Awareness of uterine membranes: the “invisible killer” of women’s health
In the context of gynaecological diseases, endometriosis is a more common but highly neglected disease. For many women, the disease is like a “hidden killer” hidden in the depths of her body, with serious health consequences unexpectedly.
An endometriosis, in short, is the uterine membrane tissue that should have grown in the uterus, which appears outside the uterus, such as ovaries, pelvis peritoneal membrane, rectal vasectomy, etc. These “leave-out” membrane tissues, with hormones, can also undergo cyclical haemorrhages like the normal uterine membrane, but because they cannot be excreted through the cervix and vagina, as in the uterus, they accumulate in local areas, leading to a series of symptoms and pathologies.
Pain is one of the most important clinical manifestations of endometriosis. Many patients experience severe pain during menstruation, with pain varying from slight discomfort among women to unbearable pain and even needing painkillers to survive. In addition to pain, chronic pelvic pain, sexual pain, etc. may occur. Not only do these pains affect women ‘ s daily lives and work, but long-term pains can also cause severe stress on the patient ‘ s psychological well-being, which can cause anxiety, depression, etc.
The effect of uterine membrane isomerism on reproductive function cannot be minimized. The incidence of infertility has increased significantly because of the abnormal growth of the membrane tissue outside the uterus, which alters the micro-environment within the pelvis, affects the fertilisation of the eggs, the bed of the fertilized eggs and the development of the embryo. According to statistics, infertility can be as high as 40 – 50 per cent among women with endometriosis. Even if a successful pregnancy occurs, there may be risks of abortion and premature childbirth during pregnancy.
The cause of the disease is not yet entirely clear, but it is widely accepted in the medical profession that it is related to a number of factors. Genetic factors play a role in this, and there is a relatively high risk of individual morbidity if the family has an endometriosis. In addition, re-blooding is an important doctrine, i.e., that during menstruation, part of the blood flowed back into the pelvic cavity through the tubal, with which membrane cells were planted and grown throughout the cavity. Immunological anomalies and endocrine disorders may also be closely related to the development of endometriosis.
Diagnosis of endometriosis is not an easy task and requires a combination of multiple factors to determine. During gynaecology examinations, doctors may touch knots or lumps in the pelvis, but it is often difficult to detect some deep stoves or minor pathologies. Ultrasound is a commonly used auxiliary examination that helps to observe the morphological structure of the uterus, ovaries, etc., and detects some visible cysts or swellings, but has limited sensitivity to ultrasounds for early or light endometriosis. The peritoneal lens is a “gold standard” for diagnosis, and a direct view of the cavity of the cavity through the abdominal lens provides a clear view of the location, size, morphology, etc. of the membrane anisodes, and at the same time allows for active examination and clear diagnosis. However, caesarean spectroscopy is an innovative examination, with certain risks and complications, and is not generally the preferred screening method.
In terms of treatment, there is a need to develop individualized programmes based on the age of the patient, the severity of the symptoms, the need to give birth, etc. For patients with milder symptoms who do not have reproductive requirements, medication can be used to suppress ovarian function, reduce estrogen sterilisation by using contraceptives, gestational hormones, GnRH-a, etc., so that heterogenesis can shrink and pain relief. Drug treatment, however, tends to contain symptoms, do not cure diseases, and has a high rate of relapse after withdrawal. Patients with reproductive requirements, after drug treatment to control symptoms, should be actively involved in fertility guidance and, if necessary, assisted reproduction techniques to assist in pregnancy. In cases where the condition is severe, the medication is ineffective or the cyst is larger, surgery may be required to remove the stoves or to remove organs such as uterus, ovaries, etc. There are, however, certain risks associated with the operation, such as haemorrhage, infection, damage to the surrounding organs and the possibility of a relapse after the operation.
Endometriosis is a complex gynaecological disease that has a serious impact on the physical and mental health of women. Female friends should raise awareness of the disease, pay attention to their menstruation and physical changes and, if symptoms such as increased pain, chronic pelvic pain, sexual pain or infertility occur, they should be treated in a timely manner so as to enable early diagnosis and treatment to avoid further development and deterioration of the disease. At the same time, maintaining good living habits in daily life, such as regularity, moderate exercise and balanced diet, also helps to maintain a balance of endocrines and reduce the risk of disease.
Endometriosis.
