What are the early symptoms of endometrial tuberculosis?

Endometrial tuberculosis has a lot of impacts. Nowadays, the number of women suffering from infertility due to endometrial tuberculosis is also increasing. Therefore, endometrial tuberculosis must be discovered early. What are the early symptoms of endometrial tuberculosis? Let's learn more about it with the editor. While being aware of the harm of the disease, we must also take timely prevention.

1. Menstrual irregularity: Patients with internal tuberculosis often have shortened menstrual cycles, increased menstrual flow, or prolonged menstrual periods, indicating that the patients have ovarian dysfunction. Menstrual irregularity can be used as a reference for diagnosis, but it has no value in differential diagnosis.

2. Pain during intercourse: Pain can occur when there are tuberculous endometrial nodules in the vaginal vault, nodules or adhesions in the rectal pit, or adhesions of the ovaries to the pelvic floor. When the lesions of the posterior lobe of the broad ligament are fibrotic and contracted significantly, the ureter can be exogenously compressed, causing it to be narrowed and blocked, and urinary system symptoms may also occur. In severe cases, hydroureter may occur.

3. Dysmenorrhea: Dysmenorrhea is the most common and prominent complication of endometrial tuberculosis. It is mostly secondary, that is, it starts from the onset of endometrial tuberculosis. Many patients did not feel pain during menstruation before, but began to experience dysmenorrhea from a certain period of time, which can occur before, during and after menstruation. Some patients have unbearable dysmenorrhea and take painkillers or stay in bed. The pain often worsens with the menstrual cycle and disappears at the end of menstruation. However, domestic reports show that about 21% of patients do not have dysmenorrhea.

4. Periodic bladder irritation symptoms: When internal tuberculosis lesions involve the bladder peritoneal folds or invade the bladder muscle layer, symptoms such as menstrual urgency and frequent urination will appear at the same time. If the lesions invade the bladder mucosa, there will be periodic hematuria and pain.

5. Cyclic rectal irritation symptoms: Progressively aggravated cyclical rectal irritation symptoms are rare in other gynecological diseases and are a favorable diagnosis for this disease. The anus, rectum, and vulva are distended, painful, and feel tenesmus, and the frequency of bowel movements increases. As the lesion gradually worsens, the symptoms become more obvious, and disappear after menstruation.