What causes pelvic endometriosis

Pelvic endometriosis may be caused by retrograde menstruation, iatrogenic implantation, lymph node and venous spread, genetic factors, immune factors, etc. It is necessary to go to the hospital's gynecology department for examination and diagnosis and actively receive treatment.

1. Retrograde menstruation: Pelvic endometriosis usually presents as secondary dysmenorrhea, which is more common in women of childbearing age. It may be caused by retrograde menstruation, which flows along the fallopian tube into the pelvic cavity and continues to grow or spread, causing pelvic endometriosis. You can follow the doctor's instructions and use drugs such as medroxyprogesterone acetate tablets, megestrol acetate tablets or norethisterone tablets to improve amenorrhea or false pregnancy.

2. Iatrogenic implantation: It may be secondary to abdominal wall incision endometriosis after cesarean section, or it may be caused by direct implantation of the endometrium in the incision during surgery. You can use indomethacin tablets, ibuprofen sustained-release tablets or naproxen tablets and other drugs under the guidance of a doctor to achieve anti-inflammatory, antipyretic and analgesic effects.

3. Lymph node and venous spread: usually the endometrium spreads to distant places through lymph nodes and veins, and endometriosis occurs in organs far away from the pelvic cavity. For older people or those who do not want to have children, conservative treatment is not effective, and radical surgery is required when necessary, such as removal of the entire uterus or bilateral adnexa.

4. Genetic factors: There is a certain degree of familial aggregation. If there is a family member with liver disease, the chance of passing it on to children is relatively high, especially if the mother has endometriosis, which may also increase the risk of the daughter getting the disease. If there is no desire to have children, and the symptoms are severe and recurrent, radical surgery is required.

5. Immune factors: It may be caused by an abnormal immune system in the body that cannot remove the endometrial tissue outside the uterine cavity, or it may be caused by treating the ectopic endometrium as its own tissue and not being able to completely remove it. If a cyst is formed with a diameter of 4 cm or more, it can be treated with laparoscopic minimally invasive surgery.

In addition, it may also be caused by inflammatory factors, which can be diagnosed through laboratory tests or imaging tests. Take good care of yourself during the illness, and if you feel any discomfort, it is recommended to go to the hospital as soon as possible.