If a woman with endometriosis wants to get pregnant, is it good or difficult?

Endometriosis (EMS) is a stubborn gynecological disease. Its essence is the appearance of endometrium in other parts of the body outside the inner surface of the uterine cavity, accompanied by periodic bleeding during menstruation. Simply put, under normal circumstances, a woman's menstruation occurs in the uterus. The uterus and vagina are the same, so when the uterus has menstruation, the blood flows out of the vagina; while patients with endometriosis also have menstruation in other parts of the body, but there is no channel for it to flow out (there are also cases where it can flow out, such as endometriosis of the nasal mucosa, which can manifest as nosebleeds during menstruation; endometriosis of the ureter, which manifests as hematuria during menstruation, etc.).

There are three reasons why it is called a chronic disease:

First, it is not easy to get well;

Second, it is easy to relapse;

Third, “benign disease, malignant behavior”, which means that it is obviously not cancer, but it can implant and metastasize.

Typical symptoms of endometriosis: dysmenorrhea! OR progressively worsening dysmenorrhea! OR secondary dysmenorrhea, progressively worsening!

"Progressive worsening" is a typical keyword! It means that it is getting worse and worse. "Secondary" means that there was no pain at first, but it started to hurt later; "Secondary dysmenorrhea, progressive worsening!" It means that there was no dysmenorrhea at first, but it started to hurt later, and it is getting worse and worse!

The most painful of these is adenomyosis, which can be worse than death in severe cases. The uterus will grow larger and larger, and may even lose the ability to conceive. Of course, some adenomyosis is painless, and those that are painless are generally not too serious.

Another typical symptom is contact pain during intercourse, which is mainly seen in ectopic nodules of the sacroiliac ligament.

Other symptoms depend on where it grows. If it grows in the nose, you will have a nosebleed; if it grows on the ureter, you will have blood in your urine; if it grows in the intestinal wall, you will have blood in your stool…

Another major impact of endometriosis on women of childbearing age is "infertility"!

Why is there infertility? This is complicated. On the one hand, patients with endometriosis often have pelvic adhesions. On the other hand, the inflammatory factors in the pelvic fluid of patients with endometriosis affect conception. However, many of them are hypotheses, and it is not clear why.

Note: Endometriosis can affect pregnancy and even cause infertility; but it does not mean that you cannot get pregnant if you have endometriosis. To put it simply, it is not easy to get pregnant if you have endometriosis.

Another question is, the long process from pregnancy to delivery to breastfeeding is very helpful for the treatment of endometriosis!

The reason why endometriosis becomes more and more serious is that every time you have your menstrual blood, it accumulates there and never flows out. It accumulates more and more, gets bigger and bigger, and becomes more and more painful.

If it is possible to stop a person from having menstruation, then this problem will be solved. During the long period of pregnancy and breastfeeding, which lasts for more than a year, the ectopic endometrium will gradually degenerate and die, so some people’s endometriosis is greatly alleviated or even cured after giving birth to children.

How to treat endometriosis?

First, if you can get pregnant, get pregnant quickly. The later you wait, the harder it will be!

Second, use medication to stop menstruation or reduce menstruation

Simulated menopause: Representative, Norad (one injection lasts for a month, one pill costs more than 2,000 yuan, and there will be menopausal symptoms);

Inhibit estrogen: The representative is gestrinone (twice a week, 2.5 mg each time, the main side effect is liver damage);

Endometrial atrophy method: High-efficiency progesterone can cause endometrial atrophy. Combined short-acting oral contraceptives can also reduce the growth of the endometrium and reduce menstruation.

Third, pain relief. For pain, you can bear it if you can, and take painkillers if you can’t. Usually, it’s ibuprofen, and stronger ones are tramadol. Only consider using pethidine when you have no other choice.

Fourth, surgery!

How to prevent it?

Article 1: Have children early and enjoy happiness early! Having children is one of the ways to treat and prevent endometriosis.

Second: Don’t reject short-acting oral contraceptives. Although it is troublesome to take them every day, they do help prevent endometriosis.

Article 3: If you don’t want to have children, take good contraceptive measures and have fewer abortions.