Endometriosis after childbirth - the causes of the signs and symptoms
Today endometriosis still remains a mysterious disease and its causes are not known exactly.But in spite of these circumstances, the researchers found an association between endometriosis and certain factors that provoke its occurrence.These include numerous abortions and curettage, cervical diathermocoagulation, adverse environmental conditions, family history and more.Gynecologist found that, as a rule, pregnancy, postpartum lactation and prolonged beneficial effect on endometriosis, promote remission process and even complete atrophy of endometriotic lesions.And yet, in some cases there endometriosis after delivery (i.e., the disease is not diagnosed until pregnancy).
Endometriosis Endometriosis - is a benign and progressive gormonalnozavisimyh disease in which cells of the endometrium (lining of the uterus) extend beyond "the provisions of the nature of their location).There are genital (92-94% of cases) and extragenital endometriosis.Endometriosis is often the cause of infertility in women causes of infertility in women - and the main predisposing factors , a disease that arose prior to pregnancy, complicating its course (the threat of termination, gestosis, abnormal labor forces, placenta previa, etc.).
factors provoke endometriosis after childbirth
The factors that lead to the disease after birth include:
- prolonged labor, prolonged dry period;
- cesarean section (postoperative scar endometriosis, adenomyosis);
- complicated childbirth (postpartum bleeding that requires manual control of the uterus, forceps delivery or the birth of a large fetus, leading to obstetric injury);
- perineal tears and episiotomy;
- breaks cervix
- vaginal tears;
- placenta previa;
- tight attachment of the placenta.
common form of endometriosis after childbirth:
- inner uterine endometriosis (adenomyosis)
Pathological delivery, which is usually accompanied by inflammation of the mucous and muscle layer of the uterus, leading to morphological rearrangement of the endometrium and myometrium.This endometrial cells begin to grow into the interior of the uterus.There are four degrees of spread:
one degree - the spread of endometriosis at a shallow depth;
2 degree - germination hotbeds of endometrial thickness to the middle of the endometrium;
3 degree - is characterized by the involvement of all segments of the uterus;
4 degree - in the process involves the parietal peritoneum and adjacent organs (rectum, bladder).
Clinically adenomyosis uterus Adenomyosis of the uterus - the problem of women forties manifested by pain, which are particularly intense in lesions adjacent organs, menstrual disorders (heavy, clotted menses, the emergence of spotting before and after menstruation), reduced reproductive capacity.
- Endometriosis Cervical
Visually endometriosis cervical vaginal part of it found a small quantity of endometriotic lesions with a diameter of two to five millimeters.These pockets have a reddish color, and contrast sharply with the pale pink mucous membrane of the cervix.In the second phase of the menstrual cycle become hotbeds of blue-purple color and some increase in size.Moreover, there is premenstrual and postmenstrual spotting.In some cases, cervical endometriosis is given to the presence of pseudo glands are filled with hemorrhagic content.
- retrotservikalnogo endometriosis
In this form of endometriosis growth of endometrioid heterotopias noted in pozadisheechnom space.This palpable dense, hummocky fixed and sharply painful knots.Typically, these units have a small amount, but says their increase before menstruation.For retrotservikalnogo endometriosis characterized by severe pain in the abdomen Abdominal pain: when to sound the alarm? , are radiating to the lower extremities, and rectum during defecation.There are dark spotting Spotting - important to exclude pathology before and after menstruation.During menstruation marked flatulence, constipation, frequent urination.