What diseases can endometriosis cause?

What diseases can endometriosis cause?

Endometriosis is an estrogen-dependent disease that is prone to recurrence and has the ability to metastasize and implant to distant sites. Although it is a benign lesion, it has malignant behavior. Common complications include irregular menstruation, dysmenorrhea, dyspareunia, and infertility.

1. Irregular menstruation: Abnormal patients often have shortened menstrual cycles, increased menstrual volume or prolonged menstruation, indicating that the patient has ovarian dysfunction. Irregular menstruation can be used as a diagnostic reference, but it is worthless in differential diagnosis.

2. Dysmenorrhea: The clinical feature of endometriosis is progressive dysmenorrhea, which is a common and prominent feature. It is mainly secondary, that is, since the onset of endometriosis, patients say that they had no pain during menstruation in the past. Dysmenorrhea starts from a certain period and can occur before, during and after menstruation. Some dysmenorrhea is very severe and requires bed rest or medication to relieve the pain, and even "rolls on the kang" or hits the head in pain. The pain often worsens with the menstrual cycle and disappears after the menstruation ends, but domestic reports show that about 21% of patients have no dysmenorrhea.

3. Pain during sexual intercourse: Pain during sexual intercourse may occur when there are ectopic endometrial nodules in the vaginal vault, nodules or adhesions in the rectal pit, or adhesions of the ovaries to the pelvic floor. When the fibrosis, hyperplasia, and contraction of the posterior lobe of the broad ligament are obvious, the ureter may be exogenously compressed, causing it to be narrowed and blocked, and urinary system symptoms may also occur. In severe cases, hydroureter or hydronephrosis may occur.

4. Infertility: About 50% of patients with endometriosis are infertile, and about 30-40% of patients with unexplained infertility suffer from endometriosis. Endometriosis causes infertility, which is often caused by pelvic masses, adhesions, fallopian tube blockage, poor follicle development or ovulation disorders caused by the disease; once pregnant, the ectopic endometrium is suppressed and atrophies, which plays a good role in the treatment of endometriosis. Some cases of habitual abortion are caused by endometriosis.