Endometriosis has become a clinical refractory disease in gynecology because the pathogenesis is not yet clear. It is believed that it may be during menstruation that the active endometrium contained in the menstrual blood flows back with the menstrual blood, enters the abdominal cavity through the fallopian tube, and is planted in the pelvic cavity.
Under the influence of some factors, the germinal epithelium of the pelvic peritoneum and ovary evolves into endometrioid tissue and forms endometriosis. Or active endometrium can be seeded through lymph and vein. It can be induced by abnormal immune function and female endocrine dysfunction.
However, none of the above statements can explain endometriosis causes.
Endometriosis is difficult to treat because it is a sex hormone-dependent disease related to the level of estrogen, progesterone, and their receptors in women. As long as the ovary has a function, the ectopic endometrium changes periodically, and the diseased parts will have repeated bleeding, proliferation, adhesion, and fibrosis. The so-called chocolate cyst often appears in the ovary or tender nodules in the pelvic area.
Drug treatment can temporarily interfere with ovarian function, cause amenorrhea, and relieve symptoms. However, once the drug is stopped, the ovarian function will return to normal, the ectopic lesions will show periodic changes, and the pain will revive. Therefore, it is difficult to cure because it is easy to recur and difficult to cure.
Endometriosis is still challenging to treat because most patients are women aged 30 to 40 when the female sex hormone function is strong and the condition is difficult to control. Sometimes, to achieve the purpose of treatment, drugs can cause castration of ovarian function and a series of perimenopausal symptoms, such as amenorrhea, hot flushes, sweating, palpitation, irritability, sexual desire loss, and obesity, resulting in adverse effects on women's physiology. Long-term treatment is not advisable.
Difficult points are also manifested in that although endometriosis is a benign disease, it can cause distant metastasis and planting growth similar to malignant tumors and presents complex clinical symptoms of the corresponding affected organs, which is difficult to distinguish and treat. For example, intestinal endometriosis may cause abdominal pain, diarrhea, and even a small amount of periodic blood stool. The ectopic endometrium invades the bladder or ureter, causing pain, frequency, and hematuria.
Because the cause of endometriosis is unknown and even leads to infertility in severe cases. Therefore, active treatment is essential.
First, Chinese patent medicine. The application of drugs that promote blood circulation, remove blood stasis, clear heat, and remove dampness can effectively treat endometriosis, such as Fuyan Pill. Endometriosis patients will have the symptoms of uterine cold, so you can take this pill to remove cold, promote blood circulation and remove blood stasis.
Second, surgical treatment. If the scope and nature of the lesions have been determined, surgical resection can be adopted, achieving good results and a short course of treatment. Patients with severe intrauterine adhesion can use it due to low drug sensitivity to surgical eradication. There are mainly three types of surgery: conservative, semi-radical, and radical. Different surgical methods are selected to achieve the best effect according to the severity of the disease.
Third, radiotherapy. Radiotherapy for endometriosis has a history of many years. Clinical trials have proved that radiotherapy can achieve ideal results without serious complications. If drugs are combined with surgery, patients who do not get results can be treated with radiotherapy to narrow the range of lesions.
Fourth, drug treatment. The application of progesterone can also play a specific role. Pregnancy hormones can cause breast pain, weight gain, gastrointestinal symptoms, constipation, etc. If you want to eat acne, there will be adverse reactions such as increased hair, coarsened voice, facial acne, etc.
The above methods can effectively treat endometriosis. Different treatment methods should be selected and personalized according to the different conditions.