Endometrial tuberculosis may be caused by other diseases. We must actively grasp the causes of endometrial tuberculosis and correctly grasp the causes of endometrial tuberculosis. Only by treating the cause can good results be achieved. Next, we will give a detailed interpretation of the causes of endometrial tuberculosis. Causes of endometrial tuberculosis: 1. Causes of disease Endometrial tuberculosis is mostly caused by the spread of fallopian tube tuberculosis. After a latent period, when the body's resistance is poor, the tuberculosis bacteria mainly invade the endometrium and often affect the basal layer of the endometrium. 2. Pathogenesis Female genital tuberculosis first infects the fallopian tubes and then gradually spreads to the endometrium, ovaries, cervix, etc. Due to the periodic shedding of the endometrium, the endometrial tuberculosis lesions are discharged. The lesions are mostly confined to the endometrium, presenting as scattered miliary nodules in the early stages. In very rare severe cases, the lesions invade the myometrium. The uterus is normal or slightly smaller in size, and there is no abnormality in appearance. Tuberculous nodules can be seen under the microscope of the scraped endometrium, and caseous necrosis may occur in severe cases. A typical tuberculous nodule has 1 to 2 giant cells in the center, arranged in a horseshoe shape, surrounded by epithelial-like cells, and infiltrated on the outside with a large number of lymphocytes and plasma cells. The characteristic of endometrial tuberculous nodules is that the glands around the tuberculous nodules are insensitive to ovarian hormones, showing persistent hyperplasia or hyposecretion. Severe endometrial tuberculosis may cause caseous necrosis and superficial ulcers, resulting in most or all of the endometrium being destroyed, and scars may form later. The endometrium loses all its functions and amenorrhea occurs. We must actively grasp the above-mentioned causes of endometrial tuberculosis. Of course, after grasping the causes of endometrial tuberculosis, we must actively go to a professional hospital to treat the disease to avoid the occurrence of disease hazards. |
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