What are the differential diagnosis methods for endometrial tuberculosis?

When it comes to endometrial tuberculosis, many women only have a limited understanding of it. Not only do they not understand the symptoms of endometrial tuberculosis, but they also do not understand how to diagnose it. Therefore, this has led to many women in clinical practice delaying the best time to treat endometrial tuberculosis because they do not understand it. So what are the diagnostic methods for endometrial tuberculosis?

1. The focus of medical history inquiry is menstrual history, pregnancy and childbirth history, family history and surgical history. Pay special attention to the relationship between the occurrence and development of pain or dysmenorrhea and menstruation and surgeries such as cesarean section, artificial abortion, and fallopian tube insufflation.

2. In addition to the bimanual examination, the gynecological examination should emphasize the need for a triple examination. In pelvic endometrial tuberculosis, the uterus is often posteriorly located, with poor mobility or fixation; tender nodules in the uterosacral ligament and posterior fornix are characteristic signs; in patients with ovarian endometrial tuberculosis, cystic masses can be felt in the adnexal area that are adherent to the uterus or broad ligament and pelvic wall, with poor mobility and often mild tenderness. The cysts are generally smaller than 10 cm.

3. Laparoscopy is currently internationally recognized as the best method for diagnosing endometriosis. If typical lesions described in gross pathology are seen under laparoscopy, the diagnosis can be basically established, and intraoperative findings are also an important basis for clinical staging. Especially for patients with mild to moderate endometrial tuberculosis, infertility and chronic pelvic pain caused by suspected endometriosis, and patients with pelvic tender nodules in gynecological examinations but no positive findings in B-type ultrasound examinations, laparoscopy should be used as the preferred diagnosis method if conditions permit. Laparoscopy is also the most commonly used method for treating endometrial tuberculosis.

The above is an explanation of the diagnosis of endometrial tuberculosis. We are honored to provide you with health services. If you have any other questions, you can ask us for free and we will do our best to answer them.