Endometriosis Symptoms and signs
1, infertility: About 50 percent of patients with endometriosis infertility, unexplained infertility patients, about 30-40 per cent with endometriosis. Suffering from infertility, endometriosis, a pelvic disease due to mass adhesion, tubal blockage bad or follicular development, and other factors anovulatory; and ectopic pregnancy, endometriosis and atrophy was inhibited, a domestic endometriosis good treatment, habitual abortion cases, partly caused by endometriosis.
2, dysmenorrhea: differences in the clinical features of the progressive dysmenorrhea, is a common and prominent feature of most secondary that occurred since the beginning of endometriosis patients complaining 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 became heavier, bed rest or need pain medication, and even painful, “Roller kang,” or the first hit, and the pain is often aggravated with the menstrual cycle, the end of menstruation and disappear, but the domestic reports that about 21% of non-Dysmenorrhea .
3, rectum stimulate the cyclical symptoms: aggravated sexual cyclical rectum stimulate other gynecological symptoms of a rare disease, the diagnosis of this disease is the most valuable of Hou. Rectum, anus, perineum, Zhuichan, sinkers pain, Lijihouchong flu and the increased frequency of stool. When the lesions gradually worsened, the increasingly obvious symptoms, and the symptoms disappeared.
4, Irregular Menstruation: endometriosis patients often shortened menstrual cycle, the number of phenomena such as extended or menstrual 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 Konglongbu ectopic 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 ureteral water or hydronephrosis.
6, cyclical stimulate bladder symptoms: When the bladder endometriosis peritoneal lesions involving violations of the anti-fold or bladder muscle, will be at the same time menstrual urgency, frequency and other symptoms. If violations of the bladder mucosa lesions (bladder endometriosis) are cyclical hematuria and pain.
7, menstrual or pass through before and after the acute abdomen: General for endometrial ovarian cyst, perforation characteristics, the majority of patients with ovarian cyst due to reverse or ectopic pregnancy and emergency surgery. If surgery improve, pelvic adhesions increase, the future will rupture occurred repeatedly acute abdomen.
8, periodic abdominal discomfort: the emergence of symptoms was higher than that of dysmenorrhea, without dysmenorrhea, endometriosis patients often exist in the symptoms. Seen in patients with mild or lesions although some heavier but because the pain threshold of personality differences or for other reasons, do not have symptoms of dysmenorrhea and menstrual only lumbar acid, Zhuichan abdominal discomfort.
9, umbilical abdominal scar and the Endometriosis is a cyclical local mass and pain.
10, intrinsic type of patients with endometriosis often uterine Swell, but rarely more than three months of pregnancy. As for the post of the uterus, often adhesion fixed.
11, in the womb rectum Waterloo, uterine or cervical posterior sacral ligament can often touch on one or two or more hard nodules, such as soy bean or small, there are obvious tenderness, DRE become more evident, this is important. Ovarian cysts may be long and straight, as often cyst contents spills and ectopic endometrial bleeding, pelvic organ frozen pelvic adhesions with a heavier, that is, the so-called extensive endometriosis. Disease severity of signs at the same time do not vary greatly.
12, as Figure B ultrasonic: B-ultrasound imaging is aided diagnosis of endometriosis effective way to be used for observation of ovarian endometriosis, as its acoustic characteristics of the plan are:
(1) cystic mass, borders clear or unclear. If re-adhesion around the cyst, 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, the allantoic fluid viscous performance. Sometimes because of the old machine and the concentration of blood clots in the more rough-point - intensive images, a mixed-mass.
(2) mass in the uterus often posterior, accompanied by visible of uterine cysts.
(3), spontaneous rupture of cysts, and sound like icon Depression, 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 programmes.