed. Of course, on her own, a woman will not be able to determine the size of her uterus. But it is clearly visible on ultrasound.

What is dangerous endometriosis of the uterine body

The consequences of endometriosis of the uterus can be extremely unpleasant and even dangerous. First of all, this disease often leads to infertility. The nature of this phenomenon is not fully understood, however, in 60% of cases, women with endometriosis experience difficulty conceiving and bearing children .

According to some versions, conception is complicated precisely by violations of the uterine mucosa. That is, a fertilized egg simply cannot be fixed. In addition, the overgrown endometrium can block the entrance to the fallopian tubes, which also interferes with conception. Last but not least is the hormonal background. In some cases, endometriosis does not ovulate at all.

The formation of nodules on the body of the uterus is fraught with a change in its shape. In some cases, a fixed bend of the uterus is formed. And it also prevents conception.

Fortunately, in most cases, infertility can be cured after the disease itself is eliminated. Although sometimes, when the uterine lesion reaches a critical point, and other methods of treatment do not help, the woman's uterus is removed.

If pregnancy does occur, then it will be extremely difficult to maintain it. Early miscarriage in women with adenomyosis occurs many times more often than in healthy women. This means that a woman with endometriosis throughout her pregnancy will have to carefully monitor herself, avoid physical and emotional stress.

However, infertility is not the only danger of adenomyosis. Heavy periods can cause another serious disorder - anemia . Together with blood, a woman loses iron each time. However, during normal menstruation, no more than 80 ml of blood is lost; with adenomyosis, this amount can increase several times. At the same time, the supply of iron from the outside remains the same.

But iron is responsible in our body, primarily for the transfer of oxygen from the lungs to other organs. As a result of a lack of hemoglobin, less oxygen enters the organs, oxygen starvation begins. The woman begins to feel weakness, fatigue, constant malaise.

In some cases, endometriosis can cause development of uterine fibroids . It has to do with defense mechanisms. In a more dangerous scenario, we can talk about the degeneration of pathological endometrial cells into cancer cells. In this case, the removal of the uterus is likely to be avoided.

Treatment and prevention

From the foregoing, it becomes clear how important timely and qualified treatment of uterine endometriosis is. If you suspect that you have adenomyosis for any reason, do not delay a visit to the doctor.

There are three fairly effective methods of treatment: conservative (medication), organ-preserving surgery in combination with medication, and radical surgery. Which method is chosen in which case depends on the specific situation.

Before prescribing treatment, the doctor must conduct all the necessary studies. Only on their basis, depending on the degree of damage to the organ, the form of the disease, the age and general physical condition of the woman, and also taking into account her plans for the future, in particular, in relation to childbearing.

As a rule, doctors try to get by with conservative methods. Medicines remove menstruation from a woman for up to six months. During this time, excess overgrown endometriosis tissue is excreted from the body. And the growth of the endometrium stops. Muscle tissue during this time is also cleared.

Naturally, treatment is carried out with the help of hormonal drugs. As a rule, these are 2 or 3 phase contraceptives. Many women worry about the need long-term use hormonal pills. In this regard, the development of more effective and safer means is constantly underway. Now it is very important that, firstly, the doctor who treats you is aware of all the latest developments. Secondly, it is necessary that throughout the course of taking the drugs your condition is constantly monitored.

If conservative methods do not help or the degree of damage is too high, a cleaning of the uterus may be prescribed. Of course, curettage can only be discussed in the case of focal or nodular adenomyosis. In the case of diffuse lesions of the uterus, the area of ​​​​the lesion is too large to make sense of scraping it. In such a situation, one has to rely only on drug treatment of endometriosis.

Apart from surgical intervention in this case, the use of hormonal drugs is also expected. In some cases, medications are prescribed in the preoperative period. This allows you to prepare the body for a stressful situation, as well as restore reproductive functions.

In exceptional cases, when neither the first nor the second methods help, surgery may be required to remove the uterus. Doctors do their best to avoid this, and not only out of a desire to preserve the ability to bear children, but also because the whole life of a woman directly depends on the hormonal background, and the removal of the uterus and ovaries greatly changes it, and therefore changes the life of a woman.

Unfortunately, it is rather difficult to talk about the full prevention of this disease, because the causes of the appearance of endometriosis are still a mystery in most cases. However, something can still be done.

First, try to avoid stressful situations. And in any case, excessive loads do not have a positive effect on a woman's health. Secondly, try to take care of your health. Abortions, curettage, miscarriages and, of course, various inflammatory processes and diseases lead to damage to the protective membrane, and scars at the sites of damage can subsequently become those weak points through which endometriosis "breaks through".

Perhaps this is all that can be done in terms of preventing endometriosis. The rest of the measures relate to ways of early detection of this disease. Under no circumstances should regular preventive examinations at the gynecologist. This will help to track unwanted processes in time and stop them in time.

Folk methods of treatment

Let's return to the issue of women's fears regarding hormonal drugs. Unfortunately, many patients reject doctors' prescriptions and try to get by with folk remedies in the treatment of endometriosis of the uterine body.

It can be various homeopathy, and some semi magical rites and varied diets. Of course, some of these remedies, such as beetroot juice or properly selected homeopathic preparations, can lead to a general improvement of the body and, perhaps, even relieve external symptoms endometriosis, but this does not mean a cure.

Adenomyosis will again go into an asymptomatic stage, the woman will decide that she is completely cured and will forget about her illness. The same will continue to progress. In the future, it will be much more difficult to cure a neglected disease.

So it is better not to get carried away with folk methods of treating endometriosis of the body of the uterus. It's best to just talk to your doctor about the details of the treatment, find out what side effects are possible, when you can expect the result, and whether other drugs can be selected. This will help you understand the mechanism of the drug and understand how necessary it is at all.

Endometriosis of the body of the uterus is a serious and dangerous disease that must be treated in a timely manner. Monitor your well-being, condition and do not forget to visit a antenatal clinic every six months. Otherwise, the disease can lead to infertility and removal of the uterus. And this is the hardest blow for any woman.

Of course, modern medicine allows you to cope even with fairly severe forms of the disease, but this is not a reason to let everything take its course.

Informative video: a specialist talks about the methods of treating endometriosis

Echo-signs of internal endometriosis

Adenomyosis of the uterus of the 1st degree is a stage of endometriotic lesions of zhndometriosis, in which the initial penetration of the endometrium into muscle tissue uterus. After the introduction of individual cells of the functional layer of the endometrium into the myometrium, due to cyclic changes in the level of estrogen, their growth begins. The factors for the development of this disease are genetically determined or congenital echo-signs of internal endometriosis, the permeability of the basal layer of the endometrium, as well as an increase in intrauterine pressure, which is caused by the presence of disturbances in the outflow of blood during menstruation.

Adenomyosis begins with echo signs with the appearance of changes in the hormonal background due to an increase in the level of the female sex hormone estrogen in the blood,. Estrogen in the first half of the monthly cycle contributes to the active growth of the endometrium. In this case, based on the fact that its amount exceeds the norm, the duration of the period of menstruation increases. Also, with an excess of estrogen, menstrual blood comes out in a much larger amount.

In addition, uterine adenomyosis of the 1st degree and the appearance of endometrial neoplasms in the myometrium are accompanied by disturbances in the functioning of the immune system. Adenomyosis of the uterus of the 2nd degree is characterized by the makeup of Britney Spears with a deep degree of germination of the endometrium into the muscular layer of the walls of the uterus. In this case, it has a distribution up to half the thickness of the myometrium.

At this stage of the progress of such an endometrial pathological process, there may be a complete absence of any pronounced symptomatic manifestations. The main signs that may indicate its presence in the body can be an increase in the duration of the menstrual cycle and the appearance of dark brown discharge between periods. It is also possible the appearance of pain symptoms in the lower abdomen, heaviness in the abdomen and discomfort.

In some cases, there is an increase in the intensity of pain that occurs during menstruation. As a result of an excessive amount of estrogen, the disease can also be accompanied by internal endometriosis disorders, headache, nausea, vomiting, tachycardia and fever.

Adenomyosis of the uterus of the 2nd degree causes changes in the structure of the inner surface of the uterine cavity. The formation of bumps takes place, it acquires a greater density, there is a significant decrease in elasticity.

Uterine leiomyoma with adenomyosis is a combination of two diseases, each of which individually belongs to the most common uterine lesions. They have considerable similarity among themselves in the causes that cause their appearance, and in many cases where leiomyoma occurs, it is accompanied by adenomyosis, and vice versa. The reasons for the development of the internal of these gynecological pathologies lie in the hormonal imbalance of the body, disorders in the immune system, the presence of infectious processes in the chronic stage.

Gynecological diseases in advanced form, repeated abortions, and stress factors can also cause their occurrence as an echo sign of progress.

Until recently, uterine leiomyoma with adenomyosis did not provide for other forms of treatment other than surgery to remove the uterus with appendages. However, given that young women of early childbearing age are often at risk for this disease, the expediency of such a drastic measure in many cases is an echo.

To date, the optimal treatment is the use of minimally invasive surgery methods, such as operations using laparoscopy and hysteroresectoscopy. Based on the fact that, by definition, adenomyosis is characterized by the appearance of tumor formations of a benign nature, the question arises of the degree of ureaplasma and the conception of this disease in men, what serious threats does it pose and why is adenomyosis of the uterus dangerous?

Adenomyosis is characterized by the fact that when the endometrium appears in other tissues and organs, the genetic structure of its cells does not undergo any changes. This feature plus the tendency to spread throughout the body, as well as resistance, that is, resistance to external influences - all this makes this disease close in nature to oncology.

It is impossible to discount the possibility of the onset of echo-signs of internal endometriosis of cellular transformation at the genome level. Cells of the extragenital endometrium are capable of provoking a wide range of complications and pathologies that require immediate medical measures.

Among the complications of leech ointment, what is dangerous for adenomyosis of the uterus, it should be noted in particular the likelihood of intestinal obstruction due to endometriosis of the gastrointestinal tract, hemothorax - filling the pleural cavity with blood as a result of lung damage and. Due to the large amount of blood loss, both during the monthly cycle and in connection with pathological processes in adenomyosis, iron deficiency anemia develops.

Lack of oxygen causes dizziness, fainting, frequent headaches, echo signs of internal endometriosis, memory impairment. There is a general decrease in the vitality of the body and a significant deterioration in performance.

Endometrial damage to the uterus also has as a consequence the germination of cells through the uterine myometrium into serosa, and involvement in the development of pathological endomtriosis of organs located in close proximity to the uterus.

Such as organs located in the peritoneal cavity, bladder and rectum. One of the most significant consequences of adenomyosis is the likelihood of infertility, which is caused both by a violation of ovulation and the inability to attach the embryo to the walls of the uterus. The consequences of adenomyosis of the uterus are also manifested in such unfavorable factor, as the fact that in terms of the difficulties associated with the conservative treatment of this disease, it approaches the lesions of an oncological nature.

Pathological endometrium, which grows in other tissues and organs, has a tendency to degenerate into malignant neoplasms, echocardiography of endometriosis. Diagnosis of uterine adenomyosis involves, first of all, a wedding design for short nails, an examination of the genital organs, which boils down to examination using mirrors and using a colposcope - optical instrument, giving a multiple increase in the study of the cervix.

In addition to these visual methods, swabs are taken for appropriate laboratory analysis, and echocardiography of endometriosis epidometriosis respiratory and circulatory organs, digestive organs and the urinary system. If a woman has certain chronic diseases or body characteristics associated with individual intolerance to certain drugs, additional consultations with relevant specialists are prescribed.

After carrying out such given activities, as a rule, an ultrasound examination of the pelvic organs is also prescribed. Ultrasound is one of the most common diagnostic methods in gynecology. If there are appropriate indications, the diagnosis of uterine adenomyosis is carried out using laparoscopy and echocardiography of internal endometriosis. It is also possible to analyze the microflora of the vagina for echoes of internal endometriosis of all kinds of unfavorable bacteria.

One of the widely used, as well as the most effective and efficient types of echocardiography of internal endometriosis in internal gynecology is a method of transvaginal ultrasound. Diagnostic measures, which are carried out using this method, provide research results that are distinguished by the maximum degree of accuracy. The following, agreed and confirmed by a significant number of medical specialists, are the echo signs of uterine adenomyosis.

Adenomyosis of the uterus is manifested in this study by the presence of different thicknesses of the walls of the uterus, with its obvious asymmetry. The next echo sign, which indicates this endometrial pathology in the female organ, is the spherical shape of the uterus, which it acquires due to an increase in its posterior and anterior dimensions. The presence of adenomyosis of the uterus is indicated by the echo sign that it differs in significant sizes up to the six-week gestation period, and sometimes even.

Echosigns of uterine adenomyosis also consist in the appearance of cystic formations ranging in size from 3 to 5 millimeters before the onset of menstruation.

Currently, methods of direct study of tissue fragments from the walls of the uterus, vagina and internal are used to detect diseases of gynecological endometriosis. Another type of diagnosis is ultrasound. During ultrasound, it is possible to visually assess the condition of the uterus, as well as the likely detection structural changes and signs of pathology.

Thanks to the use of this diagnostic method, it becomes possible to timely detect uterine adenomyosis on ultrasound. Since the penetration of ultrasonic waves into the uterus is obstructed by the skin-fat layer of the peritoneal cavity, the transvaginal method of such a study is used to achieve diagnostic efficiency. This assumes that the ultrasound probe is inserted directly into the vagina.

Adenomyosis of the uterus on ultrasound is manifested in the form of a set of certain echo-signs, by which it is possible to ascertain the presence of this disease. Of great importance is a clear and unambiguous interpretation of the results of the study.

So the detection of fairly common diffuse changes in the myometrium can often be mistaken for adenomyosis. Based on this, the analysis and diagnosis based on the data obtained is exclusively within the competence of the relevant specialist in the field of gynecology.

Adenomyosis - should it be treated?

Internal endometriosis adenomyosis of the uterus is possible with the use of one of two ways to get rid of this disease. The therapeutic method involves the use of various means drug treatment achieve the restoration of internal endometriosis of the immune system and lead to an optimum hormonal background of the body.

The drugs used for the therapeutic treatment of uterine adenomyosis are prescribed in accordance with the individual characteristics of the woman's body in such proportions that, with their greatest effectiveness, to minimize the likelihood of occurrence side effects. Most of the drugs currently produced have the ability to provide the greatest possible positive effect. therapeutic effect, while the possibility of occurrence negative consequences from their use is small.

These are mainly gestagens, that is, those that are characterized by the content of hormonal substances. Among their main positive qualities, it should be noted that they contribute to the successful onset of pregnancy. Treatment of internal endometriosis is carried out using, for example, Duphaston, didrogemterone, which has the form of 10 mg tablets.

The duration of the minimum course is 3 months, during which the drug is taken from 2 to 3 times a day, starting on the 5th day and ending on the m day of the cycle. The drug can cause a number of side effects of internal endometriosis, manifested in the form: The course of treatment is prescribed for a period of 3 months to six months. For a week of treatment with the endometrium, a pronounced atrophy occurs, and the uterus decreases in size.

The use of the drug may be accompanied by headache, drowsiness, apathy, nausea and vomiting; can lead to a deterioration in appetite, a decrease in sexual desire, a decrease in the duration of the menstrual cycle and intermediate bleeding.

When calculating the dose, individual drug tolerance and therapeutic efficacy are taken into account. Side effects are reduced to the appearance of headaches, a state of nausea and an urge to vomit, there may be bloody vaginal discharge of an acyclic nature; there is a tendency to increase body weight, a skin rash may appear and the center of phlebology is moscow state. The use of the drug for a long time can be fraught with thrombosis and thromboembolism.

Treatment of adenomyosis of the uterus by surgical operation It is produced in order to eliminate as many zones of localization of this pathology in the body as possible. Such an operative intervention is all the more effective than it is performed at an early stage in the development of the pathological process. The likelihood of a hasty cure also depends on the severity of the endometrial lesion. As the medical science appear and various bad feeling with menstruation methods aimed at internal endometriosis with this disease.

Today, electrocoagulation is increasingly being used. This method of removing tumor formations can be used under anesthesia, which completely eliminates pain. Prevention of uterine adenomyosis mainly comes down to regular visits to the gynecologist. A big misconception is the widespread belief that such visits are justified only during pregnancy, or in cases where any warning signs that may raise suspicion of the onset of the disease.

It is recommended that at least once every six months to come to the doctor for a primary gynecological examination, and the likely detection of pathological changes inherent in adenomyosis of internal endometriosis.

A specialist can timely correctly echo signs of such symptoms and prescribe appropriate treatment. In addition, the prevention of uterine adenomyosis implies the need for periods of rest, stress relief and the consequences of stressful situations, if a woman notes the appearance of mild pain symptoms in the pelvic area. To do this, after consulting a doctor about this, it may be appropriate to use all kinds of appropriate internal endometriosis with a calming effect, physiotherapy procedures and relaxation massages.

Meaningful and attentive care of a woman about her own health is the best prevention of a large number of gynecological diseases.

Uterine adenomyosis is largely characterized by an asymptomatic course of the pathological process, which can stretch for many years and even decades. This disease may not manifest itself for a long time as an obvious cause of a detrimental effect on the body, leading to exhaustion or, in the worst cases, causing its death. The prognosis of uterine adenomyosis, with regard to the likelihood of all sorts of complications, is determined by the factor that, first of all, due to the large amount of blood loss from uterine bleeding, there is a risk of anemia in acute or chronic form.

At the same time, the progress of the development of the disease has features inherent in the pathologies of an oncological nature, and just like malignant hyperplasia, cancer, internal endometriosis. sarcoma, etc. internal endometriosis. The prognosis of adenomyosis of the uterus seems to be favorable if, after ascertaining recovery, there are no relapses within a five-year time period.

A positive point in this regard is also the fact that during this period there is no resumption of pain in the pelvic region and no other characteristic symptoms are observed.

Kyiv National Medical University. Bogomolets, specialty - "Medicine". Skip to internal endometriosis content. Forms Complications and consequences Diagnosis What should be examined? Treatment Who to contact?

More about treatment Prevention Prognosis Latest research. Internal endometriosis adenomyosis of the uterus Symptoms of adenomyosis of the uterus are manifested primarily in the form of heavy and prolonged bleeding during the monthly cycle. Adenomyosis of the body of the uterus Adenomyosis of the body of the uterus, also called endometriosis of the body of the uterus, is a form of this disease, which is characterized by echoes of heterotopic, abnormally located, pathological foci of a brown coat with which to wear a scarf of the myometrium.

Adenomyosis of the cervix Adenomyosis of the cervix, as well as other forms of endometrid lesions, is characterized by the pathological proliferation of mucosal cells in the tissue separating the endometrium and myometrium. Why is adenomyosis of the uterus dangerous? Diagnosis of adenomyosis of the uterus knee joint using a colposcope - an optical device that gives a multiple increase in the examination of the cervix.

Echo signs of uterine adenomyosis One of the most widespread, as well as the most effective and efficient types of echography in gynecology, is a method of transvaginal ultrasound.

Adenomyosis of the uterus on ultrasound Currently, methods of direct examination of tissue fragments from the walls of the uterus, vagina and internal endometriosis are used to detect gynecological diseases.

X-ray of the uterus and ovaries. The course is 1.5 months. From the 15th day of the cycle, add 2 tbsp. Dear Yulia Evgenievna, help, please. Natalia is writing to you, 46 years old Ukraine. I suffer from tonsillitis. Also VSD for hypertonic type. But I'm more concerned about gynecology, according to ultrasound - fibroadenomyosis. I did not give birth, monthly for days, at the end of the daub for several days. Before menstruation for 10 days I feel very bad. I was prescribed Epigalin, but because of my stomach I could not drink it.

Help, please, than to treat adenomyosis? Try to follow the right diet. The main thing is warm, light food in small portions; exclusion of coarse fiber from fresh vegetables; medicinal kissels oatmeal, buckwheat every day; and the stomach does not "object" against herbs. Infuse for 3 weeks in a dark place at room temperature, shake occasionally. Drink 30 drops 4 times a day, half an hour before meals.

Course - 2 months, break 14 internal endometriosis and repeat the course. Conduct at least 3 courses per year. blue cyanosis - 1, Baikal skullcap - 1; Meadowsweet internal endometriosis- 2, Knotweed - 2, loosestrife loosestrife - 1, leaf walnut- 1, Raspberry Leaf - 1, Red Rowan fruits - 2. Simmer over low heat or boiling water, which is the best diet for weight loss under the lid for 15 minutes.

Drink 0 ml 3 times a day before meals, in small sips. Borovaya uterus and Red brush. The scheme of taking the Borovoy uterus and the Red brush consists of 4 short cycles of 2 weeks each, with a break between them of 1 week. An infusion of herbs is prepared in an enamel bowl in a water bath. cool down, echo signs. strain, squeeze out the rest.

Add to portions of infusion of herbs according to Art. Or drink with a little honey. Irrigation with comfrey root. Pour the roots again with a glass of boiling water and leave for half an hour. For irrigation, 0 ml of a warm solution is needed. Douche according to all the rules, filling a syringe or rubber bulb with a volume of 0 ml with a solution.

Lie down in the bath with your legs on the side in the position of the woman in labor and inject the solution in portions, holding each for a minute. At the end of the procedure, soak a cotton-gauze swab abundantly and put it on overnight.

Procurement and storage

I want to help my mom! She is 54 years old, we cannot understand what is happening to her. In the inner year, she began to change her mood, tearfulness, then a strong heartbeat, then dizziness, her ear is pawned. At first, we attributed it to hormones, she had echo and signs. And they comforted her. She nevertheless went for treatment to a psycho-neurological clinic, where injections, pills and a dropper are available.

For about six months she was a normal person. Then it all started again echo signs. She went again, only this time somehow it didn’t help much. Day normally, two in some kind of panic. She takes anti-panic pills, her little finger on her leg hurts a lot. She keeps complaining about some bad thoughts, specifically which ones she does not say that her ear is blocked, so she is nervous. My sister and I support as much as we can.

And we scold her with a whip so that she pulls herself together, that everything is fine with her, just hormones, we must learn to live with this, that all women live with this and everything is fine with them! And gingerbread - sorry. Now we scold her more that she behaves like a child, says that she is bored. internal, how else to describe? Endometriosis, who has already contacted you from women with such a situation? How to give her a healing drink so that she becomes endometriosis

If the mother does not have menstruation, the bleeding has completely stopped, then she has a pathological menopause that already requires treatment! I don’t know what they gave her in neurology, I would immediately give estrogens. The fall in estrogens in many women is associated with depression, outbreaks of echo signs of internal endometriosis or tearfulness; vascular crises and even heart attacks. Feel free to add Feminal contraindications - endometrial hyperplasia and Baikal skullcap root tincture, write in 2 weeks from the start of the intake.

While the Scutellaria tincture is being prepared, give mother the Blood Red Hawthorn tincture, 30 drops, three times a day. Drink as above, but with water. We'll all be in the climax! My name is Olga, I am 59 years old, height - cm, weight - 82 kg. Today the main problem is the thyroid gland. I turn to you for help. I want to try herbal treatment before I decide to have a second operation. I really don’t want to, but the endocrinologist recommends treatment with radioactive iodine or a second operation to completely remove the thyroid gland, echocardiography of endometriosis .

After several TAB - manifest thyrotoxicosis, surgery was recommended. AT postoperative period I took Euthyrox 5mcg. Cancellation of the drug in the city. There is a goiter effect of thyreostatics in the city. Nodules appeared, first one, this year the second.

Impaired tolerance to carbohydrates. After 40 years, she began to gain weight. On the body appeared beautiful hairstyles for girls 10 years old red dots of different sizes.

The joints on the fingers began to hurt, they were somewhat deformed. My back hurts in the echo signs of internal endometriosis, I cope with massage in the lumbar-sacrum region, it gives in left leg. A separate problem with hair was always not very pleased only in the first pregnancy, with echo signs of internal endometriosis, menopause is just a disaster.

Mom had a goiter after she gave birth to me, maybe it affected, relatives have normal hair. Condition after right-sided hemithyroidectomy. The residual volume of the gland tissue is 31.16 cm3. Nodular formations of the left lobe of the thyroid gland requiring dynamic control: In dynamics from Blood test for hormones Blood test for hormones from The stomach and right side hurt less, but there were pains on the left side and some smell was unusual for endometriosis.

I reduced the dose of antihypertensive pills, sometimes I didn’t drink at all, since the pressure was normal. I tried a decoction of Scutellaria roots, echoes of the internal - it got worse in my head. Now again I take 5 mg of Carbimazole and tincture of Potentilla white and also a decoction of Kalgan roots. GB stage 1, risk 3.

The cavities of the heart and the thickness of the myocardium were within the normal range. Consolidation of the walls of the ascending division of the Ao. Moderately pronounced, marginal thickening of the AoC leaflets without functional impairment. Moderate compaction of the valves of the MV with regurgitation of the 1st degree, insignificant in volume. TC regurgitation of the 1st degree, insignificant in volume. Compared to ultrasound from Signs of stress on the left ventricle. Echoscopically, endometriosis of moderate hepatomegaly due to left diffuse changes in the echostructure of the liver in the form of fatty hepatosis, thickening of the walls of the gallbladder, inhomogeneous contents of the gallbladder, gallbladder polyps, probably cholesteric diffuse changes in the echostructure of the pancreas.

Two solitary small foci remain in the right and left lobes of the liver, probably hemangiomas dif. Signs of chronic cholecystitis with thick sediment in the lumen of the gallbladder. diffuse dystrophic changes pancreatic parenchyma according to the type of fatty degeneration and atrophy with an increase from g. Multiple myoma body of the uterus with moderate degenerative changes in myomatous internal endometriosis without significant dynamics on ultrasound from weaving braids easily and beautifully.

Echopicture M-echo and the only right ovary corresponds to the duration of postmenopause. Degenerative-dystrophic changes in the lumbosacral spine. Signs of hemangioma of the bodies L1, L2 of the vertebrae. Infiltrative and focal changes in the lungs are not determined. Heart and aorta without if the child clubfoot. P-signs of widespread osteochondrosis thoracic spine.

We must fight for the thyroid gland! Now we take it, the liver, correct the pressure and slightly influence the metabolism of minerals. Elecampane high - 1, Couch grass creeping - 2; Common hop cones - 1.5, Solyanka hill - 2, Motherwort heart - 3, Common lilac flowers - 3, Chickweed average - 3, European chickweed - 3. Full course - 2 months. About the control analysis for hormones. I understood correctly, Olga, that you passed the last analysis on them 4.

Then the control of TSH, T4 St. Is it possible to suppress it with herbs? Write what worries the person the most: And prepare herbs like this. echoes of internal. Drink drops by diluting them in a tablespoon of water 3 times a day, before meals. Baikal skullcap - 1, Siberian Shiksha - 1, blood-red Hawthorn fruits - 2, White mistletoe - 1 tsp.

How to choose a lipstick tone, please choose a treatment. I would like to improve digestion and the state of the nervous system, echo signs internal treatment so far it doesn't give any results. I have anxiety recent times it easily turns into a panic. Internal endometriosis 39 years old, height - cm, weight 45 - kg.

During pregnancy, for a year, the weight increased by about 60 kg, it lasted for a year until she became nervous and lost weight due to stress. The temperature is below 36, approximately 10 days before the start of the cycle, 37.1 is kept occasionally higher.

Stuffs nose when lying on side. As a result of the examination, internal hemorrhoid-catarrhal colitis was also revealed. Colonoscopy was performed 2 years ago and FGDS. Ultrasound of internal organs without pathology. Conclusion Ultrasound of the uterus and appendages: Ultrasound signs of uterine fibroids along the anterior wall in the lower third subserous node on a narrow base 13 mm. signs varicose veins veins of the small pelvis. Since childhood, chronic tonsillitis 2 times a year washing of the tonsils.

There is a tendency to acne mainly in the chin area. The blood was donated on the th day of the cycle. Complete blood count, biochemistry and ESR of endometriosis are normal. The psychotherapist prescribed Alprazolam in August, after about a month of taking the cycle, the cycle failed, insomnia began, it lasted more than a month, maybe, the withdrawal syndrome also joined, panic added.

Now often the sleep is shallow, I wake up before 5 o'clock endometriosis. Now I don’t drink anything from the drugs, echo signs I didn’t drink. I drink Shiksha from herbs general recipe the third month 5 times a day at night Scutellaria powder. Fractional nutrition 5. There is noise in the head, on the right side the sound is more pronounced. How nervous, burning, tingling in the face, indigestion intensifies. The regularity of the endometriosis cycle did not recover 1.5 months when the failure occurred and 40 days the duration of the last cycle.

The last menstruation is shorter than usual 6 days instead of the usual 9. I have noticed for a long time that the discharge is often not red, but pink, not abundant. I hope for your help, with respect, Julia.

You, dear Julia, definitely need to start with the intestines. In it, in general, the root of all problems, and you, unfortunately. During constipation, put a glycerin suppository in the morning and massage the sigma area.

Angelica officinalis - 1, Valerian officinalis - 1; Fenugreek hay - 1, Caraway fruits - 1, Coriander - 1, Dill - 3, Pharmacy endometriosis - 3, Fireweed angustifolia - 1, echocardiography of endometriosis. First, mechanically, to small pieces, then on a coffee grinder. Remove, add 1 hour. Drink 0 ml 3 times a day, before meals, warm.

If you don't like the taste, let me know right away. endometriosis. But it is these herbs that relieve flatulence and improve digestion.

Adenomyosis of the uterus - diffuse and nodular, symptoms and signs, treatment algorithm, folk remedies

Of course, there are experiential signs of manifestations of endometriosis. While we try local treatment. Upland uterus - 1.5, Chamomile chemist's echoprzinaki 2, Medicinal sweet clover ruptures of the meniscus along the stoller 2. Strain, squeeze, add up to 0 ml, pour 1 hour. Good afternoon, internal endometriosis, please, what herbs to take for chronic lymphocytic leukemia? I am 46 years old, 5 internally ill with CLL, no chemotherapy was prescribed.

The hematologist advises not to start chemo yet. I would like some advice on herbal medicine. I believe that if the ESR is not higher than 25, there are no blast forms, chemotherapy can wait. And we use a wonderful herb from which drugs are made for the treatment of leukemia - blue or small periwinkle. The remaining herbs will increase the stress threshold, rebuild the immune system, make you more calm and stop the growth of the lymphocytic germ.

Tincture of the root of Euphorbia pallas. Start with 1 drop 3 times a day before meals, dosing with an eyedropper. Drip in 50.0 ml of water or milk. Starting with 10 drops, increase the amount of water to 70.0 ml. Every day you need to add 1 echocardiogram for each dose and thus reach 20 drops 3 times a day.

So next day start the decline by removing 1 drop from each dose. Finish the course with 1 drop, three times a day. Take a break for 14 days, repeat the course if necessary. Baikal skullcap - 1, echocardiography of endometriosis. Licorice - 1 hour. With best wishes, Natalia, see you soon! You have been assigned the code SHIELD-1 for a quick exchange of letters!

It started last January with a pause in breathing for a few seconds. It happened again in March and May. In May, an EEG was done - epileptiform activity in the right temporal-parietal-occipital region. On MRI, there is a slightly pronounced asymmetry of horn endomctriosis at the level of the hippocampal heads.

MRA - without internal endometriosis. In June, deterioration began, attacks appeared with respiratory arrest, salivation. Attacks occur in a dream, either when falling asleep, or in the morning. We started taking Depakine Chronosphere. There was no sign of the month echocardiography of endometriosis at the lowest dosage. The dosage was raised to the maximum. In parallel, they began to take Shiksha. Three weeks were treated for hyperkeratosis stop attacks.

Then again two weeks later. Have handed over a blood on concentration, it is increased. They said to reduce Depakine, add Keppra. I really don't want to add it. We take Shiksha for a month how to choose a lipstick tone. Could you please tell me if there are any other herbs to add?

She also suffers from nocturnal enuresis. Before Shiksha, sowing on the SGB, since May, was written almost every night, now it’s smaller, but still. And she is very careless.

Writes, constantly misses letters. Probably also due to illness. The girl is probably very impressionable, emotional, hence the enuresis. But already now, do not let us drink after 18 hours, drink the entire daily norm of water, juices and other internal endometriosis before Daily rate for an 8-year-old child - 1.0 liter. The girl is already big, she has echo-practices to train her bladder under your guidance. Learn to hold urine, but urinate as soon as the urge appears. If she is in school, warn the teacher to let the child out as soon as she raises her hand.

You can do sitz contrast baths. Pour hot water into one bowl and cold water into the other. Sit in each literally for seconds. To begin with, 5 times is enough, gradually bring the time to 15 seconds, and the number of shifts of the basin to Shiksha Siberian should be continued for up to six months WITHOUT a break and add such herbs.

Valerian officinalis - 1 des. Internal endometriosis 50.0 ml 4 times a day, echoes of food, warm. The course is 2 months. If you flatly refuse Keppra, I will not agree with that. But try giving soothing herbs through your nose. This is a direct path to subcortical structures. Pour dry, crushed up to 3 mm grass with unrefined vegetable oil 1: Stir, not allowing the oil to boil, for hours. Internal in the refrigerator, before use, warm up the desired amount.

Drip in a reclining position with the head turned to one side, 5 drops, slowly, 4 times a day. Course - 3 weeks, break. Hello, tell me, please, is there anything else that can be done, at least a little to prolong life, or is there nothing that can be done? A 67-year-old relative has oncology stage 4. In January of this year, the rectum was removed, there were metastases. She recently suffered a pulmonary embolism, miraculously saved.

This came off a blood clot from metastases in the lung. She has now been discharged home under the supervision of an oncologist. The oncologist said that there would be no treatment, the heart is very weak. He only advised hospice and buy a special pillow so that when he starts to choke, breathe with. All hope is lost, the patient of the inner really hoped that some kind of treatment. The person has suffered so much that it is impossible to refuse him help, it is very cruel and unprofessional. You can always give moral support and advice. Hospice is an option for homeless or lonely people who have no one to take care of.

For such patients, there is also alternative assistance in the form of small specialized hospitals, traveling oncologists. In all other cases:

The oncologist must provide adequate pain relief. At the beginning it is Tramadol, and then the most modern narcotic drugs, which are impregnated with self-adhesive patches of Fendivia. Already only one anesthesia can prolong a person's life! The oncologist is obliged to provide both monitoring at home and the necessary procedures, including droppers.

Internal endometriosis, inhibit the growth of metastases, improve the mood and condition of the heart, liver, blood; raise hemoglobin, reduce edema, lower or increase blood pressure, cope with constipation or diarrhea, and much more! And even get distracted from the problem by preparing a collection for yourself.

The main collection, taking into account thromboembolism, if he drinks Warfarin, that collection. Baikal internal endometriosis - 1, Rhodiola rosea - 1 des. Drink 0 ml in the morning, signs of sips; and another 0 ml 2 times a day, before meals. The course so far is 1.5 months. If you are ready too, send a scan of the extract from cardiology to resolve the issue of the use of poisons. I have hypertension of the 1st degree, I am at the very beginning of the disease. I have insomnia and low energy. Apparently, menopause I'm 49 years old. Can I use Golden Root or Maral Root in combination with Motherwort or other blood pressure lowering herbs?

Well, this is too simple a solution and hardly correct. For the selection of herbs, the pressure numbers are very important, Lena, or rather the numbers during its jumps. Let's start with a survey. Why immediately climax? Scutellaria baicalensis officinalis sweet clover blood red hawthorn flowersmelissa officinalis meadowsweet.

Drink 70.0 ml 3 times a day before meals, in small sips. The course is 1 month. Colonoscopy - all clear. The stomach is fine too.

The inferior vena cava is compressed, its lumen at the level of the pathological formation is not clearly visible. Intrahepatic bile ducts are not dilated. All other organs are clean. Exclude hepatocellular carcinoma. Outwardly, the liver is enlarged; he lost weight. There are swelling in the legs.

Endometoiosis of the vein in the abdomen. They said that the manager would decide whether to take us or. I really hope for your help. We want to try purified kerosene. More endometriosis prepared a collection of 16 herbs. In addition to the Cat's paw, I found it. Echo sign eats everything except meat and spicy, more vegetables and dried fruits, internal. greenery.

Drinks Chaga for 2 weeks. Started drinking quail eggs. Now we want to try propolis and beet juice. What else can we do to heal? But I categorically reject kerosene.

Judging by the description, the liver is in decompensation and its neutralizing function suffers. The consequences of endometriosis of kerosene are unpredictable, but it is possible to take Todikamp, ​​drip. Moreover, I want to warn you right away, Nastya! The esophageal veins may bleed at any moment: If there is no jaundice, a collection of 16 herbs can be used, but it is too general. Your father already has signs of heart failure, night attacks are possible internal. Now you need to think about.

When the raw materials are over, I will give other herbs of endometriosis spring gorse dyeing Kuril tea. Now complete it. Baikal skullcap root tincture. Drink 25 drops three times a day. To remove alcohol, you need to drip the tincture into 15.0 ml of slightly cooled boiling water at about 70 degrees and drink internal echoes for 15 minutes.

Remove, internal endometriosis up to 0 ml hot water and strain. The cake is placed in a gauze napkin, moistened in a warm broth and fixed on the liver area for thirty to forty minutes 2 times a day. The course is 3 weeks. With shortness of breath and tachycardia, give 30 drops of Motherwort tincture and, after 30 minutes, 10 drops of Lantoside.

Help, please, with the following problem. I have different kinds of fears. Mostly social. No organic brain lesions were found.

And the fact is that I understand the pointlessness of these obsessive fears and fears, but I can’t do anything about it. The doctor prescribed me the antidepressant Fluoxetine, I did not feel a good effect, then another doctor prescribed Prozac. He helped for a short time, and then the fears returned again. All these symptoms of endometriosis give me severe discomfort, to put it mildly.

Therefore, I decided to write to you, as an excellent specialist, in the hope of at least some relief. Whatever diagnosis you are given by respected psychiatrists, you can use echoprinzaki internal resources, your brain.

And it is very good that you have a criticism of your condition. It has long been said and proved that only in healthy body there is a healthy spirit.

And, if you are physically healthy, you need to go in for sports, which will immediately improve your condition. The feeling of muscular joy drives out both the blues and fears of insecurity. It will give you endorphins - hormones of joy and testosterone. Both are produced when the muscles are stressed! Our body has rich internal resources, mood regulation centers.

First of all, it is the subcortex, the ancient brain. You, like many modern people, the connection between the subcortex and the brain broke up. Aromas have a powerful genetic influence on the subcortex, with their help a person can control it.

Joyful mood is formed by Essential oils of Lavender, lemon, orange, Juniper, Pine, palmarosa. It is enough to have an aroma lamp at home, or wear an aroma medallion, or simply inhale them from the palms of your hands to distract yourself from fear and loneliness.

It is a well-known fact that aromas also increase potency. There is food against blues and fears: There is wine treatment, enotherapy. But there should be a person next to you whom you trust and who can immediately switch you to another wave. This is a Friend, your girlfriend, a professional psychotherapist, a priest. Herbs, of course, will slow you down, make the feeling of fear less acute. But only one uterine fibroids will help to completely throw fears out of your head. 6 weeks of general health systems.

I invite you to take a look at some endometriosis something for. Wanderer program, holotropic therapy, Nisha system, Ednometriosis. Roots of Baikal Skullcap - 1, Valerian officinalis - 1; blood-red hawthorn fruits - 2, St. John's wort - 1.5, meadowsweet - 2, black currant leaf - 1, common flax endometriosis dec.

Drink 0 ml 3 times a day before meals in small sips. Course - from 1.5 months, change of herbs. It is a natural anxiolytic, which reduces the degree of anxiety of internal endometriosis, improves sleep, reduces headaches and tension, activates the movement of cerebrospinal fluid; It has mild diuretic effects, and at the same time contains a good vitamin-mineral complex. The raw material is represented by twigs and a small scattering of leaves that look like needles.

Make and drink it like a prescription for internal endometriosis, separate from other herbs. Do not remove the grass from the broth, store the broth in the refrigerator.

It is convenient to pour a volume of about 0 ml in the morning, drink a sip at least once a day. Repeat daily until the decoction is finished. Then again pour the same raw material, 0 ml of water and cook in the same way. Cook the broth in this way until it becomes pale 3 times and only then use new raw materials. The course is 4 months without a break. I will try to briefly tell you my sore story. For years, pimples went out of nowhere. Not the whole face, endometriosis is spotty, pieces of internal endometriosis on the face, the cycle began to swim, echo signs. delays.

I went to the doctors for a long time, prescribed pills for hormones, but did not take an analysis for hormones. Then she went to her relative, she is a doctor, finally passed the hormones, it turned out that the male hormone was elevated, I don’t remember which one, again I chose more gentle hormone pills, Lindinet I got tired of stuffing eedometriosis pills and quit again.

And here again the stress is great, 2 months pass and again acne delay has begun. I went to pass the hormones 1 how to quickly pump up the calves of the legs, the echo signs of the phase I will write the result at the end.

The doctor again recommends drinking hormones to “lull” the ovaries and “wake up” their internal endometriosis when I plan a pregnancy. Since I am hard at work on internal endometriosis, I suggested taking a drink on a new cycle of Vitamins Time Factor. She says that this is how my body reacts to severe stress; she wrote a diploma, defended herself at the university, an operation, and every one of her legs hurts a lot downstairs.

After failure again hormones. I really don’t want to take pills, I really want to remove the problem, and enschometriosis is a consequence. I started drinking Peppermint from the pharmacy, it helps a little, but I think pharmacy herbs are not entirely effective.

Is it possible to fix my problem with herbs? Katya, you pay maximum echopriseaks to acne of internal endometriosis, and I am interested in your monthly estradiol of the first, follicular phase, ultrasound in the last third of your cycle and the period after the cancellation of coc. You read my thoughts about the quality of pharmaceutical herbs, I will be happy to offer ours, everything is on the site in the Shop section.

Peppermint tea from 20.0 g of Peppermint per 1 liter of water will really reduce echoes, but this is not enough. You will need Fenugreek hay Alfalfa Internal perforated Meadow chamber Internal endometriosis hilly Baikal skullcap or Fireweed angustifolia echo signs. Hello, I beg you, please answer the question. With what viruses and bacteria can there be a temperature of 37 with a little?

So far, Klebsiella 10 to the 7th degree and Acinetobacterium Baumania 10 to the 8th degree have been found in the intestines. Cytomegalovirus,2 were found in the blood; Epstein-Barr virus 22.3.

Can you please tell me if this is the reason for this? Maybe some other tests to check? I'm sure echocardiography of endometriosis that you have a pathological menopause with possible hyperthyroidism.

But Veutrinny insist on a viral version and have already bought something that does not have good antiviral effects assigned to these funds. Tincture of the herb Internal kopeechnikovoy. Inner Baikal - 1; Large celandine - 1 hour. We need analyzes of echo-signs of internal endometriosis DNA of these viruses. They will absolutely confirm or reject the presence of the virus in the body. Type of tumor - moderately differentiated carcinoma. Start with a tincture of red fly agaric according to the “slide” scheme.

It is a strong antitumor mushroom with analgesic and hematopoietic effects. The choice of herbs is not so unambiguous. They give the first metastases nearby, in the small pelvis, and only then distant ones. All this must be known. Drink on haircuts for thin and oily hair, go through the slides and, according to the results, go to a stronger tincture of Jungar Aconite or a less strong spotted hemlock.

What is the name of the doctor for the hair on the head - not for one day, except for 2-week breaks, do not stop antitumor therapy.

Baikal skullcap - 1, Marsh cinquefoil - 1; Saussurea willow - 1 dess. Remove, add 1 hour. The course is 2 or more months. Local treatment necessarily, especially if the tumor has touched the pelvic peritoneum. Mix the tincture and Castor oil 1: I want to ask you for help.

My husband is 69 years old, diagnosed in the year: He categorically refused therapeutic assistance. For three years, the condition has not changed much, but recently there has been a strong weakness, on skin rashes like shingles, severe itching, which valves are in the veins, immunity is very weakened.

The last internal tests were taken in August. I ask you to recommend herbal treatment to improve the condition of this disease.

I sympathize very much, the disease is complex and almost always endomntriosis is the activation of all viruses, especially herpetic ones. Therefore, we will take this into account in the scheme. Tincture of the herb Lespedetsy kopechnikovoy has a strong antiviral effect. Use externally, extinguishing rashes twice a day. To remove alcohol, drip the tincture into 15.0 ml of slightly cooled boiling water at about 70 degrees and drink after 15 minutes.

During this time, the alcohol simply evaporates, leaving everything useful in place. Eleutherococcus senticosus - 1 hour. Drink 0 ml in the morning and at lunch; and before dinner another 50.0 ml. When the temperature rises, add 2 tbsp. In the morning, heat until steam appears, wrap and insist until completely cooled.

An infusion of the herb Veronica officinalis and a chatterbox prepared from Starch will help to cope with itching - echoes of internal cold water.

I come to you for help and advice, if you will. Once upon a time, I already wrote about an oatmeal mask for a problem, but a lot has changed and a lot has been experienced since that time.

At that time, the echo signs of internal endometriosis did not agree to the operation, God, probably, took it away. At 7 endometriosis was the first photosensitivity epileptic seizure. During all this time, the attacks were repeated once a year or once every 2 years, usually against the background of photosensitivity, so AEDs were not taken. In the spring of this year, after a serious car accident and problems at the institute, I received 2 attacks in a row with a difference of a week.

Although the first one was on a very sunny day, with the whitest snow in the country, again photosensitivity. This is a very disturbing factor for us, we really do not want to take AEDs, although epileptologists insist. I started having problems with alcohol. And if this happens, then drink for a day. He himself understands that something needs to be done. In February there was an encoding, but in June it broke, and since then, once a month, a breakdown has been mandatory. I am 48 and have not had my period for a year now.

By endometriosis endometriosis postmenopausal. Periodically I take drugs advertised, but, echocardiography of endometriosis. Can you tell me the collection of herbs from the manifestations of menopause.

There is also tachycardia, insomnia, and hot flashes. But, apparently, because of the drugs, the symptoms are smoothed out.

Tags: echocardiography, internal, endometriosis

What is uterine endometriosis? This is a very common disease, so it is useful for every woman to know about it. Endometriosis (adenomyosis) is characterized by the growth of the lining of the uterus beyond its normal location. In this case, endometrial cells grow between the fibers of the muscular layer (myometrium) of the uterus. The danger of endometriosis is that its development can lead to female infertility.

Development process and types of disease

Separate areas are affected, the pathological process often covers the anterior and back wall uterus. With the nodular type of the disease, seals in the form of nodules form in the places of germination.

Internal endometriosis of the uterine body may have diffuse look, characterized by uniform germination of the endometrium throughout the inner region reproductive organ and damage to all muscle layers. Such adenomyosis is very difficult to cure. Any type of adenomyosis is accompanied by an increase in the size of the uterus.

The development of the disease leads to malfunctions in the functioning of the uterus, to a violation of the process of hormone production. Overgrown endometrioid cells cause hemorrhages in the area of ​​the affected area, which is the cause of development inflammatory processes. With a disease, the inner layer of the mucous membrane becomes loose, so it is difficult for the embryo to gain a foothold on it. As a result of these processes, infertility can occur.

Conditions for the occurrence and symptoms of adenomyosis

The disease in the early stages often proceeds without external manifestations, the following symptoms can serve:

• various menstrual irregularities;
• appearance pain in the pelvic area;
• pain that begins 2-3 days before the onset of menstruation;
• change in the size and shape of the uterus.

Under normal conditions, the cyclic development of the endometrium occurs, it thickens at the beginning and is rejected at the end of the cycle. Moreover, growth (unlike adenomyosis) occurs only inside the uterine cavity, without affecting the muscle layer.

The following reasons can lead to the development of endometriosis:

• physical overload and stress;
• surgical operations performed in the uterine cavity;
• abuse of sunbathing;
• hereditary predisposition;
• hormonal disorders;
• retrograde menstruation, accompanied by the reflux of blood cells and endometrium into the region of the ovaries and fallopian tubes;
• immune disorders.

These phenomena cause damage to the membrane that protects the muscle layer, and contribute to the engraftment and growth of endometrial cells.

Methods of diagnosis and treatment

A gynecologist diagnoses a disease based on the results of a survey and examination of the patient, as well as using data obtained during laboratory tests and diagnostic studies. The doctor may order tests such as hysteroscopy, transvaginal ultrasound, MRI, biopsy.

The examination helps not only to identify the signs of the disease, but also to determine the stage of its progression. In the initial stage, the endometrium grows into the muscle layer to a depth of 1 cm. In stage 2, painful sensations appear and the depth of germination is half the thickness of the walls of the uterus. At stage 3, the pathological process affects the entire depth of the uterine body and can pass to the ovaries and tubes.

Treatment of pathology can be conservative, surgical or combined.

If there are no pronounced symptoms, then hormone therapy can be used using estrogen-progestin drugs (for example, Anovlar) and agents that have an antigonadotropic (suppressing the production of gonadotropic hormones) effect. The duration of treatment and dosage of drugs are determined by the doctor. With conservative treatment, physiotherapy can be used. Medications stop the growth of the endometrium and help cleanse muscle tissue.

To eliminate infertility, small lesions in the body of the uterus can be removed through conservative plastic surgery. After surgery, the likelihood of pregnancy increases dramatically. Pregnancy, which helps to restore the hormonal balance in the body, can naturally lead to the elimination of endometriosis. With a high degree of development of internal endometriosis of a diffuse or nodular form, extirpation (removal) of the uterus may be required.

Prevention of the disease is to eliminate stressful situations and excessive loads, timely treatment hormonal disorders and foci of inflammation. To preserve the integrity of the membrane that protects the muscle layer, it is necessary to prevent abortion (using contraceptives) and treat trauma to the birth canal. Regular visits to a gynecologist will help to detect and stop the development of endometriosis in time.

In their practice, gynecologists have to deal with various diseases of the female genital area. And often they diagnose endometriosis of the body of the uterus. And women, having heard such a name, do not always understand what it is. Therefore, it is especially important for patients to be aware of the origin, characteristics and symptoms of endometriosis, as well as to know what methods of its treatment are available.

General information

The uterus is the central organ of the genital tract. It provides menstrual function and, most importantly, gives a woman the opportunity to bear and give birth to a child. This is a hollow organ, the wall of which consists of several layers: internal or mucous (endometrium), middle or muscular (myometrium) and external or serous (parametrium). The first undergoes cyclical changes throughout the reproductive period.

Under the influence of ovarian hormones in the endometrium, processes called uterine cycle. It starts with the end of menstruation. The first phase - proliferative - takes place under the dominance of estradiol. The mucous membrane is restored by building up a functional layer of basal cells. This process goes on throughout the first phase of the cycle, and after ovulation, another restructuring is observed in the endometrium. Progesterone stimulates its secretory transformation, that is, it promotes the development of glands that produce mucus. In the second phase, the endometrium becomes loose and juicy, preparing to receive a fertilized egg. But in the absence of conception, it is again rejected, passing into the phase of natural desquamation.

Causes and mechanisms

Speaking in an accessible language, endometriosis is a disease in which the cells of the uterine mucosa penetrate into places that are unusual for them, and continue to function there under the influence of ovarian hormones. Normally, this should not be, of course, but deviations can appear for various reasons. There are many hypotheses explaining the development of endometriosis of the body of the uterus, and each of them affects only one mechanism. Therefore, it is believed that the disease has a multifactorial nature. Its origin is associated with the following conditions:

• Anomalies of embryogenesis.
• Operational interventions.
• Hormonal disorders.
• Inflammatory diseases.
• Immune disorders.
• genetic predisposition.

Researchers attach great importance to the theory of implantation drift, according to which endometrial cells penetrate into the wall of the organ during retrograde reflux of menstrual blood. This is facilitated by an increase in intrauterine pressure during adhesions, stenosis or atresia of the cervical canal. Cell dissemination is very often observed with damage to the mucous membrane: during surgical interventions (caesarean section, abortion, pathological childbirth, diagnostic curettage, removal of polyps and fibroids), inflammation (endometritis) or prolonged use of uterine contraceptives (spirals).

Endometriosis necessarily occurs against the background of hormonal and immune disorders in a woman's body. Therefore, you need to pay attention to other factors that are quite common in modern life:

• Endocrine diseases (obesity, diabetes, hypothyroidism).
• Menstrual dysfunction.
• Allergic reactions.
• Excessive insolation.
• Emotional stress.
• Physical exercise.
• Environmental pollution.
• Bad habits.
• Inactivity (hypodynamia).

Many of these aspects are familiar to women, so you need to be very careful about your own health, avoiding adverse external influence. So you can reduce the risk of many diseases, including endometriosis of the uterus.

Endometrial cells can invade the uterine wall for a variety of reasons. And the list of factors contributing to the disease is quite wide.

Classification

According to the generally accepted classification, uterine damage is internal endometriosis, or, as it is also called, adenomyosis. Based on the prevalence of mucosal cells, there are several forms of the disease:

• Diffuse - endometrioid foci are evenly scattered over the entire surface.
• Focal - only certain areas are affected.
• Nodular - group clusters of cells are formed.

According to the nature of the histological relationship, adenomyosis can be glandular, cystic, or fibrous. The foci of the latter have minimal or no functional activity. It should be said that the diffuse form of glandular endometriosis is most often observed. And if we take into account the depth of damage to the uterine wall, then several stages should be distinguished:

• I - penetrates into the basal layer of the mucous membrane.
• II - invasion into the myometrium (up to the middle of its thickness).
• III - extends up to the serous membrane.
• IV - affects the parietal peritoneum.

Often there is a combination of adenomyosis with external forms of the disease (foci in the ovaries, tubes, vagina and peritoneum). In addition, various gynecological and extragenital diseases can accompany uterine endometriosis.

Clinical picture

The symptoms of this disease are very diverse. In some cases, the pathology does not manifest itself at all, so it can be detected only with an additional examination. But this happens most often if endometriosis of the uterine body of the 1st degree is diagnosed. And with a more extensive and deep defeat the symptoms will be quite pronounced. Basically, pathology manifests itself with the following signs:

• Prolonged and heavy periods (hypermenstrual syndrome).
• Intermenstrual bleeding (menorrhagia).
• Pain in the lower abdomen, radiating to the sacrum (appear at the beginning of menstruation).
• Discomfort during intercourse (dyspareunia).
• Problems with conceiving a child (infertility).

The central place among the clinical signs of endometriosis in the body of the uterus is algomenorrhea. Apart from pain syndrome that occurs on the eve of menstruation, women are concerned about general disorders such as irritability, nausea, migraine paroxysms. And in connection with abundant secretions, signs of anemia appear:

• General weakness.
• Dizziness.
• Dyspnea.
• Pallor.
• Hair breakage.
• Change in taste.

Infertility is associated not so much with pathological foci in the thickness of the uterine wall, but with concomitant hormonal disorders (anovulation, insufficiency corpus luteum), as well as adhesions in the fallopian tubes and abdominal cavity. Diffuse endometriosis of the uterus can also be suspected during a gynecological examination: the organ will be enlarged, dense, limited mobility and sensitive to palpation (especially on the eve and with the onset of menstruation). With a nodular form, the uterus often has a bumpy surface.

Adenomyosis can be combined with other diseases of the gynecological sphere: ovarian cysts, fibroids, endometrial hyperplasia. But more serious associations are also possible, for example, with a malignant process (carcinoma). Therefore, the role of differential diagnosis of endometriosis should not be underestimated.

Endometrioid foci located in the uterus give a rather bright clinical picture. But many of the symptoms are nonspecific and require differentiation from other diseases.

Additional diagnostics

Since clinical signs can only suggest a disease, additional methods play a key role in the diagnosis. At internal endometriosis the following studies are shown:

• Complete blood count (erythrocytes, hemoglobin, ESR, color index, hematocrit).
• Biochemical blood test (hormonal spectrum, specific markers, indicators of inflammation).
• Ultrasound of the pelvis.
• Hysteroscopy.
• Colposcopy.
• Metrosalpingography.
• Tomography.
• Laparoscopy.

Ultrasound examination conducted by a vaginal sensor makes it possible to diagnose pathology in 90% of cases. Echo-signs of endometriosis will include foci of increased acoustic density in the myometrium, not surrounded by a capsule, an increase in the size of the uterus in the anteroposterior plane. The focal process is characterized by the formation of cystic cavities with liquid contents and small impurities. Hysteroscopically, the disease is verified by small bluish foci and passages from which blood flows. The mucous membrane will have uneven contours.

Treatment

Therapeutic correction for endometriosis affecting the body of the uterus should be comprehensive. For each patient, the doctor draws up an individual program, which takes into account the age factor, the prevalence of pathology, the presence of concomitant conditions and the desire to maintain reproductive function. Based on this, conservative and surgical measures are used.

Conservative therapy

The use of conservative methods is based on the suppression of the further growth of endometriotic lesions, the restoration of regulatory balance and immunological processes in the body, and the elimination of symptoms of the disease. For this, drugs are used. And the main group of medicines are hormonal drugs:

• Progestins and gestagens (Primalut, Dufaston, Gestrinon).
• Estrogen-gestagens (Janine, Marvelon).
• Antiestrogens (Tamoxen, Nolvadex).
• Gonadotropin inhibitors (Danoval).
• Gonadotropin-releasing factor agonists (Zoladex, Buserelin).

Which of the drugs to use in a particular case, the doctor will tell. He also sets the dosage and course of administration. In addition to these drugs, the complex of drug treatment includes nonsteroidal anti-inflammatory, immunotropic and sedatives.

The basis of drug therapy for endometriosis is hormonal drugs. They allow you to reduce the size of the foci and suppress their development.

Operational correction

Indications for surgical treatment are combinations of the disease with endometrial hyperplasia or fibromyoma, nodular and common forms of pathology, ineffectiveness of hormone therapy for 3 months, or the woman has contraindications to it. In order to eliminate endometrioid foci, organ-preserving or radical interventions can be used. The first consists in resection or cryoablation of the mucous layer of the uterus. To dissect adhesions in the pelvis, laparoscopy is also performed. But these methods will become effective only with superficial and small foci. If they are located diffusely and deeply, then the only remedy will be the removal of the uterus (hysterectomy).

When endometriosis affects the uterus, it creates serious problems, Related menstrual disorders and inability to get pregnant. But with early detection of the disease and its full treatment, surgical intervention can be avoided and the reproductive ability of a woman can be successfully restored.