How to Know if I have Endometriosis?

Endometriosis is a disease which refers to endometrial tissues with growth capacity and function plant in parts out of the uterine cavity. Symptoms of endometriosis are very many, which can be easily confused with that of other diseases. Therefore it requires carefulness when patients are diagnosed.

But how to know if I have endometriosis? Dr.Lee gives a systematic introduction of this question.

1. Clinical manifestations and symptoms of endometriosis

Dysmenorrhea: About seventy percent endometriosis patients suffer from dysmenorrhea, and confront a risk of being aggravating. Lumbosacral portion and inferior belly are parts that pain usually occurs, and this pain can radiate to vagina, perineum, anus and thigh.

Quite often it hits patients one or two days before the period, and becomes worst in period and then fades away along the period. Few patients will feel the pain unbearable, and who also sustain nausea, vomitting, cold extremities or even syncope.

Menstrual disorder: This symptom embodies in increased menstrual blood, prolonged menstrual, or endless dripping. What's more, menstrual spotting often appears in the middle of the period.

Dyspareunia: Dyspareunia is a symbol of endometriosis in utero-sacral ligament and douglas cul-de-sac. Especially when pathological changes spread to posterior fornix, pain increases obviously. For such patients, discomfort in anus and defecation pain are common phenomenons.

Infertility: Primary infertility or secondary infertility.

2. Gynecological examination and aided diagnosis

1. To know the disease history of a woman, aspects such as, menstruation, pregnancy and familial disease and operation should all be considered. Apart from that, relationship between the development of pain and dysmenorrhea and menstruation, cesarean section, abortion, tubal fluid technique should be concerned cautiously.

2. B-type Ultrasonograpny

3. Pelvic endometriosis always occurs in women whose vagina locate further back than others. The apparent characteristic is that there are tenderness nodules in uterosacral ligament and posterior fornix.

4. Laparoscopy is the best method that has already been recognized internationally to diagnose endometriosis. If typical lesions can be seen clearly under the laparoscope, diagnosis can be made basically. Light, moderate endometriosis, suspected infertility and chronic pelvic pain, painful pelvic tubercles are conditions that patients should pay attention to. In this cases, patients can adopt laparoscopy. As a matter of fact, laparoscopy is the most common way to make diagnosis of endometriosis.