What are the symptoms of endometrial dislocation?

The uterus is the most important organ for women. It is the cradle of new life. Therefore, women attach great importance to the health of the uterus. Once there is a problem with the uterus, it will cause great harm to the female body. For example, endometrial displacement is a relatively common symptom. Let’s take a look at the symptoms of endometrial displacement. I hope women can understand it.

(1) Dysmenorrhea: It is a common and prominent symptom. Most of them are secondary, that is, they begin to occur since the onset of endometriosis. Patients complain that they did not have pain during menstruation in the past, but began to experience dysmenorrhea at a certain period. It can occur before, during and after menstruation. Some dysmenorrhea is severe and unbearable, requiring bed rest or medication for pain relief. The pain often worsens with the menstrual cycle. Due to the continuous increase in estrogen levels, the ectopic endometrium proliferates and swells. If it is affected by progesterone, bleeding will stimulate local tissues and cause pain. If it is endogenous endometriosis, it can even cause uterine muscle contraction. Dysmenorrhea is bound to be more significant. In cases where the ectopic tissue does not bleed, the dysmenorrhea may be caused by vascular congestion. After menstruation, the ectopic endometrium gradually shrinks and the dysmenorrhea disappears. In addition, many inflammatory processes can be found in pelvic endometriosis. It is likely that the local inflammatory process is accompanied by active peritoneal lesions, thereby producing prostaglandins, kinins and other peptides that cause pain or tenderness.

However, the degree of pain often cannot reflect the extent of the disease detected by laparoscopy. Clinically, about 25% of women have significant endometriosis but no dysmenorrhea.

Women's psychological condition can also affect pain perception

(ii) Excessive menstruation: In endometriosis, the menstrual volume often increases and the menstrual period is prolonged, which may be caused by the increase of endometrium, but it is often accompanied by ovarian dysfunction.

(III) Infertility: Endometriosis patients are often accompanied by infertility. According to reports from Tianjin and Shanghai, primary infertility accounts for 41.5-43.3%, and secondary infertility accounts for 46.6-47.3%. 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 tubal blockage, or causing infertility due to ovarian lesions affecting the normal ovulation. However, some people believe that long-term infertility and no menstrual cessation period can create the opportunity for endometriosis; once pregnancy occurs, the ectopic endometrium is suppressed and atrophies.

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