Diagnostic Laparoscopy Ovarian Cystectomy
Endometriosis causes and treatment
Endometriosis is a condition that can prevent pregnancy in a woman. It is a disease that is quite common and may affect women of her first menstrual cycle, menopause. In rarer cases, endometriosis can affect women after menopause as well. At present, no There is no cure for endometriosis. In addition, general practitioners often have difficulties in diagnosing endometriosis.
Endometriosis occurs when endometrial or endometrium, grows outside the uterus. It can grow in areas such as the ovaries in the pelvic cavity, sometimes the intestines or bladder.
The causes of endometriosis:
There are many possible causes and theories attributed to this enigmatic condition that does not fit a specific mold. It is an estrogen-dependent tumor and is rare before the onset of menstruation and disappears after menopause.
1. Retrograde menstruation: metastatic theory: severe menstrual blood ligation allows the implementation of endometrial cells in the peritoneum, the structures of the pelvic and abdominal cavity, especially the ovaries.
2. The coelomic metaplasia Theory: Changes in coelomic metaplastic epithelium in the glands may explain endometriosis in unusual places; genital tract mucosa is derived primitive coelomic peritoneum.
3. Theory direct installation: in the continuation in the myometrium Live focuses on the most likely cause of adenomyosis.
4. Lymphatic and vascular theory: this probably explains the presence of endometriosis in lymph nodes and lungs
5. Changes in the immune system and genetics, which increase the susceptibility to endometriosis trend toward family
Symptoms:
1. The pain – the pain and cramps. And these symptoms can be severe endometriosis in a woman with mild endometriosis can hardly occur in women with endometriosis widespread.
2. Inflammation – During the first part of the cycle menstrual endometrial tissue fills with blood. When menstruation occurs, this tissue also releases the blood, but he can not go anywhere.
3. Relationships painful intercourse – endometrial tissue creates pressure in the lower or prevent the free movement of the pelvic organs.
4. PMS in the days before and during menstruation.
5. Rectal bleeding – bowel can also occur.
6. Chronic fatigue – pain, bleeding and cramping can be strenuous for women, making it difficult or impossible to function normally.
7. Infertility and miscarriage – the most widespread endometriosis, most women will have fertility problems and abortion involuntary.
The treatment of endometriosis:
Symptomatic treatment of pain, ibuprofen, acetaminophen or codeine. therapeutic trial of pill combined oral contraceptive or progestin can be used for the first time before a definitive diagnosis is made. Suppression of ovarian function with a contraceptive no oral or cyclical progestogens or danazol for 6 months, or gonadotropin-releasing hormone analogue for 3 months, which may require treatment for ad-ago prevent osteoporosis.
The removal of endometrial lesions by laser is ideal and the best is the initial diagnostic laparoscopy. Laparoscopic cystectomy the preferred treatment for chocolate cysts, conservative surgery with laser ablation, the distribution of adhesions and correction of retroversion are preferred among young women, to preserve the fertility choice of IVF is recommended if there is coexisting infertility.
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Diagnostic Laparoscopy pt 1 of 2
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