Does endometriosis hurt?

Endometriosis is a relatively common female reproductive system disease and also a gynecological disease. Therefore, many women who suffer from this disease are particularly distressed because it will cause harm to the body. Therefore, many women want to know specifically whether endometriosis will hurt. In order for you to understand as soon as possible, please see the introduction below.

Does endometriosis hurt? Experts from the Obstetrics and Gynecology Hospital said: Pain is one of the symptoms of endometriosis, and it occurs because the ectopic lesions are affected by cyclical ovarian hormones.

The characteristic of endometriosis pain is that dysmenorrhea gradually intensifies, often starting 1 to 2 days before menstruation, being most severe on the first day of menstruation, and then gradually decreasing and disappearing when menstruation is over.

Endometriosis is a common disease among women of childbearing age. It is an estrogen-dependent disease with an increasing incidence rate year by year, currently accounting for about 20%-30% of gynecological surgeries in the same period. The actual incidence is much higher because some patients have symptoms but are not diagnosed, while others have lesions but have no symptoms and are ignored. Although it is a benign disease, it has persistent symptoms and is very prone to recurrence. The ectopic endometrial tissue can spread, implant and metastasize like a malignant tumor.

Experts from Nanjing Century Modern Obstetrics and Gynecology Hospital said that pain is one of the symptoms of endometriosis. It is caused by the fact that the ectopic lesions are affected by the cyclical ovarian hormones, resulting in proliferation and bleeding. Therefore, the pain of this disease is characterized by gradually increasing dysmenorrhea, which often starts 1 to 2 days before menstruation, is most severe on the first day of menstruation, and then gradually decreases and disappears when the menstruation is over.

Symptoms of endometriosis

The symptoms and signs of endometriosis vary depending on the location of the ectopic endometrium and are closely related to the menstrual cycle.

1. Dysmenorrhea: It is a common and prominent symptom, mostly secondary, that is, it starts from the occurrence of endometriosis. Patients complain that they did not have pain during menstruation in the past, but dysmenorrhea began to occur from a certain period. It can occur before, during, and after menstruation. Some people have severe and unbearable dysmenorrhea and need to rest in bed or take pain medication. The pain often worsens with the menstrual cycle. As estrogen levels continue to rise, the ectopic endometrium proliferates and swells. If affected by progesterone, it will bleed, irritate local tissues, and cause pain.

2. Excessive menstruation: In endometriosis, the menstrual volume often increases and the menstrual period is prolonged. It may be caused by an increase in endometrium, but is often accompanied by ovarian dysfunction.

3. Infertility: Patients with endometriosis often suffer from infertility. According to reports from Tianjin and Shanghai, primary infertility accounts for 41.5% to 43.3%, and secondary infertility accounts for 46.6% to 47.3%. The causal relationship between infertility and endometriosis is still controversial. Pelvic endometriosis can often cause adhesions around the fallopian tubes, affecting the pickup of oocytes or causing obstruction of the lumen. Or infertility may be caused by ovarian diseases affecting the normal ovulation. However, some people believe that long-term infertility and no menstrual cessation may lead to the chance of endometriosis; once pregnancy occurs, the ectopic endometrium is suppressed and atrophies.

4. Pain during sexual intercourse: Endometriosis occurs in the rectouterine fossa and vaginal rectal septum, causing swelling of the surrounding tissues and affecting sexual life, and the discomfort during sexual intercourse becomes more severe before menstruation.

5. Heavy and bloated stools: usually occur before or after menstruation. The patient feels unbearable pain when stool passes through the rectum, but does not have this feeling at other times. It is a typical symptom of endometriosis in the rectouterine pouch and near the rectum. Occasionally, the ectopic endometrium reaches deep into the rectal mucosa, causing rectal bleeding during menstruation. Endometriotic lesions that form strictures around the rectum cause symptoms of tenesmus and obstruction, similar to cancer.

6. Bladder symptoms: more common in patients with endometriosis extending to the bladder, with symptoms of periodic frequent urination and painful urination; when the bladder mucosa is invaded, periodic hematuria may occur.

Does endometriosis hurt? I believe that after reading the above introduction, you have a comprehensive understanding. If this disease stimulates local tissues, it will cause pain, and pain will also occur during sexual intercourse. Therefore, for women with this disease, they should understand it and seek treatment as soon as possible to recover as soon as possible.