Home / Treatment / Endometriosis of the uterus – what is it and how to treat?

Endometriosis of the uterus – what is it and how to treat?

Endometriosis of the uterus: what is plain language?

Problem endometriosis uterus is very relevant to modern medicine. This is because the frequency of the disease increases from year to year. According to statistics from endometriosis suffers from 5 to 10% of young women all over the world. Among women with a diagnosis of "infertility" endometriosis is much more common in 20-30% of cases.

Endometriosis is abnormal growth of glandular tissue of the uterus, which has a benign nature. The newly formed cells are similar in structure and function to the cells of the endometrium of the uterus, but can exist outside it. Emerging growth (heterotopia) constantly undergo cyclic changes similar to the changes that occur each month with the endometrium in the uterus. They have the ability to infiltrate into adjacent healthy tissue and adhesions to form in there. Endometriosis is often accompanied by other diseases of hormonal etiology, for example, uterine fibroids, GGE, etc.

Endometriosis is a gynecological disease, accompanied by the formation of benign nodes, which have similar structure with the inner lining of the uterus. These nodes may be located in the uterus and outside the body. The particles of the endometrium each month rejected the inner wall of the uterus during menstrual bleeding, can come out completely. Under certain conditions, some of them stay in the fallopian tubes and other organs and begin to grow, which leads to endometriosis. The disease largely affects women who experience frequent stress.

During endometriosis the endometrium grows in places where it normal to not be. Moreover, cells outside the uterus continue to function as well as in its cavity, that is, to increase during menstruation. Often endometriosis affects the ovaries, fallopian tubes, the retaining ligaments of the uterus, bladder. But sometimes the endometriosis is detected in the lungs and on the mucous membranes of the nasal cavity.

The content of the article:


The reasons for the development of endometriosis

Endometriosis can be called the disease etiology is unclear. Up to the present time, doctors were unable to find exact root cause. At this point there are only scientific theories, but none of them is proven. Suggest that risk factors for the development of endometriosis are frequent infections, the migrated in childhood, hormonal imbalance in the body, inflammation of the ovaries. As has been said, the moon often acts as endometriosis uterine fibroids.

The theory of retrograde menstruation to date, found the greatest response among the specialists who study the problems of endometriosis. It boils down to the fact that during menstruation the particles of the mucous membrane of the uterus with the flow of blood into the peritoneal cavity and in the fallopian tubes, settle there and begin to function. While from the uterus, the menstrual blood through the vagina opens to the external environment, the blood that emit particles of the endometrium, has taken root in other bodies, finds no way out. In the end, in the field of endometriosis each month occur microchromosome which entail inflammation.

Theories that illuminate the causes of endometriosis are the following:

  • Implantation theory. It boils down to the fact that the particles of the endometrium implanted in the tissue of getting there with menstrual blood.
  • Metaplasticity theory. It boils down to is that endometrial cells are not themselves survive in unusual areas, but only stimulate the tissue to pathological changes (metaplasia).

However, to date there is no answer to the main question: why endometriosis develops in only somewomen, but not all of the fairer sex. Because retrograde menstruation is observed in each of them.

Scientists believe that endometriosis develops only in women, in the presence of the following risk factors:

  • In the presence of immune disorders in the body.
  • In the presence of a genetic predisposition to develop the disease.
  • At a certain structure of the appendages, leading to leakage into the peritoneum is too much blood during menstruation.
  • Against the backdrop of high level of estrogen in the blood.
  • At the age from 30 to 45 years.
  • Excessive consumption of alcohol, beverages containing caffeine.
  • The use of certain drugs.
  • Amid the disorders of the metabolic processes leading to obesity.
  • When shortening of the menstrual cycle.

When the immune system is working normally, it tracks and destroys all the abnormal division of cells in the body. Tissue fragments that enter the peritoneal cavity with menstrual blood, are also subject to destruction by the immune system. They destroy lymphocytes and macrophages. When the immune system fails, the smallest particles of the endometrium are retained in the abdominal cavity and begin to prejustice. Thus developing endometriosis.

Surgery on the uterus increase the risk of developing the disease. This may also include curettage, abortion, cauterization of cervical erosion, etc.

With regard to hereditary predisposition to endometriosis, the science known, when one family from the disease suffered all females from my grandmother and ending with her granddaughter.

Despite the fact that theories of the development of endometriosis, there are many, none of them allows 100% explain why the disease still manifests. However, it is scientifically proven is the fact that the risk of endometriosis is increased in women who have gone through abortion. Abortion is stressful for the body, which affects all systems, without exception, and nervous, and hormonal, and sexual.

Overall, the endometriosis affected women who often experience emotional overload (stress, nervous shock, depression). On their background the immune system fails, allowing the endometrial cells easier to grow in other organs and tissues. As shown in gynecological practice, with a diagnosis of endometriosis often face the women whose professional activity is connected with increased nervous tension.

Another risk factor for the development of the diseaseit is living in adverse environmental conditions. Scientists have found that one of the most dangerous substances present in the air is dioxin. It emit significant quantities of industrial enterprise. Proven that women are constantly breathing air with a high content of dioxin are more likely to suffer from endometriosis even at a young age.

To lower the risk of endometriosis is capable following endogenous and exogenous factors:

  • Insertion of intrauterine device.
  • The administration of hormonal contraceptives.
  • Smoking.

Symptoms of endometriosis in women

The symptoms of endometriosis do not give a clear clinical picture. Therefore, until that moment, until the woman held a quality diagnostic examination, she might not know about their disease. Often even the inspection on the gynecological chair with the use of mirrors does not allow to set the diagnosis. Therefore it is necessary to carefully treat the symptoms of endometriosis. Moreover, every woman that suffers from this disease, there is always a combination of the following four characteristics.

The inability to conceive a child. About infertility should speak in the case when the woman is unable to become pregnant through regular sexual activity. Endometriosis prevents the egg was fertilized by sperm or retain its viability. Pathological growth of endometrial cells leads to hormonal disruptions, does not produce hormones necessary for normal pregnancy.

Endometriosis when adhesions grow in the appendages, in the region of the cervix, this will lead to the fusion of the bodies and of the walls between them. In the end, formed by the obstruction of the fallopian tubes, which is the main cause of infertility in women on a background of endometriosis.

Chronic disease negatively affects the immune system. Therefore, even when pregnancy occurs, the woman can't stand it. In the end, it is either aborted, or the fetus dies. And it happens in 65% of cases.

Pain. The nature of pain in women suffering from endometriosis is different. Pain may be pulling stupid, to attend on a regular basis. Sometimes they aresharp and cutting, and occur in the abdomen only occasionally.

Typically, pain on the background of endometriosis is not so pronounced that a woman consulted a doctor because of their appearance. In most cases, they are considered symptoms of PMS, or the result of physical activity.

It is therefore important to pay attention to chronic pain which regularly occur during sexual contact, during the next menstruation and when lifting weights.

To get rid of pain on the background of chronic endometriosis very easy taking the analgesic drug. That is why most women just do not pay attention to them. However, we must be concerned with the appearance of regular painful sensations of varying intensity. As a rule, after the action of pain medication ends pain returned.

Bleeding. The appearance of the bloody discharge after intercourse is one of the signs of endometriosis, regardless of the location of the nodes. When adhesions have formed in the urinary tract or in the intestines, a drop of blood will be present in the feces or in the urine.

Usually the blood appears few days before the next menstrual cycle. Its secretion is accompanied by the appearance of pain. After 1-3 days, the blood ceases to appear, and after 1-2 days the woman begins the next menstruation.

During menstrual bleeding from the vagina is allocated blood clots. They, in their appearance resemble pieces of raw liver. So if a woman watches this kind of selection she has other signs of endometriosis, you should report your problem to the doctor.

Disorders of the menstrual cycle. Cycle with endometriosis is almost always irregular. Woman should alert the following:

  • The cycle is constantly changing.
  • Menstruation may be absent for several months.
  • Menses are prolonged and accompanied by profuse bleeding.

When such failures delay the visit to the doctor should not be. Otherwise, the woman risks to acquire serious health problems. If you do not treat endometriosis, it can cause the formation of benign tumors, infertility and inflammation of internal organs.

The symptoms of different forms of endometriosis

Symptom

Endometriosis internal

Endometriosis of the vagina and cervix

Ovarian cyst

Pain and the appearance of blood before the next menstruation

+

-

+

Disruptions in the menstrual cycle

+

+

+

The appearance of the bloody discharge during or after intercourse

+

+

+

Menstruation lasts more than a week

+

-

-

The stomach ache during menstruation and after intimacy.

+

+

-

Pregnancy does not occur after a year of regular sexual intercourse without contraceptive methods

+

+

+

Signs of endometriosis in older women

Endometriosis develops not only in young but also in older women over the age of 50 years. Moreover, after menopause the risk of disease increases due to deficiency in the body progesterone.

To provoke the development of endometriosis in the elderly can the following factors:

  • Obesity;

  • Diabetes;

  • Thyroid disease;
  • Common infectious diseases suffered by the woman for the rest of life;
  • Multiple surgical intervention, and the place of their localization does not matter.

On endometriosis in women older than 50 years may indicate symptoms such as:

  • Nausea;
  • Headache;

  • Dizziness;

  • Sometimes vomiting occurs;
  • Irritability, tearfulness, aggressiveness.

Concerned pain women rarely.

If the endometriosis of the uterus develops during menopause, a woman will disturb the blood spotting asabundant and small.

Signs of internal endometriosis

Internal endometriosis will specify the following symptoms:

  • Soreness of the affected area during palpation.
  • Sharp pain during menstrual bleeding, which are localized in the lower abdomen.
  • Increased pain during intimacy, after lifting heavy weights.

Ultrasound diagnostician to visualize on the screen the characteristic nodes located on the wall of the uterus.

The picture of blood is characterized by anemia, which is due to regular bleeding.

The symptoms of the disease after a cesarean section

Endometriosis develops in women who underwent caesarean section in 20% of cases. Cells begin to grow in the scar and in the area of the seam.

The disease will specify the following symptoms:

  • The appearance of bloody discharge from the seam;
  • Slow the overgrowth of the scar;
  • Itching in the region of the seam;
  • The appearance of the knobby growths under the seam;
  • Dragging pain in the abdomen.

If a woman finds herself similar symptoms, she should contact a gynecologist and get tested. In some cases, require hospital treatment.


Endometriosis, dysmenorrhea and uterine fibroids – what's the difference?

Endometriosis, dysmenorrhea and uterine fibroids is the different diseases.

Endometritis is inflammation of the inner layer of the uterus, which develops due to penetration into its cavity pathogens. Endometritis caused by viruses, bacteria, fungi, parasites. Endometritis does not strike other bodies, but only the uterus. The disease begins acutely, accompanied by rise in body temperature, pain in lower abdomen, discharge from the genital tract. Chronic endometritis is reminiscent of the endometriosis symptoms.

Uterine fibroids – a benign tumor of smooth muscle and connective layer of the uterus. Myoma develops on the background of hormonal disorders. Fibroids not affects other organs except the uterus.


Endometriosis and adenomyosis – the same thing?

Adenomyosis is a type of endometriosis. When adenomiose the endometrium grows inside the muscular tissue of the uterus. This disease affects women of reproductive age and after menopause shall.Adenomyosis can be called internal endometriosis. It is possible that these two diseases will be combined with each other.


What is the danger of endometriosis of the uterus?

Endometriosis of the uterus dangerous for its complications, including:

  • The formation of ovarian cysts, which will be filled with menstrual blood.
  • Infertility, miscarriage (missed abortion, miscarriage).
  • Neurologic abnormalities because of compression of nerve trunks overgrown endometrium.
  • Anemiawhich causes weakness, irritability, fatigue and other negative symptoms.

  • Endometriotic lesions can degenerate into malignancy. Although this is no more than 3% of cases, however, such a risk exists.

In addition, a chronic pain syndrome that haunts a woman affects her health and affects the quality of life. Therefore, endometriosis is a disease that is subject to compulsory treatment.


Can hurt the stomach with endometriosis?

Abdomen with endometriosis may be sick. Sometimes painful feelings are quite intense. As mentioned above, pain after sexual intercourse, during intimacy, after exercise, when lifting weights.

Pelvic pain occurs in 16-24% of all women. She may have spilled in nature, and can have a clear localization. Often, the pain intensified before the next menstrual period, but may also be present on a permanent basis.

Almost 60% of women with endometriosis report that their concerned about painful menstruation. Pain has a maximum intensity in the first 3 days from the beginning of the month.


Diagnosis of endometriosis

Diagnosis of endometriosis begins with a visit to the doctor. Doctor listens to patient's complaints and collecting history. Then a woman visiting on the gynecological chair. During the examination, may reveal enlarged uterus, and it will be larger, the closer the next menstruation. The uterus is spherical in shape. If you have already formed adhesions of the uterus, its mobility will be limited. Possible detection of individual nodules, while the walls of the uterus will have a bumpy and uneven surface.

To clarify the diagnosis may require the following tests:

  1. Ultrasound examination of the pelvic organs. For endometriosis is indicated by the following signs:

    • Anechoic education to 6 mm in diameter;
    • The presence of zones of increased echogenicity;
    • Uterine enlargement in size;
    • The presence of cavities with liquid;
    • The presence of nodes that have blurred shape oval (for nodular form of the disease) that diameter reach 6 mm;
    • The presence of saccular formations to 15 mm in diameter, if the disease has patchy form.
  2. Hysteroscopy of the uterus. For endometriosis is indicated by the following signs:

    • The presence of holes in the form of dark red dots that stand out against the pale mucosa of the uterus;
    • The extended cavity of the uterus;
    • The basal layer of the uterus has a relief contour resembling a toothed comb.
  3. Metrosalpingografiya. Study should be carried out immediately after the end of next month. Signs of endometriosis:

    • The increased size of the uterus;
    • The location of the contrast medium beyond.
  4. MRI. This study is informative to 90%. But because of its high cost, MRI is rarely carried out.

  5. Colposcopy. The doctor examines the cervix using a binocular microscope and lighting device.

  6. Identification of markers for endometriosis in blood. Indirect signs of the disease is the increase of SF-125 and PP-12. It is necessary to take into account that the jump of the protein-125 is observed not only on the background of endometriosis, but also in the presence of malignancies of the ovaries, the uterine fibroids, inflammation, and also in the early stages of pregnancy. If a woman has endometriosis, CA-125 will have it increased during menstruation and during the second phase of the cycle.

Treatment of endometriosis: what and how treated?

Only a comprehensive treatment of endometriosiswill allow you to achieve a positive effect.

With timely detection of the disease, have all chances to get rid of it without involving the treating surgeon. In that case, when a woman ignores the symptoms of the disease and not visiting the gynecologist, it will lead to the fact that each month her body will be new foci of endometriosis, will begin to form a cystic cavity is scar tissue, to form adhesions. All this will lead to blockage of the appendages and infertility.

Modern medicine considers some of the ways of treating endometriosis:

  • Operation. To surgery, doctors try to use very rarely when treatment with medications does not give a positive result. The fact that after the operation the chance to conceive in women is low. Although recent advances in medicine and the introduction in surgical practice of laparoscopes allow intervention with minimal trauma to the body. Therefore, the probability of subsequent conception still remains.
  • Drug correction. Medication in the treatment of endometriosis is one of the most effective methods of treatment. The woman is prescribed the hormones, which contribute to normal functioning of the ovaries and prevent the formation of foci of endometriosis.

Drugs used for the treatment of diseases have similar composition with oral hormonal contraceptives from the group Decapeptyl and Danazol. Treatment the woman will be very long, as a rule, it is limited to a few months.

To reduce the severity of pain, the patient is prescribed pain-relieving medications.

Until the early 80-ies of the last century for the treatment of endometriosis used birth control medicines, which acted as an alternative to surgery. They are appointed for a term of six months to a year 1 tablet a day. Then the dose was increased to 2 tablets, thus avoiding the development of bleeding. After such medical correction the probability to conceive a child was 40-50%.

Antiprogestin (Danazol and its analogues)

The danazol is one of the most effective drugs for the treatment of endometriosis. Its action is directed to the suppression of the production of gonadotropins, which causes cessation of the menstrual cycle. After medication, menstruation resumed. At the time of treatment, the ovaries do not produce estradiol, which leads to the extinction of foci of endometriosis.

Antiprogestinhave a number of disadvantages as it causes side effects in 85% of women who take them.

Among such undesirable phenomena:

  • Weight gain;
  • The reduction in size of the mammary glands;
  • Swelling;

  • Tendency to depression;

  • Excessive hair growth on the face and body.

Side effects of Danazol are due to its androgenic effect and impaired glucose tolerance.

Antiprogestin Mifepristone does not have sufficient experience of clinical use to judge its effectiveness.

Agonists of GnRH

GnRH agonists suppress the hypothalamic-pituitary system, which leads to a reduction in the production of gonadotropins, and then influences the secretion of the ovaries. As a result, endometriotic lesions die.

Side effects of treatment with agonists Gnrb are:

  • Violation of bone metabolism with possible bone resorption;
  • Protracted menopause, which may persist even after discontinuation of the drugs of this group that demands the prescription of hormone replacement therapy.

Preparations of group of agonists of GnRH are used in the treatment of endometriosis for over 20 years. They have an impact on the course of the menstrual cycle. The effect of all drugs in this group is similar, however, they have different release form. There are injections that need to be administered 1 time per 3 months, there are injections which require a monthly administration, and there are injections that must be entered each day. In addition, agonists of GnRH are produced in the form of nasal sprays.

Bleeding in women suffering from endometriosis on the background of treatment with agonists of GnRH ends in about 2 months from start of therapy. You may experience vaginal bleeding after 3-5 days after the first dose of the drug. Such bleeding continues over a maximum of 2 weeks or less.

It is possible that in the first 14 days of starting treatment the woman will be deterioration. However, after 1-2 months all the symptoms of endometriosis to shrink or disappear altogether. The reason for the deterioration is the fact that the body ceases to produce hormones. The level of estrogen increases, but only until the until the stabilising effect of the drugs.

As for the recovery period after discontinuation of GnRH agonists, already after 4-6 weekswomen resumed menstrual cycle (for drugs Borsalino and Nafarelin in the form of a nasal spray), or after 6-10 weeks (for drugs Hotelerina, Triptorelin and Leuprorelin in the form of injections)

Combined oral contraceptives (COCs)

In 1950, scientists were able to establish the fact that oral estrogens and progestogen in large doses, promotes the cessation of menstruation and prevents metamorphosis of the endometrium. After 6 years R. Kistner came to the conclusion that these hormones can be used for the treatment of endometriosis. However, he appointed women too large by modern standards, doses of drugs that caused pronounced adverse effects on the background of long-term of their admission. In addition, women could not in the future to completely get rid of an androgenic effect of hormone treatment (in the day they took 40 mg was Norethynodrel and 0.6 mg of ethinyl estradiol).

After the practice was introduced of new progestins, and dosage of drugs was reduced, the effect of treatment of the COC has increased. Side effects if occur, they are reversible. Therefore, combined oral contraceptives have become the drugs of choice to treat young women suffering from endometriosis.

Later there were further studies which have established that side effects after taking KOK manifested in those 7 days, during which the woman is menstruating, and she's not taking drugs. It was therefore decided to use for the treatment of endometriosis extended regimen oral contraceptives. At this point in time, prolonged use of COC is prescribed to women with endometriosis as maintenance therapy after treatment with GnRH agonists. KOK used in low doses (20 micrograms of ethinyl estradiol). Doctors recommend this treatment to women who are planning to conceive a child, but need long-term treatment of endometriosis. The same therapy program prescribed to patients with chronic pain in the pelvic area, which can occur after surgery for endometriosis.

Patients who take combined contraceptives according to the classical scheme (21 day admission, 7 day interval), then they have some problems with menstruation. While prolonged use of COC (63 days and 7 days break) from these problems allows you to get rid of. Complaints and negative symptoms lost 74% of the women that has been proven in numerous clinical studies.

If used for treatment of endometriosis only progestin for a long time andhigh doses, it will cause massive and prolonged bleedings. Another complication of this therapy scheme is the occurrence of metabolic disorders. In this regard, the administration of progestins for getting rid of endometriosis is not appropriate.

Modern progestogen – drugs are much better compared to COC last century. So, from a progestogen Dienoguest was synthesized as modern and effective drug for the treatment of endometriosis as Janine.

Dienoguest is the first progestogen, which, in combination with ethinyl estradiol, possess powerful gestagenic properties, allows for good control of the menstrual cycle does not cause intermenstrual breakthrough bleeding. In its structure it is close to 19-nortestosterone which makes it bio-availability is high and enables the drug to influence the lipid metabolism. Dienoguest also has the properties similar to progesterone derivatives, which are reduced to insignificant antigonadotropnym effect and a marked peripheral action, which is manifested in the lack of androgenic activity, but in the pronounced antiandrogenic effect.

Clinical researches have allowed to establish that Dienoguest eliminates symptoms of endometriosis, but does not render almost any influence on metabolic processes, inhibiting the production of estradiol by the ovaries. Moreover, in comparison with other drugs, to get rid of endometriosis Dienogest requires a very small dose.

Numerous clinical studies Dienogest has allowed to establish that this drug is the most promising in the treatment of endometriosis in young women (in comparison with other analogues of GnRH).

Studies that were carried out in 1999 with the participation of 267 patients suffering from endometriosis, has allowed to establish that the safety and tolerance Dienogest higher compared with Danazol and GnRH agonists, and the efficacy is practically identical. After six months of treatment with Danazol, the women were directed to the endoscopy, the results of which they were completely cured. Recurrences in the subsequent six months happened only in 7.7% of patients. As for side effects, in 10.5% of cases showed headaches, nausea and depression. In parallel, the overwhelming majority of women said that the condition of their skin became much better. Weight patients has not changed, there were no surges in blood pressure, violations of liver function.

In further studies it was found that Dienoguestpromotes regression of endometriosis.

The composition of the drug Jeanine contents Dienogest is equal to 2mg and ethinyl estradiol 30 mcg. Treatment Janina rarely leads to "breakthrough" bleeding, but amenorrhea and hypomenorrhea develop on the background of taking it more often. It was a large-scale study involving 11 thousand women who took Janine for six months. 73% of them significantly improved the condition of the skin, acne disappeared. In addition, it is proved that Janine does not interfere with lipid metabolism, no effect on hemostasis.

Modern gynecology reviewing the dosing of the COC. Increasingly shorten the interval between cycles with the pill that minimizes side effects. Physicians practice long contraceptive schemes, which consist of 60-80 days (of course, the treatment of endometriosis). Now with 100% certainty we can say that Jeanine is the drug effective for the treatment of endometriosis when it is prolonged admission. The interval between cycles should not exceed 4 days (the current standard treatment), and duration of treatment is determined individually.

Studies have been conducted, during which use of the drug Jeanine treated 59 women with adenomyosis (29 of them before the course had an operation about the removal of the endometriosis adhesions).

The course of treatment lasted for 63 days, with an interval of 7 days. The results of this treatment:

  • The elimination of dysmenorrhea, reduction of menstrual blood loss, reduce pain;

  • Great tolerability by the patients of both groups;
  • Reduction of adenomyosis and endometriosis lesions (ultrasound data);
  • The efficacy of treatment in women without surgery: 94,6, in women after surgery: 89,7.

Side effects that noted women are spotting that contains blood. They were observed during the first 3 months of receiving Jannina. However, no patient refused to take the drug for that reason.

Also conducted a large-scale survey of gynecologists about their relationships and personal experiences of the prolonged use of a cook. Questionnaires filled 365 of doctors and 58% of them said that practiced such treatment of endometriosis, and it was very successful.

So, Janine, you can assign women in the following cases:

  • As an independent method of treatment of endometriosis without surgical intervention.
  • As preparation of the patient prior to the upcoming surgery for removal of endometriosis.
  • To excluderecurrence of the disease after surgery.

As for the possibility of prolonged treatment, then the issue should be decided on an individual basis taking into account all the nuances.

Endometriosis can be treated different groups of drugs, but COC are the drugs of choice. There are also prospects for the treatment of endometriosis with synthetic progestins in combination with agonists of gonadotropin. For this reason modern scientists conduct studies that allow to judge about the upcoming success.

The main with endometriosis

The Vitrum is an analogue of the natural progestin, which allows you to adjust a variety of diseases in women that are caused by progestin-only failure.

Welcome Vitrum makes up for a lack of progestin, as well as to facilitate the course of various pathologies of the reproductive organs. The antiseptic can be safely attributed to the drugs of the last generation, as part of it dydrogesterone not produce the adverse reactions that can result from receiving androgenic progesterones.

The antiseptic is prescribed for the treatment of endometriosis, with the threat of miscarriage, in dysmenorrhea, in the background of the ICP, with the inability to conceive (infertility) etc.

Welcome Vitrum allows you to balance the effect of estrogen on the body, and hence, to suppress the endometriosis and reverse the development of existing lesions. The antiseptic can be assigned in the complex therapy with laparoscopy.

Despite the positive effects from the use of Antiseptic, it has a number of contraindications, including:

  • Syndrome Dabina-Johnson.
  • Individual intolerance to the components of the medicine.
  • The Syndrome Of The Rotor.
  • Lactation.

  • Diabetes.

  • Cardiovascular disease.
  • Epilepsy.

  • Migraine.

  • Kidney pathology.

Other drugs

In the treatment of endometriosis also used tools such as:

Surgical treatment of endometriosis

Surgical treatment of endometriosis guarantees the destruction of its foci, but not allows you to exclude disease recurrence. Often, women with this disorder have to undergo several interventions. The risk of relapse varies between 15-45%, largely depends on the extent of the spread of endometriosis throughout the body, as well as the place of localization of pathological process. Affects the possibility of a relapse how radical was the first intervention.

Laparoscopy is the gold standard of modern surgery in terms of treatment. With the help of introduced into the abdominal cavity laparoscopy manages to remove even the minimal pathological lesions, to remove cysts and adhesions, to remove the uterus, dissect the neural pathways causing persistent pain. It is worth noting that the cysts that were caused by the endometriosis, remove a must. Otherwise the risk of relapse remains high.

Self-treatment of endometriosis is unacceptable. Therapeutic strategy should be determined by the doctor.

If the endometriosis is severe, it is necessary to remove the affected organ. It is also possible through the use of the laparoscope.

Doctors consider a woman cured of endometriosis, if she is not bothered by pain and it wasn't a recurrence after 5 years after the therapy.

If endometriosis is diagnosed in women of childbearing age, the doctors are out to preserve her reproductive function. It should be noted that the level of modern surgery is quite high and allows women 20-36 years in 60% of cases to carry and give birth to a healthy baby.

The use of endoscopes during the surgical intervention allows to remove even the smallest foci of endometriosis. Further treatment makes it possible to avoid the relapse of the disease. If endometriosis leads to infertility, endoscopic treatment is almost the only woman's chance for successful maternity.

Endometriosis – a disease dangerous for its complications. Therefore, it is important to diagnose and treat it. A comprehensive use of all modern technologies of surgical intervention: a combination of cryocoagulation, laser removal, electrocautery gives the opportunity to carry out the operation with maximum chances of success.

The most effective way to treat endometriosis is considered to be conducting an exploratory lap (of course, wheninsolvency conservative treatment) with subsequent hormonal therapy. Application GTRG after surgery increases its effectiveness by 50%.


What kind of doctor treats endometriosis?

Treatment of endometriosis does obstetrician-gynecologist.