The main manifestation of endometrial tuberculosis diagnosis is dysmenorrhea, which gradually worsens and should be highly suspected of endometrial tuberculosis. Patients often have infertility, menorrhagia and dyspareunia. During gynecological examination, the uterus is slightly distended, there are painful and hard nodules in the uterosacral ligament or the posterior wall of the cervix, and benign masses in the ovaries, which can be considered as endometrial tuberculosis. 1. Pain (dysmenorrhea, chronic pelvic pain, dyspareunia, etc.), infertility, pelvic examination, imaging examination and serum CA125 test are all important clinical diagnostic indicators. 2. Laparoscopy is currently the common method for diagnosing endometriosis. The basis for diagnosis is mainly based on the morphology of the lesions under laparoscopy, but it is difficult to fully confirm it by pathology. 3. Special parts: according to symptoms and corresponding examinations. Reduce the activity of endometriosis lesions and reduce the formation of adhesions. Selection principles: ① Applicable to basically confirmed cases, long-term "experimental treatment" is not recommended. ②There is no standardized solution yet. ③The efficacy of various treatments is basically the same, but the side effects are different, so the side effects of the drugs should be considered when choosing drug treatment. ④The patient’s wishes and financial ability must also be considered. The above content is the relevant introduction made by gynecological experts for us. Are you clear about it? Warm reminder: Female friends can use the above items to diagnose whether they have endometrial tuberculosis. Once diagnosed, they should actively receive treatment. |
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