Endometriosis Symptoms and signs

1, infertility: About 50 percent of patients with endometriosis infertility, In patients with unexplained infertility, about 30-40 per cent with endometriosis. Endometriosis suffering from infertility, often causing pelvic mass lesions, adhesion, tubal blockage bad or follicular development ovulation disorders factors; Once pregnancy was ectopic endometrial atrophy was inhibited while, played endometriosis very good treatment, habitual abortion cases, partly caused by endometriosis. 2, dysmenorrhea: endometriosis for the clinical features of progressive dysmenorrhea, is a common and prominent feature of most secondary that occurred since the beginning of endometriosis patients complain that the past when there was no pain of menstrual cramps, and from a certain period began to dysmenorrhea, can occur in the menstrual before menstruation, and after menstruation. Some dysmenorrhea heavier just unbearable. Need bed rest or pain medication, even painful, "Roller kang," or the first hit, the pain often heavier with the menstrual cycle, the end of menstruation and disappear, but the domestic reports that 21 percent of about without Dysmenorrhea . 3, cyclical rectum stimulate the symptoms: the cyclical aggravated sexual stimulation rectum to other gynecological symptoms of a rare disease, the diagnosis of this disease is the most valuable of Hou. The rectum, anus, external genitalia, sinkers pain,flu and the increased frequency of stool. When the lesions gradually worsened, the symptoms become increasingly obvious, and the symptoms disappeared after. 4, Irregular Menstruation: endometriosis patients often shortened menstrual cycle, or the number of phenomena such as menstrual extend that patients have ovarian dysfunction performance. Irregular Menstruation can be used for diagnostic reference, but in the differential diagnosis of no value. 5, sexual intercourse pain: When present in the vagina ectopic endometrial nodules, nodules or rectum Depression adhesion or ovarian adhesions in the pelvic floor, may have sexual intercourse pain. Broad ligament posterior lobe lesions fibrosis hyperplasia and contraction obviously, we can exogenous oppression ureter to narrow obstruction, may exist in the urinary system symptoms, and in serious cases can occur stagnant water or ureter hydronephrosis. 6, cyclical stimulate bladder symptoms: When endometriosis bladder peritoneal lesions involving violations of the anti-fold or bladder muscle, it will at the same time menstrual urgency, frequency and other symptoms. If violations of the bladder mucosa lesions (bladder endometriosis) is a cyclical hematuria and pain. 7, menstrual or pass through before and after the acute abdomen: general for ovarian endometrial cysts, rupture characteristics, because the majority of patients with ovarian cysts or ectopic pregnancy and reverse the emergency operation. If surgery should improve, pelvic adhesions increase, the future will rupture occurred repeatedly acute abdomen. 8, periodic abdominal discomfort: the emergence of the symptoms of dysmenorrhea rate higher than without dysmenorrhea endometriosis patients often exist in the symptoms. Seen in the mild patients, or some disease because although heavier pain threshold personality differences or for other reasons, do not have symptoms of dysmenorrhea and only menstrual lumbar acid, the lower abdomen discomfort. 9, umbilical abdominal scar and the Endometriosis is a cyclical local mass and pain. 10, intrinsic type endometriosis patients with uterine Swell often, but rarely more than three months of pregnancy. As for the post-womb, often adhesion fixed. 11, in Waterloo uterine rectum, uterine or cervical posterior sacral ligament can often touch on one or two or more hard nodules, such as mung bean or soybean size, there are obvious tenderness, DRE more obvious, which is important. Ovarian cysts may be long and straight, as often cyst contents spills and ectopic endometrial bleeding, pelvic organ into frozen pelvic adhesions were heavier, that is, the so-called extensive endometriosis. Disease severity of signs at the same time do not vary significantly. 12, as Figure B Ultrasound: Ultrasound imaging is the diagnosis of endometriosis effective method mainly used for the observation of ovarian endometriosis, as its acoustic characteristics of the plan are: (1) cystic mass, clear or unclear border. If the cyst around heavy adhesion, border unclear if the cyst and uterine or less surrounding tissue adhesive, clear border. Cyst mostly middle-size, small cysts within the foreseeable granular Echo is the allantoic fluid viscosity performance. Sometimes because of old blood clots arising Thickener more intensive Rough Spot Image, a mixed-mass. (2) mass often in the back of the uterus, uterine cysts that accompany disease. (3) cyst spontaneous rupture, after the Depression sound like icon, the cyst more narrow. (4) laparoscopy: Laparoscopy is the diagnosis of endometriosis new standards, can be directly peep through laparoscopic pelvic, ectopic lesion can be clearly seen diagnosis, and clinical stages can be conducted to determine treatment programs.