Endometrosis Treatment

Endometriosis

Endometriosis: Causes, Treatment, And Therapy

What is endometriosis? The endometrium is the lining of the endometrium. If pregnant, attach the fertilized egg to it. If there is no fertilization during menstruation, the endometrium will be rejected and then expelled from the body. Refused to accept that unfertilized eggs were menstruation. In healthy women, endometrial cells only exist in the uterine cavity. Causes of the disease The most common cause is hormonal imbalance, significantly elevated estrogen levels, and progesterone deficiency. The development mechanism of the disease has not been fully elucidated. The possibility of endometriosis is increased due to the following reasons:
  • Genetic predisposition
  • Countless abortions;
  • Chronic diseases that weaken the immune system;
  • Long-term use of intrauterine devices;
  • Irregular menstruation;
  • Significant or long-term stress;
  • Vigorous physical exercise during menstruation;
  • Continuous toxic effects on the body.
  • Endocrine pathology;
  • Repeated curettage of the uterus during miscarriage can also cause the proliferation of endometrial cells beyond their natural localization range and lead to endometriosis.
Classification and degree of development of endometriosis Endometriosis of the uterus is divided into several types according to the location of growth:
  1. Genital (endometrium) endometriosis: Endometrioid growths are located in both the uterus and the submucosa. They can penetrate the fallopian tubes and ovaries. Usually, they grow into the muscle layer of the uterus.
  2. Outside the genitals: located in any other part of the small pelvis outside the genitals (between the pleural cavity, intestines, and peritoneal organs).
  3. Combined: Lesions were observed both inside the genitals and outside the abdominal cavity.
The disease is also classified according to the severity of the course and is divided into four stages:
  • The first (mild) is a small and small amount of tissue growth, mainly located under the uterus’s mucous membrane.
  • The second (middle)-the pathological tissue is observed to penetrate the uterine muscle layer, but the amount is still minimal.
  • The third type (severe)-endometriotic cysts form in the ovaries, grow into the uterus’s muscle layer, and enter the peritoneum.
  • Fourth (very severe)-the entire genital area is affected. Growth beyond its limits, the process includes the parietal peritoneum and other organs of the small pelvis. Organs outside the pelvis may be affected.
  • The first and second phases are most commonly treated with medications. The third and fourth will require mandatory surgical intervention.
treatment of endometriosis  Until recently, only surgical methods could eliminate this disease. With the development of pharmacology and the emergence of a class of hormone drugs, the possibility of conservative treatment has emerged. Modern medicine uses both conservative treatment methods and surgical treatment methods. The treatment also includes drugs to prevent inflammation of the pelvis and enhance immunity. For endometriosis, treatment is used:
  • Mixed monophasic oral contraceptives;
  • Steroids
  • Androgen derivatives are only used in aggressive forms to slow the spread of growth foci;
  • Anti-inflammatory drugs;
Always use several drugs from different groups at the same time to achieve complex effects and maximum effects. The following goals are achieved with drug therapy:
  • Eliminate the inflammatory process;
  • Relieve pain 
  • Restore the function of endocrine organs (hypothalamus, thyroid, adrenal gland) and restore hormone levels;
  • Restore the function of the genitourinary system;
  • Eliminate stress and improve the state of the nervous system.
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