Endometriosis Diagnosis and etiology

The disease occurs in 30 to 40-year-old woman. The chief complaint of secondary progressive severe dysmenorrhea, Should highly suspected endometriosis. Accompanied patients with infertility, menstrual pain too much and sexual intercourse. Gynecological examinations, slightly swell uterine, cervical or uterine sacral ligament posterior wall of a painful, hard nodules may consider endometriosis.
The rectum, bladder cyclical bleeding, menstrual period defecation pain, the first choice should consider rectum, bladder endometriosis and, if necessary, to do cystoscopy or rectal examination, ulcers should also take organizations do pathological examination.
There are cyclical sclerosis abdominal scar pain, abdominal hysterectomy in the history of suspension, caesarean section or post-surgery Palace, the diagnosis can be established. Suspicious cases, the drug can also be effective for the diagnosis.
Where a local mass close to the surface were cut as much as possible from organizations or liver needle from pathological examination can be diagnosed.
The etiology of the disease is very complex, there are a variety of theories, such as endometrial planting theory, body cavity metaplasia doctrine, lymphatic and venous disseminated doctrine, immunization theory, but still blood reflux, cultivation and body cavity metaplasia doctrine for the leading theories, and now with the caesarean section, abortion, abdominal surgery, genetic factors, as well as menstrual intense sports or heavy physical labor are directly related, such as people are stirring unclean circumstances, may also cause endometriosis of, if scraping relentless, scraping deep, it will be easy in the uterine muscle gland disease, myometrium inside the cells, in the myometrium form a seamless, this gap will enable endometrial get, it causes of the uterine muscle gland so many people, about 60% of the uterine muscle gland disorders are doing and curettage abortion are related, that is not a protective layer, forming a seamless, into the endometrium, the long, as it is living tissue.