Endometriosis causes and treatment. Endometriosis: causes, forms, diagnosis, treatment of the disease in adults and children

Due to the difficulties in identifying symptoms and treating endometriosis, it still remains somewhat of a “mystery” for modern science.

Some statistics:

• 15–50% of all women have heterotopia.
• It is not possible to establish the exact incidence rate, since it is estimated that in 15–20% of women it is asymptomatic.
• Endometriosis is mainly diagnosed during childbearing age – 25–40 years.
• It is also detected in approximately every tenth girl during the establishment of the menstrual cycle and in 2–5% of women in menopause.
• It is extremely rare that endometrioid heterotopias are first diagnosed before menarche or during the postmenopausal period.
• There are cases of chronic endometriosis.
• In the vast majority of cases (more than 95%), endometriosis occurs in the genital area.

Endometrioid heterotopias have the property of infiltrative growth into almost any surrounding tissue. But they rarely become malignant, so this disease has a benign course.

Origin theories:

Implantation. Endometrial tissue is carried into other organs and systems as a result of reflux of menstrual blood into the fallopian tubes and further into the peritoneum.

Metaplastic. Under the influence of any factors (inflammatory or hormonal), some normal cells of some tissues, for example, peritoneal mesothelium or vascular endothelium, are transformed into endometrioid cells.

Embryonic. A disorder of ontogenesis, in which endometrioid lesions develop from abnormal embryonic rudiments.

CLASSIFICATION

By location:

• Genital. Heterotopias are localized within the female reproductive system.
• Extragenital. Endometriotic growths are found outside the female genital organs: in the structures of the gastrointestinal tract, urinary or respiratory systems, in the thickness of the skin or postoperative scars, etc.

Genital endometriosis is divided into internal (in the uterus and the initial parts of the fallopian tubes) and external. Read on to learn about the symptoms and treatment of uterine endometriosis.

The combined form (when both genital and extragenital localization is detected) is diagnosed less frequently.

By the number of detected foci:

• With a mild degree of the disease, up to five foci with a diameter of more than 0.5–1 cm or the presence of a “small” form are detected (foci with a diameter of up to 0.5 cm, detected only during an endoscopic examination).
• The average degree is characterized by the presence of 6–15 such foci.
• In severe cases, 16 to 30 focal localizations of the disease are diagnosed.
• With widespread endometriosis (fourth degree), 30 or more such lesions are detected.

There is also a classification of degrees of severity based on a scoring method for calculating the degree of depth and total area of ​​identified heterotopias.

There are also stages of damage to certain organs (uterus, ovaries, etc.) according to the clinical and anatomical classification.

Stages of internal endometriosis:

• The pathological process is limited to the submucosal layer of the uterus.
• The spread of the disease to approximately the middle of the muscle layer.
• Endometrioid growths affect the entire thickness of the muscle layer down to the serous membrane.
• In addition to all the membranes of the uterus, endometriosis affects the surrounding peritoneum and adjacent internal organs.

SYMPTOMS OF ENDOMETRIOSIS

Manifestations of the disease depend on the location and stage of the pathological process. Some women may remain asymptomatic for many years.

Endometrioid heterotopias usually (but not always!) retain their cyclic functionality. Therefore, it is most often typical to increase the severity of the manifestations of the disease on the eve of the expected menstruation and during it.

The most common symptoms:

• Pain in the pelvic area. They usually have a connection with the menstrual cycle. There is a nagging pain in the lower abdomen and back, the intensity of which increases on the eve of menstruation and during it.
• Menstrual irregularities. Scanty bleeding appears a few days before the expected menstruation, as well as after it. Sometimes - even in the middle of the cycle. The amount of blood lost during menstruation increases.
• Dyspareunia is pain and discomfort during sexual intercourse.
• Pain localized in the area of ​​the bladder and rectum (often with retrocervical heterotopia). Intensifies with defecation and urination.
• Infertility – primary or secondary.
• Various autonomic disorders: headaches, mood lability, sleep disorders, sweating, etc.

Pain of varying severity occurs in almost all patients. Pain is caused by irritation of pain receptors in tissues on which heterotopias grow, as well as the frequent occurrence of adhesions.

With extragenital localization, symptoms characteristic of damage to a particular organ appear. For example, chest pain can occur with damage to the respiratory system. When the urinary system organs are involved in the pathological process, lower back pain, hematuria, urethral obstruction, etc. may appear.

DIAGNOSTICS

A complex of diagnostic methods is usually used, since endometriosis is often “masked” as other somatic diseases.

To identify the disease, the following is carried out:

• Careful collection of medical history and complaints of the patient. For example, some women consider painful and/or long periods to be “normal.”
• General and gynecological examination. Particularly informative on the eve of menstruation.
• Transvaginal ultrasound examination of the pelvic organs is performed in the luteal phase of the cycle. A diffuse spherical enlargement of the uterus is detected; small cystic cavities or nodules without clear contours are found in its walls. During the examination, pain often occurs.
• Colposcopy. Allows you to identify heterotopias on the cervix, vaginal wall or vulva.
• Hysterosalpingography. Along with an increase in the area of ​​the uterine cavity, deformation and jagged edges, as well as “contour shadows” are determined.
• Magnetic resonance imaging (MRI).
• Endoscopic methods: hysteroscopy, diagnostic laparoscopy. They are the “gold standard” for diagnosing endometriosis. In this case, a tissue biopsy is also performed, followed by histological examination.
• Determination of tumor markers: CA-125, REA, CA-19-9.
• Hormonal and general clinical studies.

Additional studies of the abdominal organs, respiratory, urinary and other systems are prescribed if extragenital localization of the disease is suspected.

TREATMENT OF ENDOMETRIOSIS IN WOMEN

The radical method of treatment is still surgical - surgical removal of all heterotopias. However, despite the achievements of modern surgery, it is not always possible to remove all lesions and prevent recurrence of the disease. Therefore, a clear preference in the treatment of endometriosis in women is given to a combined approach - a combination of surgical and conservative treatment.

Treatment goals:

• Suppression of the activity of endometriotic growths.
• Their maximum removal and restoration of the normal anatomy of the pelvic organs.
• Relief of pain syndrome.
• Infertility treatment.
• Correction of the consequences and complications of the disease: adhesive disease, psychoneurological disorders, anemia, etc.
• Prevention of disease relapse.

Principles of surgical treatment:

• The methods and scope of surgical intervention directly depend on the location and extent of the pathological process.
• Whenever possible, organ-preserving operations are performed.
• Maximum removal of (ideally all) endometrioid heterotopias.
• Surgical techniques: resection, electrocoagulation, laser vaporization. Often used in combination.
• Hormonal treatment is necessarily prescribed for about six months after the operation. In some cases, such treatment is carried out three to four months before.

Principles of conservative therapy:

• Hormonal treatment is carried out in most cases with progesterone preparations (progestins). Combined oral contraceptives, levonorgestrel-containing uterine system (for adenomyosis), antigonadotropins and GnRH agonists are also used. The choice of drug is made taking into account all possible indications and contraindications.
• To eliminate pain, in addition to hormonal drugs, nonsteroidal anti-inflammatory drugs (NSAIDs) are used.
• Neurological disorders are treated with sedatives. Neurotropic drugs are prescribed by a neuropsychiatrist.
• Symptomatic treatment. For example, iron supplements for detected anemia.
• Physiotherapy.

COMPLICATIONS

Infertility.

Formation of adhesions and development of adhesive disease.

Various neurological disorders and chronic pelvic pain syndrome.

Dysfunction of organs affected by endometrioid heterotopias.

PREVENTION

Preventive measures are aimed primarily at the early detection of this pathology. Considering that the disease can occur for a long time without pronounced symptoms, attention should be paid to changes in the nature and rhythm of menstruation, especially in young girls.

Intrauterine interventions should be avoided whenever possible, e.g. For this purpose, reliable methods of contraception are recommended: COCs, which should be selected by a doctor.

PROGNOSIS FOR RECOVERY

The earlier the disease is detected and adequate treatment is started, the greater the chances of a complete and successful cure.

Endometriosis has a tendency to recur. According to statistics, after complex treatment, a relapse of this pathology occurs in every fifth patient.

The disease most often recurs with retrocervical localization of the pathological process (in approximately half of the patients).

The onset of pregnancy and the transition to menopause are considered favorable prognostic signs, since during these periods the symptoms of endometriosis significantly decrease or even disappear.

Found a mistake? Select it and press Ctrl + Enter

Endometriosis is the appearance of cells in the inner layer of the uterus (endometrium) in atypical places: on the peritoneum, ovaries, fallopian tubes, wall and cervix, bladder, rectum and other organs and tissues.

This is one of the most mysterious women's diseases. Despite the fact that this diagnosis is made quite often, the question of what kind of disease this is, why and how to treat it, often remains unanswered. But what if a woman with endometriosis is planning a pregnancy - is anything necessary to be done in this case?

Statistics show that up to 30% of women of reproductive age suffer from endometriosis in one form or another.

What is it: causes of occurrence

Why does endometriosis occur and what is it? The causes of the disease have not been established and remain a matter of debate. Numerous hypotheses for endometriosis have been proposed, but none of them has become definitively proven and generally accepted.

1. One theory points to the process of retrograde menstruation, when part of the menstrual tissue penetrates the abdominal cavity, grows into it and enlarges.
2. Genetic theory puts forward the point of view that the genes of certain families contain the beginnings of endometriosis and, thus, members of these families are predisposed to endometriosis.
3. There is also a theory that explains the occurrence of endometriosis by saying that tissue affected by endometriosis spreads to other parts of the body through the lymphatic system.
4. Others believe that remnants of tissue from a woman's embryonic phase may subsequently develop into endometriosis, or that some of this tissue, under certain conditions, does not lose its ability to reproduce.

The likelihood of the disease increases with:

• frequent inflammation of the genital organs;
• tumors ();
• difficult childbirth;
• operations on the uterus;
• abortions;
• drinking alcohol;
• smoking;
• excessive “love” for products containing caffeine;
• disorders in the functioning of the endocrine system organs (thyroid gland, adrenal glands, hypothalamus,
• pituitary gland, female reproductive glands);
• reduced immunity.

Despite these studies, the real incidence of endometriosis is unknown, due to the fact that in most cases the disease is asymptomatic and very difficult to diagnose.

Therefore, undergo regular preventive examinations with a gynecologist. This is especially important for those who have had any operations on the uterus (abortion, caesarean section, cauterization of cervical erosion, etc.). Timely diagnosis is the key to successful treatment without consequences.

Is it possible to get pregnant with endometriosis?

Endometriosis significantly reduces a woman's chances of becoming pregnant, but cannot harm the development of the fetus. If a woman with endometriosis does conceive a child, there is every reason to believe that the symptoms of the disease will become significantly weaker throughout the pregnancy.

If you have endometriosis, be sure to discuss the possibility and risks of pregnancy in your particular case with your gynecologist before you start trying to conceive.

Symptoms of endometriosis

The symptoms of this disease are so varied that they can sometimes mislead even experienced specialists. Endometriosis of the uterus can be accompanied by both pronounced symptoms and their absence at all.

However, certain symptoms should definitely alert a woman:

1. Pain of varying intensity, up to acute. They can be localized, radiating to the groin area, anus, leg. The pain either occurs in the first days of menstruation and disappears with its end, or does not leave the woman throughout the entire cycle, but after the end of menstruation they weaken.
2. Spotting dark bloody discharge from the genital tract 2-5 days before and after menstruation, especially if these same menstruation is quite heavy and prolonged;
3. Uterine bleeding during the intermenstrual period (metrorrhagia);
4. Spotting may also occur during sexual intercourse.

Menstruation with endometriosis becomes profuse, with clots, which leads to the development of chronic posthemorrhagic anemia:

• brittle nails,
• dyspnea,
• weakness, drowsiness
• dizziness,
• pallor of the skin and mucous membranes,
• frequent and so on.

Unfortunately, in some cases, the symptoms of endometriosis are very mild or non-existent. For this reason, you should visit the gynecologist’s office once every six months. Only timely diagnosis can protect against the development of undesirable consequences of endometriosis.

Endometriosis grades 1, 2 and 3

In the uterine wall, foci of endometriosis are detected at different depths, so endometriosis of the uterine body can have four degrees of distribution:

• 1st degree. There are one or more small areas of endometriosis.
• 2nd degree. There are several small foci of endometriosis that penetrate into the thickness of the organs affected by them.
• 3rd degree. There are many superficial lesions and a few deep lesions of endometriosis or a few cysts on the ovaries ("chocolate" cysts - the name comes from the characteristic dark brown color given to the cysts by decaying blood).
• 4th degree. Multiple and deep foci of endometriosis, multiple, large cysts on the ovaries, adhesions between the pelvic organs are diagnosed.

There is no linear relationship between the extent of endometriosis and the severity of the symptoms of the disease. Often, widespread endometriosis is less painful than mild endometriosis, which has only a couple of small lesions.

Diagnostics

In the effective treatment of endometriosis, the most important point is timely and correct diagnosis. The presence of endometriotic lesions can be determined using:

• X-ray contrast methods (hysterosalpingography)
• endoscopic examinations (for example, hysteroscopy),

However, the complaints and clinical symptoms listed above are of great importance. Sometimes endometriosis is diagnosed during pregnancy - as a result, treatment of such patients is ineffective due to difficulties in selecting a drug that minimally affects the fetus.

Prevention

The main measures aimed at preventing endometriosis are:

• specific examination of teenage girls and women with complaints of painful menstruation (dysmenorrhea) in order to exclude endometriosis;
• observation of patients who have undergone abortion and other surgical interventions on the uterus to eliminate possible consequences;
• timely and complete cure of acute and chronic pathology of the genitals;
• taking oral hormonal contraceptives.

Complications

Endometriosis of the uterus can be asymptomatic and not affect a woman’s quality of life. On the other hand, undiagnosed endometriosis and lack of adequate treatment can lead to complications.

Most likely consequences:

• adhesions in the pelvis;
• fertility disorders;
• anemia due to excessive bleeding;
• endometrioid cysts;
• malignancy.

How to treat endometriosis

Treatment methods for endometriosis have been improved over many years and are currently divided into:

• surgical;
• medicinal;
• combined.

Medicinal methods of therapy include the use of various groups of drugs:

• combined estrogen-gestagen drugs;
• gestagens, antigonadotropic drugs;
• gonadotropin releasing hormone agonists.

The earlier a woman is diagnosed, the greater the likelihood of using only medications.

Conservative therapy

Conservative treatment is indicated for asymptomatic uterine endometriosis, at a young age, during the permenopausal period, for adenomyosis, endometriosis and infertility, when it is necessary to restore reproductive function.

The drug treatment route includes fairly traditional therapy:

• hormonal;
• anti-inflammatory;
• desensitizing;
• symptomatic.

The main drugs with proven effect for the treatment of confirmed endometriosis are:

• progesterone preparations;
• danazol;
• gestrinone (Nemestran);
• gonadotropin releasing hormone (GnRH) agonists;
• monophasic combined oral contraceptives.

The duration of courses of hormonal therapy and the intervals between them is determined by the results of treatment and the general condition of the patient, taking into account the tolerability of the drugs and the performance of functional diagnostic tests.

Other groups of drugs that “help” in the fight against painful symptoms of the disease:

• (anti-inflammatory therapy);
• antispasmodics and analgesics (painkillers);
• sedatives (elimination of neurological manifestations);
• vitamins A and C (correction of deficiency of the antioxidant system);
• iron supplements (elimination of the consequences of chronic blood loss);
• physiotherapy.

Research is currently underway around the world on the possibility of using immunomodulators for the treatment of endometriosis, especially for the treatment of associated infertility.

Surgical treatment of endometriosis

Surgical intervention is indicated in the absence of effect from conservative therapy for 6-9 months, with endometrioid ovarian cysts, with endometriosis of postoperative scars and the navel, with ongoing stenosis of the intestinal lumen or ureters, with intolerance to hormonal drugs or the presence of contraindications to their use.

Surgical methods for treating endometriosis involve removing endometrioid formations (most often cysts) from the ovaries or other affected areas. Modern surgery gives preference to gentle operations - laparoscopy.

After removal of the foci of the disease, physiotherapeutic and drug treatment is indicated to consolidate the result and restore the cycle. Severe forms of endometriosis are treated by removing the uterus.

The results of treatment depend on the extent of surgical intervention and the usefulness of hormonal therapy. The rehabilitation period in most cases is favorable: reproductive function is restored, pain during menstruation is significantly reduced. After treatment, dynamic monitoring by a gynecologist is recommended: gynecological examination, ultrasound monitoring (once every 3 months), monitoring the CA-125 marker in the blood.

Prognosis for endometriosis

This disease often recurs. For example, the rate of recurrence of endometriosis after surgery to remove lesions during the first year is 20%, that is, 1 out of 5 operated women will again encounter the same problems as before the operation during the first year after surgery.

Hormonal correction has a good effect, but the problem of this treatment method is the disruption of the process of natural maturation of the endometrium of the uterus, and therefore the impossibility of natural conception of a child. When pregnancy occurs, as a rule, the symptoms of endometriosis disappear for the entire period of pregnancy. When menopause occurs, endometriosis also disappears.

Endometriosis of the uterus is a disease that is quite common in the practice of gynecologists. It is generally considered to be a hormone-dependent pathology, in which the endometrium (the mucous layer that lines the inside of the uterus and regularly comes out with menstruation) begins to grow in other parts of the female body, where, in principle, it should not be.

At what age can you get endometriosis?

In terms of the number of cases, endometriosis was surpassed by uterine fibroids and various inflammatory processes in the genital organs. And, as studies have shown, most often the described disease occurs in women of reproductive age (after thirty years and up to fifty). In women over fifty, this disease is no longer possible: after all, with the onset of menopause in women, the endometrium practically disappears, and, therefore, there is no risk of developing the pathology that this article will focus on.

The Mystery of Endometriosis

Researchers believe, referring to uterine endometriosis, that this disease is polyetiological, that is, one that may have many reasons for its development. Moreover, sometimes these reasons cannot be accurately determined. The most common of them are:

• Genetic predisposition. Thus, according to the results of recent studies, in the family of a woman with endometriosis, as a rule, there is at least one other blood relative affected by this pathology. Individual genetic characteristics have also been identified that determine a particular woman’s predisposition to endometriosis.
• Hormonal disorders. It was also found that in patients with the described disease, progesterone levels decrease and changes in the ratio of steroid hormones are observed.
• Immunity impairment. Normal levels of immunity do not allow endometrial cells to survive outside the uterus. A decrease in the protective functions of the body leads to the fact that endometriotic tissue continues to grow both outside the uterus and inside it, growing into its body (thus endometriosis of the uterus and cervix begins).
• Metaplasia. This is what medicine calls the degeneration of one tissue into another. In the case of the endometrium, the reasons for this transformation are unknown and controversial.

How does the pathological process begin?

It is also worth knowing when discussing the diagnosis of “uterine endometriosis” that this disease begins with the throwing of small particles of the endometrium with the flow of menstrual blood into the abdominal cavity (or together with the lymph) and into other organs of the woman’s body. There, tissue particles attach and begin their pathological growth, often disrupting the ability of the affected organ to function and causing suffering and pain.

Foci of tissue growth can be observed both near the genital organs, in places in contact with them (intestines, peritoneum or bladder), and in remote areas (for example, in the larynx, lungs and even in the eyes).

Classification of the disease

In gynecology, types of endometriosis are usually distinguished depending on its location.

• Genital endometriosis differs in that pockets of endometriotic tissue are found within the ovaries, fallopian tubes and uterus. Endometriosis inside the uterus is called adenomyosis and is the most common type of this disease.
• The extragenital form of the disease implies the presence of lesions outside the genital organs. It, in turn, is divided into peritoneal (the surface of the peritoneum, ovaries and small pelvis is affected) and extraperitoneal (damage to the external genitalia, vagina, uterine ligaments and cervix).
• The combined form combines lesions in both the genital and extragenital cavities of the female body.

Symptoms of uterine endometriosis

Signs of uterine endometriosis appear depending on the characteristics of each organism. Occasionally, for example, this disease does not make itself felt at all, and it can only be detected during preventive examinations. Although usually some symptoms are always present.

The most common is pain syndrome. It is present in 60% of patients with endometriosis and usually manifests as dysmenorrhea. That is, in the form of pain in the lower abdomen that a woman experiences during the onset of menstruation. They may be accompanied by weakness, headache, dizziness, nausea, lack of appetite and vomiting. All these signs are most pronounced with endometriosis a couple of days before the onset of menstruation and in its first three days.

Menstrual flow becomes heavy and sometimes appears between periods. Cycle disruption is often observed.

Dyspareunia (pain and discomfort during sexual intercourse) is common in cases of endometriosis. Most often, such phenomena occur in patients with damage to the vagina, uterosacral ligaments, the space in the rectum and uterus, as well as the rectovaginal septum.

Adenomyosis of the uterus

Now we will dwell in more detail on a particular case of endometriosis - adenomyosis, since this is the most common form of the disease described. In another way, it can be called internal endometriosis of the uterus, since pathological changes in this case occur in the cavity of the said organ. The mucous membrane grows inside the body of the uterus, into its muscular layer, forming diffuse changes or, less commonly, nodular and focal lesions.

All this causes organ dysfunction, swelling in the affected area and pain. Depending on how deeply the endometrium has grown into the tissue, four degrees of damage are distinguished. And all of them are accompanied by heavy discharge during menstruation, and sometimes between them. As a result, women develop anemia, pale or yellow skin, lethargy, drowsiness, irritability, dizziness and loss of consciousness.

Internal endometriosis of the uterus, the treatment of which will be described below, is quite often combined with uterine fibroids or (sometimes) with an ovarian tumor. It is often accompanied by chronic inflammation of the appendages.

Perhaps the most severe consequence of the described disease is infertility (namely the inability to conceive a child), which occurs in 40% of patients.

Endometriosis and pregnancy

This will probably frighten women diagnosed with uterine endometriosis. Is it possible to get pregnant in this case? What prevents you from conceiving a baby?

It should be noted right away that the connection between infertility and endometriosis has not yet been sufficiently studied and there is constant debate among experts around it. There are several opinions about what provokes this problem:

• with this disease, mechanical obstructions are detected in the fallopian tubes;
• sometimes pregnancy is hampered by the presence of an adhesive process that impedes the release of the egg, or by a disorder;
• Upon closer examination, the immunological disorders mentioned above are also to blame for infertility; they interfere with the process of ovulation, fertilization and implantation of the fertilized egg in the uterus.

It is interesting that, according to the results of recent studies, the majority of women with endometriosis do not experience true ovulation, despite regular periods. And conception without this is impossible. In addition to those mentioned above, there is also an opinion that the female body itself determines whether a woman can bear a child, and therefore pregnancy does not occur due to the lack of favorable conditions for it.

Of course, endometriosis is not a death sentence for those wishing to have a child. Although the treatment takes a long time.

Treatment of uterine endometriosis

Now let's talk about how endometriosis of the uterus is treated in modern medicine. This process can be carried out conservatively (medication), surgically (organ-preserving or radical) and a combined method.

Do not self-medicate under any circumstances, relying only on the use of traditional methods! Contact a specialist urgently!

uterus, endometriosis

Endometriosis is often combined with uterine fibroids. And similar methods are used to treat these diseases, due to the similarity of developmental mechanisms and pathological conditions.

How are uterine endometriosis and fibroids treated? Depending on the condition and age, patients resort, as already mentioned, to drug therapy and surgical intervention. Both of these methods are carried out while taking hormonal drugs, since both of these diseases appear most often as a result of a woman’s hormonal imbalance.

For therapy, gestagens, combined estrogen-progestogens, as well as antigonadotropic drugs are used, which exclude menstrual function for the duration of treatment. And this, in turn, helps the regression of endometriotic lesions, regardless of their location.

Progestin agents are drugs containing the natural hormone progesterone or its synthetic substitutes. This hormone establishes the state of the endometrium when it is ready to receive and develop a fertilized egg. The drugs mentioned include medications such as Norkolut, Getstrinone, Duphaston, etc. They are prescribed at all stages of the disease. The course lasts from six months to 8 months.

Antigonadotropic drugs suppress the production of hormones (called gonadotropes) that stimulate the functioning of the gonads. Such drugs include medications “Danol”, “Danogen”, “Danazol”, etc. They are taken for six months. And they are contraindicated only in cases where the level of androgens in a woman’s body is already high.

Surgery

Now let’s clarify how uterine endometriosis is treated with surgery. It is divided into two types: in one, the organs are preserved and only the foci of the disease are removed, and in the other, the organs are removed along with large affected areas.

The latter method is used most often in nodular forms of the disease, the presence of ovarian cysts provoked by endometrioid tissue, or when the described pathology is combined with

In the postoperative period, hormonal therapy is prescribed for six months. And in some cases, hormonal treatment is carried out before surgery.

In the presence of infertility and small lesions in the form of adhesions, laparoscopy is performed. It is a type of microsurgical operation and is performed through a small incision.

It is also important to carry out electrocoagulation of disease foci followed by hormonal therapy.

Traditional methods of treating endometriosis

As mentioned above, self-treatment of endometriosis can lead to serious consequences. It is impossible to make such a diagnosis without a special examination, since the disease does not have specific symptoms that belong only to it. This means that treatment without monitoring the results is also impossible.

Before you start taking any herbal medicine, be sure to consult your doctor. Sometimes, to improve the patient’s condition, the doctor suggests treatment. Now we will dwell on this remedy in more detail, explaining how this medicinal herb works and is prepared.

Endometriosis and the uterus: recipes

Borovaya uterus is a medicinal plant (in another way - which since 2003 has been approved by the Ministry of Health for use in the treatment of the female genitourinary system.

It is prescribed in cases of inflammatory diseases, infertility, fibroids, uterine bleeding, the presence of adhesions, menstruation disorders, as well as endometriosis. For this purpose, infusions and decoctions of the named medicinal herb are used.

A decoction is prepared from one tablespoon of the product. It is added to boiling water (1 cup) and continued to simmer over low heat for ten minutes. Then the broth is allowed to stand for about 4 hours and filtered. It should be taken one tablespoon half an hour before meals up to 4 times a day.

Treatment of endometriosis with boron uterus is also carried out using infusion. It is prepared from 2 tablespoons of herbs. They are poured with boiling water (2 cups), covered with a lid and wrapped. Let it brew for 15 minutes, then strain. This infusion is taken in several dosages: either 4 times a day, half a glass half an hour before meals, or (a more gentle method) a tablespoon 3 times an hour before meals.

Both the decoction and the infusion can be used for douching according to indications.

As you probably already understood from all of the above, endometriosis may not be detected on your own, and regular pain associated with the menstrual cycle may be attributed to the characteristics of your body. However, at the initial stage of the disease even these may not be present. Therefore, it is extremely necessary to undergo a timely examination by a gynecologist. And if you experience any suspicious pain or heavy menstruation, do not delay visiting a doctor.

If you want to maintain your health and the opportunity to give birth to a strong baby, be attentive to your well-being and prudent. And then you won’t have to fearfully find out how endometriosis of the uterus is treated and how it can threaten the body. Be healthy!

The term "endometriosis", from the Latin "endometrium", refers to the tissue in the inner lining of the uterus. The disease occurs when tissue that looks and functions like endometrial tissue ends up outside the uterus, usually inside the pelvic cavity.

This is a chronic disease that affects a woman's reproductive organs. This happens when the endometrium, which normally lines the inside of the uterus, begins to grow on the outside. It often affects the abdominal organs, including the ovaries and pelvic area. In some cases, endometrial tissue is found in other areas of the body.

According to various estimates, about 176 million women in the world face this medical problem between the ages of 15 and 49 years.

Endometrial tissue, which is found outside the uterus, behaves during the menstrual cycle in much the same way as tissue inside the uterus. At the end of the cycle, when hormones influence the detachment of the lining tissue in the uterus, the endometrium outside it begins to disintegrate and bleed. But while menstrual fluid comes out of the uterus with menstruation, the blood of the disintegrating endometrium has no way out. The tissue around the affected area becomes inflamed and swollen.

These abnormal areas of tissue can grow into what are called “focal lesions,” also known as “implants,” “nodules,” or “growths.” The most common location for growths is a woman's ovaries.

Endometriosis according to its location is divided into genital and extragenital. Genital affects the reproductive organs of women - the ovaries and uterus. With extragenital endometriosis, other organs of the body, such as the bladder or intestines, and even the lungs, suffer from the growing endometrium.

Mild forms of endometriosis are the most common; they can be asymptomatic and sometimes do not require treatment. But you should know that this disease can be a source of moderate or severe pain during menstruation, as well as painful sexual intercourse, and even an obstacle to a desired pregnancy.

Signs of endometriosis

The biggest problem is that any signs of illness in the early stages seem to be the body's natural reactions to the onset of the menstrual cycle.

The main symptom of endometriosis is pain in the pelvic area, which in women is often associated with menstrual cycles.

Although a large number of women constantly experience menstrual cramps, with the lining of the uterine wall shedding monthly, many women with endometriosis experience more pain than usual. According to doctors' observations, patients usually complain that the pain intensifies over time.

Some signs of endometriosis:

• Painful periods. Pelvic cramps and uterine cramps can occur before and for some time after your period begins.
• Painful sensations during coitus. Pain during or after intercourse is often a sign of internal appearance.
• Urination or defecation is painful. This often appears during menstruation.
• Heavy bleeding.
• Difficulty conceiving. There are many cases where uterine endometriosis is diagnosed in women who initially went to the clinic for infertility treatment.

It is worth considering that the intensity of pain is not always a sure sign of a late stage of the disease.

Some people with less severe endometriosis may experience severe pain and cramping, while some women with advanced endometriosis experience little or no pain.

Symptoms of endometriosis

A significant number of women with endometriosis do not report pronounced symptoms. Even as symptoms develop, they can vary, and even women at different ages have different symptoms.

In general, it is believed that the larger the lesions, the more symptoms.

About one third of women with uterine endometriosis discover they have it because they were unable to conceive and went to see a specialist, or endometriosis was discovered during surgery for another reason. Therefore, the severity of the disease and the number of symptoms are likely to be related to the location of the tissues rather than their size and number.

The following symptoms of endometriosis can be distinguished:

The patient may also experience fatigue and lack of strength, anxiety, and experience frequent mood swings. Such symptoms may be manifestations of premenstrual syndrome, but together with the other listed symptoms they may indicate ovarian endometriosis.

Symptoms of endometriosis disappear as pregnancy begins. This, doctors believe, is due to the progesterone produced by the body. After the birth of the child, the consequences of the disease remain unclear.

Causes of endometriosis

The exact causes of the disease cannot be determined. Some experts believe that pieces of the endometrium travel back through the fallopian tubes and exit into the pelvic cavity, where the reproductive organs are located. Tissue cells settle on the surfaces of the genital organs. When menstruation begins, the tissue bleeds, just like the tissue in the uterus. Blood from these areas irritates the surrounding tissue on the organs, which becomes inflamed and swollen.

Since doctors certainly do not know what causes endometriosis, the possible causes or factors may differ from woman to woman.

1. Heredity: In women whose close relatives have endometriosis, the likelihood of the disease increases by 7-10 times. In addition, in the case of twins, there is a high probability of endometriosis in both, especially if they are identical twins.
2. Retrograde menstruation. When women have their period, blood flows from the vagina, but also in the opposite direction - into the pelvic cavity. In 90% of women, blood with endometrial tissue simply disintegrates or is absorbed and does not cause any symptoms; In women susceptible to endometriosis, endometrial tissue begins to grow.

Other possible risk factors for endometriosis include:

• menstruation lasting more than 5 days;
• heavy bleeding during menstruation;
• first menstruation before age 11;
• the interval is less than 26 days between menstruation;
• early pregnancy;
• underweight;
• alcohol consumption.

In some cases, endometriosis is misdiagnosed because its symptoms are similar to some other diseases of the ovaries or pelvic organs. The disease may be similar to irritable bowel syndrome, which may be accompanied by endometriosis, which greatly complicates its detection.

To diagnose this disease, the doctor, first of all, will find out the patient’s symptoms, specify the location of the source of pain and the time when it began.

A physical examination for endometriosis often consists of the following:

1. Examination by a gynecologist. A gynecological examination gives the doctor the opportunity to palpate areas in the rectum and vagina and determine
   presence of anomalies. For example, there may be cysts on the reproductive organs.
2. Ultrasound. The ultrasound transducer is either pressed against the skin on the abdomen or inserted into the vagina. An ultrasound cannot be 100% sure whether a woman has endometriosis, but it can detect cysts.
3. Laparoscopy. This is a procedure performed by a surgeon and is most commonly used to identify and treat endometriosis. While the patient is under general anesthesia, a small incision is made in the navel area, where an instrument called a laparoscope is inserted. With it, the doctor is able to find tissue located outside the uterus. Laparoscopy helps obtain information about the location, distribution and size of endometrial implants so that the doctor can determine the best treatment options.

Endometriosis is difficult to recognize and detect because pelvic pain, the main symptom of the disease, is often an integral part of the menstrual cycle. And yet, a timely visit to a gynecologist when any of the symptoms appear will help diagnose the disease at an early stage of development and begin treatment on time.

Treatment of endometriosis

There are no specific medications that are used to treat the disease. The emphasis in treatment is on reducing pain and
cure for infertility. Treatment depends on the extent, symptoms and impact on subsequent ability to become pregnant. If a woman is suffering from severe pain, hormone therapy may be used to reduce estrogen levels in the body. If the patient wants to become pregnant, the doctor may prescribe fertility treatment or surgery.

Medicines

If you complain of severe pain or heavy bleeding, if you are not planning a pregnancy in the near future, then birth control or anti-inflammatory drugs may help control the pain. Birth control hormones can keep the tissue from growing further. If a woman has severe endometriosis, or if these remedies do not help, stronger hormonal therapy may be tried.

"Duphaston"

The most commonly used drugs in the hormonal treatment of endometriosis include Duphaston. It is a progestogen or so-called synthetic progesterone. Its action is similar to that of progesterone, which is produced by women's ovaries. It is certainly not known how Duphaston eliminates endometrial implants, since, unlike other drugs used in the treatment of endometriosis, at a relatively low dosage it does not stop menstruation and does not affect ovulation. Presumably, Duphaston suppresses the growth of abnormally located endometrial cells, causing them to gradually die.

The dosage of the drug will largely depend on the gynecologist’s technique. A visit to this specialist during treatment with Duphaston will require 6 to 8 weeks after the start of the course, since the doctor must monitor how the treatment progresses.

Many women prefer to treat various diseases with folk remedies, but is it possible to treat endometriosis at home?
conditions?

Of course, it will not be possible to completely cure this disease with folk remedies, however, in order to control the severity of the disease and
To relieve the underlying symptoms of pain and heavy bleeding, you can try some natural remedies.

1. Castor oil helps the body get rid of excess tissue and toxins. It should be used at the beginning of menstrual period
   cycle when the spasms are just beginning.
2. Massaging the pelvic area and lower abdomen with lavender or sandalwood essential oil will help relax and soothe minor pain.
3. Turmeric. This spice contains a natural constituent known as curcumin, which has a strong anti-inflammatory effect and hence can be used for home treatment of the disease.
4. Chamomile has anti-inflammatory properties that help reduce inflammation as well as swelling.
5. Dandelion. Dandelion infusion helps regulate hormonal levels.

Apart from using various natural remedies, you also need to take care of your lifestyle. For example, reduce the consumption of fatty foods, pay enough attention to physical activity, walking and swimming. And also give up alcohol and smoking, avoid stressful situations.

It is worth remembering that not all women with endometriosis feel pain. And the severity of the disease does not always worsen over time.

After menopause and during pregnancy, the condition usually improves. If women over 40 years of age have barely noticeable pain, have no plans for a future pregnancy, or are expecting menopause, then there is no urgent need for treatment.

At-home treatment may help relieve the pain, but the problem may remain. But even when visiting a gynecologist, the decision always remains with the patient.

Read more about endometriosis treatment

There are many gynecological ailments that knock women out of their usual rhythm of life. Endometriosis is one of these diseases. This is an insidious disease with a reliable etiology unknown to this day.

This problem is being carefully studied, but many questions have not yet been answered. That is why you should understand in detail the forms in which endometriosis manifests itself, find out its symptoms and treatment.

Endometriosis of the uterus is a disease that accompanies the ectopic proliferation of the mucous membrane, which can also be called the inner lining of the uterine cavity, into other parts of the woman’s body.

The incidence of endometriosis, according to scientists, is approximately 10% of other diseases in gynecology. Often this pathological process can be found in women of reproductive age (20-45 years).

Origin

Endometriosis is considered a benign growth of tissue that is similar in morphology and functionality to the endometrium (the lining of the uterine cavity).

It can be observed in different parts of the reproductive system and outside it (there is endometriosis of the pelvic peritoneum, mucous membrane of the bladder, intestines, lungs, kidneys and other organs). There is also a diagnosis of ovarian endometriosis. The clinical symptoms of the disease depend on where the process is localized.

Varieties

Whatever the causes of uterine endometriosis, this pathology is classified depending on which organs are affected. This is about:

1. The genital type, in which endometriosis affects the organs of the female reproductive system. It is observed in the area of ​​the uterus, ovaries, tubes, cervix, vagina, peritoneum in the pelvis, and external genitalia.
2. Extragenital type. With this type of pathology, tissue growth is observed in the intestinal area and organs related to the urinary system.
3. Mixed type.

There is also a classification of this disease depending on what stage of its course is diagnosed in the patient. The stages are as follows:

• damage only to the mucous membrane of the organ;
• myometrial damage;
• the lesion covers the serous (outer) lining of the endometrium;
• the disease covers the entire uterus and the area of ​​the peritoneum that covers it.

For what reasons does it occur?

Endometriosis is a polyetiological disease. There are many different factors leading to the appearance of this pathology. Doctors are not always able to determine the cause of tissue proliferation.

In modern medicine, there are several versions regarding the etiology of this problem.

Implantation theory	It is assumed that hormonal and immune disorders in the body contribute to an increase in the ability of endometrioid tissue to adhere and invade. With increased intrauterine pressure, functionally changed cells migrate and unite with other structures. After which their growth and formation of uterine endometriosis continues.
Metaplastic hypothesis	She suggests that it is not typical for endometrioid cells to take root in areas that are unusual for them. They only provide stimulation of tissues to pathological changes called metaplasia.
Theory of heredity	Some doctors tend to consider this pathology as an ailment caused by a hereditary factor.
Immune hypothesis	There is an assumption that, due to a decrease in the efficiency of the immune system, endometrioid cells that find themselves outside the uterus do not tend to die. Against the background of weak immunity, they are able to take root and function normally in areas of the body that are unusual for them.
Bad ecology	A version about the negative impact of an unfavorable ecological microclimate on the female body. There are statistics showing that representatives of the fair sex living in areas where elevated levels of dioxin are recorded are more susceptible to this disease than others.

Among the probable factors in the development of pathology are the following:

• previous abortions;
• bad ecology;
• insufficient levels of trace elements such as iron in the female body;
• previous surgical interventions in the area of ​​organs related to the pelvis;
• excess weight problem;
• inflammatory diseases affecting the genitourinary system;
• use of an intrauterine device;
• liver problems.

The most common cause of this pathology is previous surgery on the uterus. We are talking about abortions, caesarean sections, cauterizations of erosion and other procedures. Women who have undergone such interventions should regularly visit a doctor for examination.

Information about symptoms

It is impossible for a woman to determine the presence of early stages of pathology on her own. For this reason, it is not advisable to neglect routine gynecological examinations. Suspicion of the presence of a problem of developed endometriosis may appear when its symptoms occur.

Diagnosed infertility problem

Signs of endometriosis vary. Damage to the uterine tissue by this pathology is indicated by female infertility. The disease often leads to it. It makes conception impossible due to pathological changes in the uterus. The presence of adhesions in the pelvic area aggravates the problem, since a barrier arises that prevents the egg from penetrating the fallopian tube.

Pain syndrome

Signs of existing uterine endometriosis include painful sensations during menstruation of varying degrees of severity. In the early stages of the disease, severe pain during menstruation is not often observed. As the pathology develops, they become more pronounced. Pain syndrome occurs on the eve of menstruation, intensifying as it progresses.

With this disease, pain is concentrated in the area of ​​the small pelvis. It is characterized by the presence of foci of endometriosis. Pain syndrome gradually becomes a woman’s constant companion. It intensifies during the premenstrual period.

In addition, those suffering from endometriosis experience pain when having sex, as well as when visiting the restroom to relieve themselves.

The appearance of bleeding

Bloody discharge that appears immediately after sexual intercourse is completed is one of the primary symptoms of this pathology. This symptom occurs depending on where the nodes are located.

Often, women suffering from the proliferation of uterine tissue complain of spotting on the eve of menstruation. This manifestation of the problem of endometriosis is observed in a third of patients with a similar diagnosis.

Crash in the loop

Endometriosis can be recognized by the presence of disruptions in the monthly cycle. Its manifestations include the following signs:

• an increase in the number of days of menstruation, an increase in the intensity of discharge;
• increased body temperature during critical days;
• menstrual dysfunction in the form of irregular periods.

Disruptions in the cycle and abundance of discharge indicate damage to the muscle layer related to the uterine cavity. Ladies with this diagnosis constantly experience delays. They note that the discharge is abundant and intense.

Features of pathology in old age

Diagnosing endometriosis in women over fifty years of age is not easy. The causes of endometriosis at this age are still unknown. Doctors believe that menopause is a prerequisite for the development of the disease in this age category of patients.

The symptoms of endometriosis coincide with the symptoms of menopause. It is manifested by pain in the lower abdomen, a change in the abundance of discharge. The pain syndrome is felt in other parts of the body: legs, lower back, rectal area.

Often, women who have crossed the threshold of fifty years of age, turning to a gynecologist with complaints about the symptoms of menopause, are not aware that they have endometriosis.

Often the disease occurs against the background of problems with conception. They are usually observed in the patient after 40-45 years of age. This is quite natural on the eve of menopause.

Condition after a caesarean section

During a caesarean section birth, a specialist makes an incision in the uterine wall. During surgery, endometrioid cells tend to end up at the edges of the wound. Within a few years after surgery, a condition called endometriosis usually develops. It occurs in one of three varieties:

• proliferation of endometrioid tissue in the peritoneal area of ​​the uterine scar;
• damage to the suture in the anterior abdominal wall;
• damage to the uterine cavity caused by the proliferation of endometrioid tissue on the postoperative scar.

The vast majority of women who give birth by cesarean section are susceptible to pathology. For this reason, regular gynecological examinations and health monitoring are required.

Among the main symptoms and signs of pathology in the area of ​​the postoperative scar, the following can be seen:

• pain in the lower abdomen, which has a pulling character;
• disruptions in the cycle, increased abundance and intensity of discharge;
• the appearance of spotting and spotting a couple of days before the critical days;
• problems with conception;
• complaints of painful urination.

Types of diagnostics

Diagnosing endometriosis requires excluding other diseases that affect the female genitourinary system and have similar symptoms.

The examination involves passing various tests, as well as collecting information about complaints about signs of illness that appear in the patient. The doctor will definitely ask whether there were women in the family who suffered from this disease and other gynecological pathologies.

Ultrasound

Ultrasound will help identify vaginal endometriosis and other types of pathology. Thanks to ultrasound examination, specialists quickly and accurately determine the location of the problem, the size of the growth and its structure. This type of diagnostic study will help determine the prognosis of the course of the disease.

Undergoing hysteroscopy

If endometriosis is suspected, the patient is referred to undergo hysteroscopy. We are talking about examining the uterine cavity using equipment called a hysteroscope. During the examination, the specialist sees an image of the organ being examined on the screen. He gets the opportunity to examine the uterine cavity and diagnose endometriosis of the peritoneal and pelvic organs. This will confirm the doctor's suspicions.

Pathology cannot arise and develop unnoticed if a woman undergoes routine gynecological examinations in a timely manner and promptly seeks medical help when a woman detects her symptoms.

Referral for colposcopy and biopsy

To reliably establish a diagnosis of focal endometriosis, cytological and histological examination is required. Tissue sampling is carried out by colposcopy and laparoscopy, which is accompanied by a biopsy. This helps to determine which parts of the female body are affected by the disease.

Undergoing hysterosalpingography HSG

We are talking about obtaining x-rays of the uterus and tubes, as well as an endoscopic examination of the uterine cavity. These techniques help make the diagnosis of endometriosis (adenomyosis) in the abdominal cavity. They allow you to accurately determine the forms of the disease.

Examination by laparoscopy

The results of laparoscopy tell the specialist about dysfunction of the uterus and the appearance of endometriosis. We are talking about a highly informative microsurgical method. With its help, any type of pathology is determined, including endometriosis of the female fallopian tubes.

Passing CT and MRI

Studies such as spiral computed tomography or magnetic resonance can clarify the nature of the disease and establish its localization. These are techniques that provide extremely accurate information and help diagnose pathology. They are expensive. For this reason, they are used infrequently.

What are the chances of getting pregnant and giving birth with endometriosis?

This disease significantly reduces the chances of conceiving a child, but cannot harm the fetus. If a representative of the fair sex manages to become pregnant with a diagnosis of endometriosis, then her symptoms of the disease can significantly weaken for the entire period of pregnancy.

When a woman suffers from endometriosis, before trying to conceive a baby, she should definitely discuss with a specialist after undergoing an examination the possibility of infertility and the risks of bearing a fetus in her particular situation.

Endometriosis leads to disorders of female fertility, but this does not mean that pregnancy is impossible or is a contraindication. Some doctors advise women with this diagnosis to get pregnant, since this condition has a positive effect on the course of the disease.

This is due to the fact that when carrying a baby, a state of prolonged anovulation appears, menstruation disappears, and progesterone affects the body throughout the entire period of pregnancy. All this favors the regression of heterotopias.

Moreover, the disease itself is considered a risk factor during pregnancy. It can provoke spontaneous pregnancy failure. In this case, it is recommended to carry out preconception preparation for patients with endometriosis, and when carrying a baby, do not forget about preventive measures for miscarriage and problems with fetoplacental insufficiency.

The disease does not directly affect the baby and there is no need to fear for the health of the fetus. But an indirect effect of the disease may occur if fetoplacental insufficiency develops. In this situation, the fetus does not receive enough nutrients and oxygen due to a malfunction of the placenta.

Therapeutic effect

When choosing a treatment method for endometriosis, it is worth taking into account the patient’s age group, the number of conceptions and births, the spread of the pathology, its localization, the severity of symptoms, concomitant health problems, and the need for conception.

Therapeutic methods for endometriosis can be divided into treatment using medications, surgery (laparoscopy with elimination of the endometriosis lesion while preserving the affected organ itself, or radical intervention with removal of the uterus) and combined treatment.

Therapy is aimed at getting rid of intense manifestations of the disease and its complications (adhesions with cystic formations, neuropsychiatric symptoms, etc.). Conservative therapeutic methods are indicated for the disease without symptoms, the patient’s young age, premenopause, and the need to maintain or restore reproductive function.

Medicines

Drug treatment of endometriosis occurs through hormonal therapy. This effect is mainly indicated for moderate stages of the disease. The following groups of medicinal products are distinguished:

Combined type estrogen-progestogen drugs

Such medications, which contain small doses of gestagens, have a suppressive effect on the production of estrogen and the onset of ovulation. They are prescribed at an early stage of the disease. They have no effect if the disease is widespread and with cystic lesions of the ovaries.

Side effects can be expressed in the form of nausea, vomiting, bleeding between periods, pain in the mammary glands.

Progestin medications

These include norethisterone, progesterone, gestrinone, dydrogesterone. They are prescribed at all stages of the disease, the course lasts from six to eight months. The use of these medications may be accompanied by bloody spotting between periods, depression, and pain in the chest area.

Antigonadotropic medications

They suppress the production of gonadotropins. Reception is carried out continuously for six months to eight months. They are not prescribed for diagnosed hyperandrogenism in patients. They can cause side effects such as sweating, hot flashes, weight fluctuations, deepening of the voice, increased fat secretion from the skin, and intense hair growth on the body.

Gonadotropic releasing hormone agonists

The advantage of these medications in the treatment of endometriosis is that the medicine can be taken once every thirty days. They do not provoke serious side effects. Medicines in this group suppress the spread of the disease.

Also, during the treatment of the disease, immunomodulating medications and treatment of symptoms with medications with antispasmodic properties, analgesics, and anti-inflammatory medications are used.

Operating method

Surgical treatment of endometriosis, which allows preserving the organ and removing heterotopias, is recommended by doctors for moderate to severe pathology. It allows you to prevent the spread of foci of the disease by eliminating them.

This treatment method is used if taking medications does not give the desired result. It is indicated if, due to individual intolerance, conservative treatment with medications is impossible.

Surgical intervention is practiced if the size of the lesion exceeds 30 millimeters, as well as in case of disturbances in the functioning of internal organs. We are talking about the intestines, bladder, ureters, kidneys. It is supported by medication therapy. It is performed laparoscopically or laparotomically.

Treatment of endometriosis can be radical surgical. Hysterectomy and adnexectomy are prescribed for women who have reached the age of forty, if the pathology is rapidly progressing, and taking medications and conservative surgical therapy is ineffective.

A tenth of patients with this diagnosis require radical surgical treatment. It can be done laparoscopically or laparotomically.

This disease is recurrent in nature. Sometimes there is a need for repeated operations.

Traditional medicine recipes

Endometriosis of the uterus should be treated at home by strictly following the doctor’s instructions. In addition to drug therapy, the use of folk remedies is indicated. They must be approved by the attending physician. They cannot replace a conservative or surgical treatment method. This is just a complementary part of therapy.

Among the most popular recipes you can see the following:

• Tea made from dry cucumber shoots. Accepted without restrictions.
• Beetroot juice. You are allowed to drink 100 milliliters per day in three doses. On the eve of use, the juice is allowed to sit for at least 4-5 hours. Monitor for allergic manifestations. The first dose is recommended in a lower dosage.
• Chamomile tea. Due to its strong anti-inflammatory properties, it helps relieve inflammation and reduce tumors.

These methods are safe and accessible. However, you cannot self-medicate with this diagnosis. It is important that non-traditional remedies are approved by a doctor. Their use as supportive therapy helps fight the disease more effectively.

Alcohol infusion	To do this, 4 tablespoons of dry grass are poured with vodka (1 liter). Infuse for 14 days in a warm place, protected from sunlight. Drink 30 drops daily, three times a day, on an empty stomach. The tincture is diluted with a small amount of liquid.
Oil infusion	To do this, pour 4 tablespoons of the dried plant into 2 cups of sunflower oil. The product is infused for 14 days. A tampon is soaked in it. It is inserted into the vagina before bed. The product should “work” all night.
Decoction	Prepare by brewing 1 tablespoon of dried plant with boiling water (1 cup). Let it brew for a quarter of an hour. After straining, drink one tablespoon three times a day on an empty stomach (one hour before meals).

Information about possible complications

This disease cannot be started. This threatens with serious consequences. It doesn't go away on its own. Women planning to conceive should be especially concerned about a speedy recovery. To become a mother, you will need to undergo treatment and be sure to get rid of endometriosis.

The presence of an endometrioid cyst in the ovarian area is fraught with the loss of its appendage. If acute or recurrent endometriosis develops against the background of uterine fibroids, there is a high risk of severe irreversible consequences. They can lead to organ removal.

Prevention

Prevention of endometriosis will help prevent the development of this pathology. It requires mandatory gynecological examinations twice a year. Women of childbearing age are more susceptible to this disease.

They should closely monitor their health. If there are delays in your cycle, you should see a doctor. They may indicate problems with the ovaries. This is a favorable background for the development of pathology.

You should consult a gynecologist and be examined.

Among the preventive measures you can see the following:

• undergoing examination by a female specialist for very painful periods;
• regular follow-up with a doctor for women after an abortion and operations in the uterine area;
• timeliness of therapeutic measures for diseases of the genitourinary system;
• contraception with hormonal drugs recommended by the gynecologist.

As with most diseases affecting the female genitourinary system, doctors insist that it is better to prevent endometriosis than to fight it later. Regular examinations with a gynecologist ensure that problems are identified at an early stage. This provides a more efficient and faster solution.

Uterine endometriosis is a chronic disease. It is characterized by frequent relapses. It is observed both after drug treatment and after surgical interventions that preserve the organ.

There is still no exact information about the reasons that cause it. The best way to combat endometriosis is preventive measures. They make it possible to prevent its occurrence or identify pathology in the early stages of its development, which makes it possible to be treated more effectively.