One of the most mysterious diseases in gynecology is endometriosis. Like all the terms in medicine word is formed of two components: the endometrium (s) and the suffix -oz. Suffix "Lake" represent a pathological process that occurs on the type of chronic, but no obvious signs of inflammation. Endometrium - is the inner layer of the uterus, part of which is torn away each month. When pregnancy occurs, no menstruation does not happen. Unless the woman is adenomyosis, in which in the initial periods may cause sukrovichnyh selections.
Fireplace menstruation beyond the anatomical localization is called endometriosis. This general process name, and when meant adenomyosis, uterus involved and no other organs.
Normally spotting containing endometrial cells are extracted from the vagina. When the focus of menstrual activity is within the uterine wall, they are not completely rejected. In addition, it regarded as adenomyosis tumor disease, prone to the growth and metastasis. Cells from the center does not have cancer activity, however, adenomyosis accompanied by severe pain.
The mechanism of development and causes of endometriosis and adenomyosis
Endometriosis is divided into genital, ie, adenomyosis, uterus where the suffering, and extra - when menstruation center is located outside the body. According to the theory of embryonic development of endometriosis, in laying of fetal genetic program crashes, causing the cells of the uterine lining are in other organs. The iris of the eye, for example. Such incidents occur in 2-3% of cases.
Most often it develops adenomyosis, uterus while increases towards the end of each menstrual cycle. The uterus is a hollow, powerful, muscular body, the width of the walls reaches 1-3 centimeters. The layers of the uterine wall:
- Slimy - the endometrium;
- Muscle - myometrium;
- Serous - is the outer shell body.
Inner layer - endometrium increases towards the middle of each cycle, the second phase is a cell maturation. During the month, they are rejected into the uterine cavity. When adenomyosis endometrial cells are inside the muscle layer. Such an arrangement is the primary cause of the disease. It deals with the fact that the cells of the inner layer of the uterus from outside the anatomical localization, continue to function. They likewise increase in size, irritating nociceptors muscles of the uterus. During bleeding the patient showed a slight adenomyosis, spotting chocolate color. So rejected endometriosis cells, located in the muscle layer of the uterus. Since endometrial tissue tends to increase, extend deep into the pockets of adenomyosis of the uterine wall that aggravates the disease.
The main reason why the developing endometriosis, a violation of women's personal hygiene. In adenomyosis, which begins in the uterus within several other reasons.
Violations of personal hygiene during monthly bleeding, leading to endometriosis:
- Swimming in open water or in the bathroom;
- Sexual life during menstruation;
- Ignoring the rules for use of a tampon.
When bathing during menstruation, regardless of the quality gaskets, when immersed in water up to his waist, due to the pressure difference, endometrial cells are absorbed into the fallopian tubes. So formed endometrial cysts, rarely, adenomyosis, if the bleeding continues after the termination of pregnancy.
When sex life just usually triggered pressure difference between the environment and the internal genitals. Thus formed tubes and peritoneal endometriosis.
Content vaginal swabs, after a six-hour use is subject to reabsorption. If the mucous membrane of the uterus, there are cracks that develop adenomyosis, in their absence - are moving to the endometrial cells of the uterus.
Causes of adenomyosis exclusively surgical:
- Operation with a view to termination of pregnancy at which inevitably damaged the muscle layer of the uterus;
- Cesarean section with the penetration of endometrial cells in the space between the seams.
After surgery to extract the fetus adenomyosis develops much less, since the cells of the inner layer of the uterus lose activity due to the physiological end of pregnancy.
Symptoms of adenomyosis
Manifestations of the disease characteristics, and confusing them with other manifestations very difficult. All the symptoms of adenomyosis have a clear link with the hormonal cycle:
- The increase in size of the uterus before menstruation and decrease thereafter;
- Increasing pain in the abdomen and lower back closer to the date of monthly bleeding;
- Selections chocolate color before and after menstruation;
- Infertility in the background anovulatory syndrome.
At first, the symptoms of adenomyosis smoothed and treated as normal premenstrual changes in the body. Then, with the progression of the intensity of pain increases and the time increases. Patients feel no pain just before menstruation, but constantly.
Treatment of adenomyosis
The disease is associated with hormonal women, so the treatment of adenomyosis is only effective with the use of hormone replacement therapy. The operation is performed only for health reasons, when endometrial tissue grows all layers of the uterus to the abdominal cavity. But even after the removal of the uterus adenomyosis treatment continues with hormones. There are several methods of hormonal correction in adenomyosis with a different focus:
- Cessation of menstrual function;
- The regulation of hormonal cycle.
Medications prescribed by the doctor obstetrician-gynecologist who selects the most appropriate, the best method of treatment.