Clinical manifestations of intestinal endometriosis

Having a baby is a dream for every woman. Many women believe that women with children are the most complete. However, in real life, it is not difficult to find that many women cannot have babies. This is mainly because many people have infertility. Intestinal endometriosis is a type of infertility, and many women also know about it. So what should we do when we suffer from intestinal endometriosis? What is the best treatment?

Endometriosis refers to the abnormal growth of vigorous endometrial tissue outside the uterine cavity, invading the rectum and causing a pathological condition known as rectal endometriosis. The disease grows slowly and spreads easily. This ectopic endometrium has the same biological behaviors as malignant tumors, such as dissemination, implantation and metastasis, but it is different from the infiltration of malignant tumors. It is easy to be misdiagnosed as colorectal cancer clinically, and should attract people's attention. The age of onset is 20 to 40 years old.

Causes

1. Genetic factors

Among patients with endometriosis, their sisters (5.9%) and mothers (8.1%) also currently suffer from endometriosis, while the incidence rate among the female first-degree relatives of the patients' husbands is only 1%. Therefore, some scholars believe that this disease is a hereditary disease with disordered immune surveillance function.

2. Physiological factors

Reproductive tract obstruction aggravates menstrual backflow and easily causes the progression of endometriosis. Therefore, endometriosis is more likely to occur in patients with rudimentary uterine horn, imperforate hymen, and vaginal septum.

3. Environmental factors

2,3,7,8-Tetrachlorobenzodioxin (TCDD) is the most common environmental toxin. TCDD stimulates endometriosis formation by combining with estrogen.

Clinical manifestations

1. Symptoms

With common signs and symptoms of endometriosis.

(1) Menstrual abnormalities: The vast majority of patients experience menstrual abnormalities, mainly manifested as dysmenorrhea, excessive menstrual flow or irregular menstruation. ① Dysmenorrhea is secondary, that is, dysmenorrhea occurs several years after menarche and worsens year by year. It may radiate to the vagina, perineum, anus or legs. It is most severe the day before menstruation and the pain disappears completely after the menstrual period; ② Excessive menstrual flow or irregular menstruation.

(2) Dyspareunia: It is more obvious before menstruation and is usually located deep in the vagina. As a result, patients refuse to have sex, become frigid, and have a reduced chance of conception.

(3) Infertility Some patients have primary or secondary infertility.

(4) Intestinal symptoms In the early stages of colorectal involvement, there may be intestinal symptoms such as pain during defecation, abdominal discomfort, and diarrhea. When the lesions are large or invade the intestinal mucosa, symptoms such as constipation and bloody stools may occur. These symptoms are often cyclical, aggravated one day before or during menstruation, and sometimes bloody stools have no cycle. In the late stages, patients may develop complete intestinal obstruction.

2. Physical signs

When the lesion involves the rectum, the rectovaginal septum thickens and adheres to the posterior wall of the uterus, forming a mass. The vast majority of patients have a mass in the rectouterine pouch, most of which are fixed to the rectum. The most common physical signs before surgery are masses in the rectouterine pouch and uterosacral ligament, and adhesions of the rectal wall to the rectouterine pouch.

When someone suffers from intestinal endometriosis, it feels hopeless, but if it were just hopelessness, there would be no treatment. First of all, we must understand that no matter what disease we suffer from, we should maintain a positive attitude. Even if it is intestinal endometriosis, it does not mean that there is no chance of getting pregnant. Today's medical technology is so advanced that we can always find corresponding treatments. We can't be too pessimistic. If we are too pessimistic, it will not only affect our mood but also have no positive effect on the treatment of the disease.