Endometriosis clinical manifestations

Some patients with endometriosis can be a very typical clinical manifestations and signs, But there are also some patients and asymptomatic or very mild symptoms or atypical (such as performance for the digestive tract or urinary symptoms) or indirectly for the performance of reproductive dysfunction, because other reasons for inspection or found some other surgery patients showed a notable no obvious signs of symptoms. Even under laparoscopic not see obvious open heart lesions. Therefore, the endometriosis diagnosis must be collected in a detailed medical history, to engage in serious gynecological examinations, at the same time the necessary support can be obtained after the inspection. Pain of Endometriosis is the most common chief complaint. Performance is cyclical and after passing through during menstrual pain, often at the beginning of sustained 1-2 days, and then gradually extended and increased sexual pain, the need for analgesic treatment, can be accompanied by a cold sweat, nausea and vomiting,symptoms. The degree of pain and the size of lesions not directly related, but the site has lesions and pain related to the performance, particularly peritoneal lesions on the leaves broad ligament after a lateral abdominal pain frequently manifests itself, the Palace sacral lesions on the ligament easily arouse sexual intercourse pain , rectum uterine and retroperitoneal and pelvic rectal lesions prone to cause menstrual connected to the increased frequency of defecation, abdominal pain and diarrhea, the ovarian cysts showed multiple lesions, which contain old blood was thick and brown like chocolate liquid, usually can be performance without pain, but if a wall rupture, as a logistics can cause acute abdominal pain, signs of a peritonitis, can be heavy shock, and if less outflow repeatedly occurred around fibrosis will lead to adhesion and fixed. Endometriosis is bleeding Another common chief complaint. Adenomyosis performance for menstrual volume increased menstrual extended, and is a trend of increasing non-uterine parts of endometriosis lesions can cause abnormal bleeding, such as vesicoureteral within the lesion can cause menstrual hematuria, or arising obstructed ureter blood pelvis plot, such as stagnant water. Both are asymptomatic, it is reported that women of childbearing age to about 40% -50% of patients with infertility and endometriosis related to endometriosis lead to genital mutilation adhesion and obstruction, and abnormal ovulation pelvic micro-environment within the immune abnormalities can cause infertility, and so on, so the focus of many infertility patients to the inquiries and check for endometriosis exist.