Monday, March 10, 2008

Endometriosis Symptoms and signs

Endometriosis Symptoms and signs of a, infertility : About 50% of endometriosis patients with infertility, in patients with unexplained infertility, about 30-40% of patients with endometriosis. Endometriosis suffer from infertility, the disease often caused by pelvic mass, adhesion, Tubal plugged follicle development is not good enough, or ovulation disorders factors; Once the pregnancy was ectopic endometrial be restrained and shrinking domestic endometriosis play a very good treatment, habitual abortion cases are part of endometriosis caused. 2, dysmenorrhea : endometriosis of the clinical features of progressive dysmenorrhea, is a common and prominent feature, for the secondary, that is, since the outbreak of endometriosis, telling patients the past when there is no menstrual pain. From a certain period began dysmenorrhea, can occur before menstruation, when menstruation and after menstruation. Some heavier severe dysmenorrhea, bed rest or pain medication, or even hurt "Rolling kang," or bumping their head With pain often heavier menstrual cycle, the end of menstruation and disappear, but the domestic reports that about 21% without dysmenorrhea. 3, cyclical rectal symptoms : aggravated sexual cyclical rectal symptoms rare in other gynecological diseases, Diagnosis of the disease is the most valuable with Hou. Rectum, anus, genitals clays, crash pain, radiotherapy flu and the increased frequency of stool. When the disease gradually worsened, the symptoms become more and more obvious, and the symptoms disappeared after. 4, menstrual disorders : endometriosis often shortened menstrual cycle, or an increase in the volume of such extended periods, Note patients with ovarian dysfunction performance. Menoxenia for diagnostic reference, but in the differential diagnosis not. 5, painful intercourse : the presence in the vaginal fornix endometriosis nodules, nodules or rectum Depression adhesion, or ovarian adhesions in pelvic floor, may have sexual intercourse pain. After Mr broad ligament lesions fibrosis and contraction obviously, can exogenous oppression ureter, it obstruction, may exist in urinary symptoms can occur serious hydroureteronepherosis or hydronephrosis. 6, cyclical bladder symptoms : When endometriosis peritoneal lesions involving the bladder or violations of the anti-fold bladder muscle, will be simultaneously menstrual urgent urination, urinary 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 endometrial ovarian cyst, broke through the characteristics, Most patients with ovarian cyst or ectopic pregnancy and reverse the emergency operation. If surgery is improving, pelvic adhesions increase, it will repeatedly broken acute abdomen. 8, cyclical lower abdominal discomfort : the emergence of the symptoms of dysmenorrhea higher rate without Dysmenorrhea endometriosis often exist in the symptoms. Seen in patients with mild or some serious disease because although the pain threshold of personality differences or for other reasons, do not have symptoms of dysmenorrhea and menstrual only lumbar acid, the lower abdomen bulge discomfort. 9, abdominal scar and the umbilical Endometriosis occurs cyclical local mass and pain. 10, and inner - endometriosis patients with uterine swell often, but rarely more than three months of pregnancy. As for the post-womb, adhesions often fixed. 11, in Waterloo rectum uterus, uterine cervix sacral ligament or posterior wall can often touch on one or two or more hard nodules, If soy bean or size, are more obvious tenderness, DRE more clearly, this is very important. Ovarian cysts can grow to big punches, cyst contents often spills and ectopic endometrial bleeding, pelvic organ increase adhesion pelvic into frozen form that is the so-called extensive endometriosis. Disease severity also signs vary widely. 12, B-acoustic image map : B-imaging diagnosis is endometriosis an effective way mainly used for the observation of ovarian endometriotic cyst, sounds like the map features : (a) cystic mass. clear or unclear border. If cysts around heavy adhesion, defined border; If cysts or uterine adhesions around the small, clear boundary. Cyst mostly middle-size, the particles can be seen within the cyst small echo of allantoic fluid viscosity performance. Sometimes because of old blood clots concentrators, and it has a higher concentration of coarse-point images were mass-mixed. (2) Uterine mass at the posterior often, we can see uterine cysts associated disease. (3) cyst spontaneously rupture, the audio-visual icon Depression, cyst-narrow. (4) Laparoscopy : Laparoscopy is the diagnosis of endometriosis new standards, directly through laparoscopic pelvic spy saw ectopic lesions can be diagnosed and can be conducted clinical stage, to determine the treatment program.

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