Endometriosis is an abnormal condition and a common gynecological disease that has a serious impact on patients after illness, requiring immediate detection and early treatment.
Symptoms of endometriosis
1. Infertility: About 50% of patients with endometriosis are accompanied by infertility, and about 30-40% of patients with unexplained infertility suffer from endometriosis. Endometriosis is a condition of infertility, often caused by pelvic lumps, adhesions, blocked fallopian tubes, underdeveloped follicles, or ovulation disorders. After pregnancy, the ectopic endometrium is suppressed and atrophied, and good treatment is provided for endometriosis. Among cases of habitual miscarriage, endometriosis is a part of the condition.
2. Physiological pain: The clinical feature of endometriosis is progressive physiological pain, which is a common and prominent feature. It is mostly secondary, that is, starting from the occurrence of endometriosis, patients complain of no pain during past menstrual cycles. From a certain period, physiological pain may be severe, requiring bed rest or medication to relieve pain, and even causing pain such as rolling or hitting the head. The pain often disappears with the deterioration of the menstrual cycle, but about 21% of cases reported in China have no dysmenorrhea.
3. Recurrent rectal stimulation symptoms: Recurrent rectal stimulation symptoms with sexual deterioration are rare compared to other gynecological diseases and are the most valuable symptom for diagnosing this disease. The rectum, anus, and external genitalia experience swelling, pain, internal urgency, and increased frequency of bowel movements. As the lesion gradually worsens, the symptoms become more pronounced, and later disappear.
4. Irregular menstruation: The phenomenon of shortened menstrual cycle, increased menstrual volume, or prolonged menstruation in patients with endometriosis indicates ovarian dysfunction. Irregular menstruation can be used as a diagnostic reference, but it is not worth it in the identification and diagnosis.
5. Sexual intercourse pain: sexual intercourse pain may occur when ectopic endometrial nodules, rectal hollow nodules or adhesions at the top of the vaginal fornix or ovarian adhesions at the pelvic floor. When the fibrosis, proliferation and contraction of the lesions in the posterior lobe of the broad ligament are obvious, exogenous compression of the ureter, stenosis and blockage, urinary system symptoms may also occur, and hydroureter and hydronephrosis may occur seriously.
6. Periodic bladder irritation symptoms: When endometriosis involves folds of the bladder peritoneum or invasion of the bladder muscle layer, symptoms such as urgency and frequency of urination during menstruation occur simultaneously. The lesion invades the bladder mucosa (bladder endometriosis) with periodic hematuria and pain.