Long-term Dysmenorrhea? It Should be Alert to Endometriosis

Many women experience dysmenorrhea. They often rely on hot compress and drinking brown sugar water to relieve pain. But sometimes, women have such extreme abdominal pain that these methods can not reduce the pain but worsen, seriously affecting the quality of daily life. At this time, women should be alert to a common gynecological disease - endometriosis. Under normal circumstances, the endometrium is the tissue growing in the inner wall of the uterus. Under the regulation of estrogen and progesterone, it changes periodically and falls off regularly, forming what we often call menstruation. However, if the endometrial tissue appears outside the uterus, such as the ovary, pelvic peritoneum, it can form endometriosis. Although this tissue grows outside the uterus, it will still shed and bleed during the menstrual cycle as it usually does. That is to say, at the end of menstruation, the tissue will fall off and bleed. But it can not discharge blood, let the surrounding area inflammation or swelling, and appear scar tissue and damage. Typical symptoms of endometriosis： 1. Dysmenorrhea Pain is the main symptom of the disease, manifested as secondary dysmenorrhea, progressive aggravation. It often appears when menstruation comes and can last for the whole period. Most of the pain in the deep lower abdomen and lumbosacral, sometimes in the pudendal, anal, or thigh, will also feel pain. 2. Infertility It may be related to the changes in the pelvic immune microenvironment. 3. Sexual intercourse pain General performance for deep sexual pain, menstruation before sexual pain is more prominent. 4. Abnormal menstruation It can lead to increased menstrual volume, prolonged menstruation, bleeding before menstruation, or endless menstruation and other symptoms. 5. Severe abdominal pain It can be accompanied by nausea, vomiting, flatulence, and anal distension. Women can even have a shock with severe pain. 6. Special site endometriosis The intranasal syndrome can appear menstrual nosebleed. Pneumothorax and hemothorax may appear during menstruation; Hemoptysis during menstruation may occur in pulmonary endometriosis; Intrahepatic dysplasia may appear as periodic pain in the liver region. If you have dysmenorrhea, sexual pain, abnormal menstruation, difficulty in pregnancy, severe abdominal pain, anal distension, or other symptoms that cannot be relieved for a long time, you should consider seeing a doctor for further diagnosis. The doctor will make a diagnosis according to the patient's medical history, symptoms, family history, combined with the gynecological examination, laboratory examination, imaging examination, and other comprehensive analyses. At present, laparoscopy is the "gold standard" for the diagnosis of endometriosis. Once endometriosis is diagnosed, active treatment is necessary. 1. Drug conservative treatment: according to the different clinical symptoms of patients with endometriosis, combined with reasonable examination and medication. Patients can choose oral contraceptives, progesterone, gestrinone, danazol, and other drugs. Herbal medicine Fuyan Pill is also a good choice. It can relieve pain and other symptoms and treat endometriosis effectively. Many patients in Wuhan Dr. Lee's TCM Clinic can show its effect. 2. Surgical treatment: surgery is the primary method for treating endometriosis, especially for patients with severe symptoms and no fertility requirements. Under direct vision, the scope and nature of lesions can be clear, and the effect of relieving pain is better. Surgery can be divided into open surgery and laparoscopic minimally invasive surgery, when necessary to do combined surgery.