Is abdominal wall endometriosis serious? What are the symptoms?

Is abdominal wall endometriosis serious?

Abdominal wall endometriosis is a special part of endometriosis and is a type of endometriosis. It is generally believed that during cesarean section, endometrial fragments that are difficult to detect with the naked eye are scattered in the abdominal wall incision and implanted in it.

Abdominal wall endometriosis often occurs after cesarean section, and rarely occurs after appendectomy, laparoscopic myomectomy, hysterectomy, ectopic pregnancy, amniocentesis, and inguinal hernia repair. The incidence of abdominal wall endometriosis after full-term cesarean section is 0.03% to 0.4%. With the annual increase in the cesarean section rate in recent years, the number of patients with abdominal wall endometriosis has also tended to increase.

The main symptoms of abdominal wall endometriosis are:

1. Excessive menstruation: In case of endometriosis, the menstrual volume often increases and the menstrual period is prolonged. It may be caused by the increase of endometrium, but it is often accompanied by ovarian dysfunction.

2 Infertility: Endometriosis patients are often accompanied by infertility. According to reports from Tianjin and Shanghai, primary infertility accounts for 41.5% to 43.3%, and secondary infertility accounts for F.6% to 47.3%. The causal relationship between infertility and endometriosis is still controversial. Pelvic endometriosis usually causes adhesions around the fallopian tubes, affecting the pickup of oocytes or blocking the lumen. Or infertility may be caused by ovarian lesions affecting normal ovulation. However, some people believe that long-term infertility and amenorrhea can lead to endometriosis; once pregnant, the ectopic endometrium will be suppressed and atrophy.

3. Pain during sexual intercourse: Endometriosis occurs in the rectouterine fossa and vaginal rectal septum, causing swelling of the surrounding tissues, affecting sexual life and aggravating premenstrual sexual desire.