Have you ever encountered endometrial odor? Maybe this problem is very embarrassing. When you encounter this problem, you feel embarrassed to go to the hospital for examination, but you always feel uncomfortable, and it may even affect the healthy life of the couple. Therefore, the editor recommends that you learn about this knowledge together. The editor has consulted some experts and checked some information for you. I hope these can help you! Clinical manifestations 1. Dysmenorrhea Dysmenorrhea is the most typical symptom of endometriosis. It can occur before, during, or after your period. In severe stages, the pain is unbearable and increasing the dosage of analgesics may not even be effective. The pain is caused by internal bleeding from endometriosis stimulating local tissue inflammatory response. Endometriosis lesions secrete more prostaglandins, which causes uterine muscle contractions and makes dysmenorrhea more pronounced. After menstruation, bleeding stops and pain is relieved. 2. Abnormal menstruation It may present as heavy menstruation or irregular menstrual cycles. Most of the menstrual abnormalities are related to the impact of endometriosis on ovarian function. Patients with endometriosis may experience ovarian dysfunction, such as abnormal ovulation. 3. Infertility Infertility is common in women with endometriosis. Cause: Endometriosis can often cause adhesions around the fallopian tubes, affecting the pickup of oocytes; or ovarian lesions can affect ovulation. 4. Pain during sexual intercourse Endometriosis in the rectouterine fossa and vaginal rectal septum can cause dyspareunia (deep tenderness) and increased and painful bowel movements (tenesmus) during menstruation. 5. Others Bladder irritation symptoms: When endometriosis spreads to the bladder, there will be periodic frequent urination, painful urination, and hematuria. Endometriosis in abdominal wall scars and umbilicus causes periodic local lumps and pain. 1. Laboratory examination (1) CA125 (ovarian cancer-associated antigen) value measurement is a tumor-associated antigen with certain diagnostic value for ovarian epithelial cancer. However, in patients with endometriosis, the CA125 value may increase, and the positive rate increases with the increase in the stage of endometriosis. Its sensitivity and specificity are very high, so it is helpful for the diagnosis of endometriosis and can also monitor the efficacy of endometriosis treatment. (2) Anti-endometrial antibodies (EMAb) Anti-endometrial antibodies are autoantibodies that use the endometrium as a target antigen and induce a series of immunopathological reactions. They are the hallmark antibodies of endometriosis. The detection of serum EMAb is an effective method for the diagnosis and efficacy observation of patients with endometriosis. 2. Imaging examination (1) Type B ultrasound examination Type B ultrasound examination is one of the commonly used examination methods in obstetrics and gynecology, and plays an important role in the diagnosis of obstetrics and gynecology diseases. Determine the location, size, and shape of cysts and detect masses that were not palpable during gynecological examination. (2) Laparoscopic examination: Using a laparoscope to directly observe the pelvic cavity, ectopic lesions can be seen or a biopsy of visible lesions can be performed to confirm the diagnosis. The clinical stage of pelvic endometriosis and the treatment plan can be determined based on the results of the microscopic examination. Under laparoscopy, attention should be paid to observing the uterus, fallopian tubes, ovaries, uterosacral ligaments, pelvic peritoneum and other parts for the presence of endometriosis lesions. Endometriosis is staged and scored based on laparoscopic or surgical findings. This is the end of my introduction to endometrial odor. I hope you can learn more about this aspect. It is always good to learn more, and it is best for you to learn more about medical knowledge. Maybe in the near future it will not only help myself but also my female family members or friends! |
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