Any deviations in the menstrual cycle should alert the woman. It is especially important to monitor the health of the reproductive system to those who have been diagnosed with endometriosis. Due to the fact that the disease is characterized by the growth of the lining beyond the uterus, menstruation becomes atypical.
It is impossible to prepare in advance for what periods will be in each new period, but it is important to understand whether new symptoms are associated with endometriosis. After all, it is likely that other gynecological diseases are developing in parallel.
Delay or skip menstruation
Delayed menstruation with endometriosis is a rather unusual symptom. Discharge can be plentiful, painful, but start on time.
A few days of delay are considered an absolute norm, but if the menstruation does not come longer than a week, or the cycle length goes beyond the “standard” 28 days, then it is necessary to consult with the gynecologist.
You also can not ignore the complete absence of menstruation for even one cycle. Endometriosis is not associated with secondary amenorrhea, although retrograde menstruation is one of the causes of the disease.
In the early stages of the disease, the endometrium may not exit the vagina, but rise into the fallopian tubes and attach to the walls of other organs. During this period, there may be some failures in the cycle.
But if the diagnosis has already been made, the skipping of menstruation may indicate not endometriosis, but:
- No ovulation in this cycle
- Suffered stress
- Hormonal medication,
- Excessive physical exertion.
There is no specific treatment for delayed menstruation. It all depends on the exact cause of the pathology. Sometimes, all you need is a good sleep and rest.
Scanty discharge on the background of endometriosis
Monthly with endometriosis is usually very abundant and painful. A scanty discharge is generally not characteristic of active proliferation of the lining of the uterus (especially in the late stages of the disease). After all, when the time of menstruation comes, absolutely all endometriotic tissues start to bleed (including those outside the uterus).
Abnormally meager and light discharge usually occurs as a result of insufficient hormone production, as well as the development of endometritis (inflammation of the lining).
Treatment usually consists of taking individually selected hormonal drugs. But if the results of the hormogram showed no abnormalities, then it is recommended to review the diet, and also pay more attention to rest.
If the next menstruation begins with characteristic sharp pains, but in fact there are scanty excretions, and are accompanied by abdominal swelling, the appearance of an unpleasant odor from the vagina, then it is quite likely that in addition to endometriosis, the polyp also grew.
A benign neoplasm can block the normal flow of blood from the uterus. In this case, the only treatment may be surgical removal of the polyp. Otherwise, the tissue that has accumulated in the blocked uterus may begin to decompose.
Ultimately, the pathology can result in necrosis of living tissues and even amputation of the genital organ.
Clots in menstrual flow
The appearance of menstruation with lumps of the endometrium directly indicates the development of endometriosis. This symptom can be considered one of the most obvious signs of illness.
Note! In the early days of menstruation (especially if it is not accompanied by pain), the appearance of small clots is a variant of the norm.
The scanty discharges consisting of practically one lining of the lining, as well as copious, long periods of time should alert. But without cytological research it is impossible to figure out what constitutes a clot.
For example, jelly-like formations in no way indicate endometriosis. Most likely, natural anticoagulants simply did not have time to completely dissolve the uterine lining before it came out. But dense pieces of tissue in menstruation can be a clear sign of endometriosis.
Abundant menstruation as a clear sign of endometriosis
The average amount of menstrual flow in a healthy woman is normally 50-70 ml. But with endometriosis, the amount of monthly blood flow can exceed 80 ml. This is very dangerous, because there is a risk of developing anemia.
Some women lose much more blood. Extremely heavy bleeding is observed with the growth of the endometrium beyond the uterus (in the fallopian tubes, ovaries, pelvic cavity).
Since the structure and hormonal nature of the uterine lining does not change depending on the site of localization, the blood begins to flow not only from the uterus, but also from the affected organs.
Methods for treating overt symptoms of endometriosis
Since heavy menstruation and clots usually appear at the same time, the methods of therapy will be identical. First, the doctor will prescribe synthetic hormonal drugs that inhibit the growth of endometriotic tissues. Since the growth of the endometrium is directly dependent on hormones, it is possible to artificially regulate this process.
Important! The drugs listed below should be considered only as indicative recommendations. The exact medicine prescribes the gynecologist according to the results of the hormogram. The first choice is oral contraceptives.
The advantages of tablets are that they are generally well tolerated and can be taken for quite a long time. But for those who absolutely do not want to drink oral contraceptives, the doctor can supply the progestogen vaginal ring NovaRing.
The second treatment option for endometriosis is surgery.
Scraping is usually performed on women who want to get pregnant (and therefore cannot take synthetic hormones). However, it should be understood that the operation will eliminate the unpleasant symptoms for only a few months, after which the disease can return again.
What to do if the endometrium does not move during menstruation?
In fact, the fact that blood is released from the vagina indicates that the endometrium has started to go outside. If on the day when the prognosis was supposed to begin menstruation, the blood did not appear, but the abdomen was severely swollen and sharp pains appeared, then it is likely that the endometrium cannot separate.
All that can be done to speed up the process: attach a heating pad to the stomach. But to eliminate pain, it is allowed to take drugs on the basis of paracetamol (Efferalgan, Novalgin).
Do not take more than 500 mg of paracetamol at a time.
If the pain does not go away, then you can drink more aggressive ibuprofen-based products (Next, Novigan). Non-steroidal anti-inflammatory drugs are usually very well tolerated, but side effects can also develop, including an upset stomach, a sharp increase in pressure.
Monthly after endometrial cleansing
Many women decide to have an operation to clean out excess endometrium, hoping that normal menstruation will be restored. Immediately after curettage, spotting may occur, including with clots.
But the next menstruation should be completely painless. However, you need to prepare for the fact that after a few months endometriosis with all its attendant symptoms will return.
The growth of the uterine lining can be called a "chronic" state. However, do not despair: the right therapy will allow you to live a normal life. It is also very likely that a healthy pregnancy can solve the problem of endometriosis.
How do menstruation occur
The unfamiliar word comes into use of the girl from the moment when she first notices the discharge of blood from the vagina. There comes puberty, that is, the first egg cell reaches the ability to fertilize.
In the female body there are a lot of them, and they are stored from birth in the ovaries. From there, under the influence of hormones produced by the work of the pituitary gland of the brain, each menstrual cycle one egg begins to move through the fallopian tube toward the uterus. If happiness smiles upon her, and on the way she meets a spermatozoon that can fertilize her, then, having already become a fetal egg, she will fall into the uterus.
The main female organ before the expected pregnancy is prepared by building up the inner layer - the endometrium. Its task is to provide the embryo with all the necessary things - blood, oxygen, nutrition.
As a rule, the egg cell is “unlucky,” and its date with the sperm cell does not occur, it dies. The endometrium of the uterus immediately reacts to this. Since it turns out to be unnecessary, the body gets rid of it. It is output through the vagina about once a month - this is the duration of the menstrual cycle.
What is endometriosis?
From where and why the disease with this name arises, doctors still continue to argue, not finding exact explanations. Its essence is that for some reason the endometrial tissue begins to grow and leaves the uterus.
She easily settles in new territories, finding shelter on the fallopian tubes, ovaries, cervix, kidneys, intestines, lungs, and many other places. Depending on the location, endometriosis is divided into internal (genital) - developing on the genitals, and external (extragenital). Endometrial tissue clusters form foci. They begin to grow and penetrate deep into the organs on which they find themselves.
The tissue outside the uterus behaves exactly the same as inside it. In the period of the onset of menstruation, rejection occurs, and then on the remaining remains of the endometrium re-grows, which every time becomes more and more. As a result, endometriosis develops.
The disease does not go away on its own, it is very difficult to determine it without ultrasound. The main feature is the change in the nature of menstruation, which, among other things, is very painful.
Monthly and endometriosis
There is so much enlarged endometrium that menstrual periods turn into plentiful and prolonged discharge. Its quantity increases in the uterus, which becomes larger, acquires a dense structure. After a gynecological examination or sexual intercourse, if endometriosis develops in the cervix, minor bleeding occurs.
Mostly menstruation is plentiful and painful, but at the same time there is scant discharge. This leads to a violation of the secretory function of the ovaries and the lack of hormones produced, resulting in poor monthly periods. Since ovulation is impossible under such conditions, the problem of infertility arises before a woman. Therefore, poor monthly with endometriosis is no less characteristic symptom than bleeding and painful manifestations.
Endometriosis causes hormonal imbalance, which is why the development of the endometrium in the uterus is inhibited, and as a result, a delay. Another reason for the delay is the delayed maturation of the egg in the ovaries. It is affected by foci of endometriosis on the fallopian tubes.
How to stop bleeding
Hypomenorrhea - this name is scanty periods - does not represent such a danger as painful and prolonged bleeding. They are fraught with anemia, which may result in hospitalization. A scanty discharge of up to 30 ml of blood a day, while with abundant more than 80 ml is excreted. It is difficult to recover the loss, so a visit to the doctor would not be superfluous.
Prescribed drugs have a hemostatic effect and contribute to blood coagulation. Due to this, a decrease in menstrual flow is achieved and their duration is reduced. Ascorutin, vikasol, tranexam, etamzilat, diferelin, and others are among the most well-known and long-established ones that have a positive attitude. They exist in the form of tablets and injections, but they should only be prescribed by a doctor after assessing the patient's condition.
In herbal medicine, broths and tinctures of nettle, horsetail, yarrow, water pepper, shepherd's purse, viburnum bark are used for blood coagulation. They act no less effectively, and they must be taken 2-3 days before menstruation.
After visiting a doctor and setting a diagnosis, a woman always has a question about how to solve the problem of recovery. You have to choose between surgery and drug treatment. Immediately agree to surgical intervention is not desirable. If, after the ultrasound, it turns out that this is not just a delay, and the disease has reached 3-4 degrees, then the pills will not do. Doctors believe that drugs do not eliminate drugs completely from endometriosis, and therefore they insist on complex treatment. Initially, surgical removal of endometrial foci is performed, after which a course of hormonal therapy is prescribed.
There are many ways to carry out operations for the removal of endometriosis - from open access operations to laparoscopy with all its varieties. Which of them will be offered by the doctor depends on the diagnosis and the possibilities that the clinic has.
When the disease is in advanced form, laparotomy is resorted to. Its disadvantage lies in the fact that it is not possible to preserve the reproductive organs after it, and the chances of being sterile in a woman increase dramatically.
It is possible that in the near future something more innovative will appear, but so far laparoscopy remains the most advanced method of diagnosis and treatment of gynecological diseases.
Laparoscopy is performed through three tubes inserted into small punctures in the abdominal cavity. After filling it with gas, localization of endometriosis foci and the degree of organ damage is established. Before you begin removing foci of pathology, it is determined exactly how to conduct it. They can be destroyed by applying a laser, cryogenic or other effects. However, endometrial tissue after destruction is capable of recovery, which leads to a relapse of the disease. Laparoscopy allows resection and removal of foci of endometriosis without damaging the organs on which they are found. The disadvantage of the technique is the impossibility of taking a sample of the endometrium for biopsy.
The recovery of the body after laparoscopy occurs quickly, there are no particular complications. Due to this fact, the technique is considered in medicine the “gold standard”.
Change in menstruation after endometriosis
Usually, after treatment, menstruation continues to go in accordance with the established schedule, but deviations may occur in both directions. Before the period, menstruation occurs due to the stress experienced before the operation, as a result of hormonal preparations, non-compliance with the exercise regime, but more often there is a delay.
With extensive organ damage and significant surgical intervention, the menstrual cycle changes. The first day of the new cycle is considered the day of the operation, so if the monthly ones did not arrive in time, this means that there was a delay. Shifts range from 5 days to several months. The reason they become hormonal drugs, appointed to consolidate the effect of the operation.
Shortly after the intervention may appear bloody slightly colored discharge, similar to the menstrual, but with them they have no connection. This is a common ichor, characteristic of healing wounds. Increased attention should be paid to the discharge, having a brown color with an unpleasant odor, or abundant, bright red, with clots. In both cases, this is considered a deviation and must be under the supervision of a physician.
Menstruation with endometriosis often differs from the norm. Depending on the characteristics of the patient's body and the degree of progression of the pathology, the discharge can be very abundant or, conversely, scanty. This is due to the fact that with endometriosis, mucous membrane cells gradually expand, which leads to a significant increase in the size of the uterus. The tissues of this organ become more dense, and this affects the functioning of the ovaries.
Delay of menstrual with endometriosis is quite common. The germ cells need more time to mature fully. If you do not start the treatment of such pathology in a timely manner, failures of the menstrual cycle will become commonplace.
In some patients, on the contrary, the cycle becomes very short, and menstrual bleeding occurs several times a month. This cannot be considered the norm, since the egg cannot mature and reject so often. Violations of the menstrual cycle are due to the fact that the patient produces much more estrogen than progesterone. Such a hormonal imbalance can lead to infertility.
Nature of discharge
The cyclical nature and pattern of menstruation with endometriosis may vary in different patients. It all depends on various factors - the characteristics of the organism, the degree of development of the pathology, as well as the localization of the pathological endometrium.
Consider several menstrual abnormalities that occur in patients with endometriosis most often.
Месячные при эндометриозе обильные, нередко со сгустками крови. Такие выделения могут сопровождаться дополнительными неприятными симптомами – болью в нижней части живота, отдающей в поясницу. The increase in the volume of menstrual blood is due to the fact that endometrial tissues expand, they become larger, especially on the fallopian tubes. When it comes time of menstruation, such tissues are rejected by themselves, and leave the body naturally. Spotting may persist even after the end of menstruation.
Monthly with endometriosis scanty. This symptom signals that endometriosis affects the vagina and the outer layer of the uterus. With such a pathology, menstruation is smearing, but it lasts long enough. The progression of pathology can lead to the defeat of the rectum and urinary system.
At the same time, the patient may have blood from the anus during menstruation, there are violations of the chair. Scanty menstrual flow is practically painless for the patient. If, however, some discomfort arises, you can get rid of it with simple pain medication.
Delayed menstruation with endometriosis is the most common phenomenon. Due to the imbalance of hormones in the female body, the process of complete development of endometrial cells slows down dramatically. The egg cell forms more slowly and is rejected later. Such violations of the menstrual cycle most often occur in patients with a diagnosis of endometriosis of the fallopian tubes.
Prolonged menstrual bleeding is another symptom of endometriosis. Overgrown pathological endometrial tissues are not evenly rejected. Because of this, menstrual flow can last more than 1 week. Often such periods are accompanied by severe pain and discomfort. Such a symptom signals that the pathology is progressing, and urgent qualified treatment is necessary.
If violations of the cycle in endometriosis have led to frequent and too heavy menstruation, contact your gynecologist for help. Ignoring this problem can lead to the development of anemia - iron deficiency anemia. This pathology is no less dangerous than endometriosis.
Endometriosis most often affects young girls and women before the onset of menopause. The symptoms of this disease and its effect on the menstrual cycle largely depends on the age of the patient and the characteristics of the pathology. Endometriosis can be genital and extragenital. In the first case, only the genitals are affected, and in the second - the neighboring ones.
The delay of menstrual with endometriosis can have several main reasons, namely:
- Pregnancy. In patients with endometriosis, infertility is often diagnosed. However, in rare cases, the disease can occur during childbirth. This pathology is especially dangerous, as it can lead to miscarriage. If you are planning to conceive a child, be sure to pass a full examination beforehand, and make sure that you do not have endometriosis.
- Damage to the inner layers of the uterus. When abnormal growth of endometrial cells disrupts the functioning of the ovaries. Because of this, there is a delay in menstruation. If the cycle time is constantly increasing, you should immediately contact a gynecologist. With a lack of female hormones, menstruation may stop altogether.
- The defeat of endometriosis of the cervix. Overgrowth of endometrial tissue prevents the passage of menstrual flow. The patient may have a long delay in menstruation, and then begins a heavy and painful bleeding. This form of endometriosis is very dangerous, as it can turn into a malignant form. With the progression of pathology in the cervical canal adhesions are formed, which limits the progress of sperm and leads to infertility.
- Hormonal imbalance. Due to the overproduction of the hormone estrogen and insufficient production of progesterone, the egg develops more slowly. In this case, the endometrium matures in time, but the bleeding does not begin. Such a violation of the natural process is accompanied by pain and discomfort.
Regardless of the cause, delayed menstruation is a reason to make an appointment with a gynecologist. Medic must conduct an inspection, and if necessary, appoint additional diagnostics. This may be an ultrasound, bacteriological culture, hysteroscopy or laparoscopy. If pathological foci of the endometrium are detected, the physician must take the biomaterial for additional laboratory testing. Proper and timely treatment of endometriosis will help to normalize the cycle and get rid of the dangerous consequences.
Very often, menstrual flow with endometriosis is accompanied by painful sensations. The discomfort can be of a different type and intensity. Even with a delay of menstrual or scanty discharge, a woman feels a pulling pain in the lower abdomen or in the lower back.
Abnormal location of endometrial cells and regular tissue rejection causes pain during menstruation. It can be sharp, shooting, cramping or aching and pulling. This is due to the fact that the removal of the pathological endometrium from the body causes damage to the small capillaries. It causes pain and contractions of the uterus.
In addition, the monthly with endometriosis may additionally be accompanied by the following unpleasant symptoms:
- Bouts of nausea and vomiting,
- Feeling tired, fatigue, fatigue,
- Retention of urination (leads to the development of pathologies of the kidneys and urinary system).
Often, pain occurs in women after the end of menstruation. This is due to the fact that too much blood flows into the uterus. In addition to obvious discomfort, the patient has spotting in the beginning and middle of the cycle. The secret can be brown or brown.
If you want to get rid of the pain during menstruation, ask your doctor to prescribe you special painkillers. It can be Spazmalgon, No-shpa, Tilda, etc. Such medications are sold without a prescription. If the pain becomes unbearable, and the bleeding increases, you may need urgent hospitalization.
With a significant deviation of menstruation from the norm, the health of the patient may be in grave danger. If the necessary measures to normalize the cycle and eliminate bleeding are not taken in time, the likelihood of severe consequences increases. If the discharge is too abundant, you can try to reduce them yourself at home. To do this, it is enough to take a pill of a hemostatic drug - Ascorutin, Tranescum, Diferelin, etc.
In folk medicine, herbal and herbal decoctions are used to stop bleeding. Using proven recipes, you can prepare the medicine from nettle, yarrow, viburnum bark, horsetail or water pepper.
30 gr. Herbal basis is mixed with 250 ml. boiling water, allowed to infuse and cool. Before use, the broth must be strained. Take the medicine in 50 ml. 3 times a day before meals. Do not get too carried away with such decoctions, as they can have the opposite effect - the uterus is too fastened, and the next menstruation begins with a delay.
If the methods listed above do not help, you need to consult a doctor. To alleviate the patient's condition with endometriosis, the physician may prescribe an operation. Endometrial curettage is performed under general or local anesthesia. After such treatment, the menstrual cycle should fully normalize. In order to avoid recurrence of the disease, doctors often prescribe a course of hormonal drugs to patients.
If you completely cure endometriosis, the menstrual cycle will recover without any additional treatment. Its duration should be 21-28 days. At the same time, blood is secreted from the genital organs for no longer than 4-6 days. Most likely the cycle will be the same as before the disease. In some cases, the correct treatment of endometriosis can improve the reproductive system, reduce the severity of premenstrual syndrome and reduce blood loss.
After treatment, the volume of discharge will return to normal. They will not be scanty or too abundant. When the hormonal balance is restored, the patient feels much better. The pain and discomfort in the lower abdomen disappear, the mood rises, a surge of strength and energy appears.
As a rule, for the treatment of endometriosis, doctors prescribe hormone therapy. Many patients experience that this will somehow negatively affect the menstrual cycle. This is a wrong opinion. Endometriosis disrupts the cycle of menstruation, and drug treatment helps build a new, correct cycle. The main thing is to start taking pills on the first day of menstruation. After a short treatment, the work of the reproductive system will be restored, and the cycle will remain stable even after completion of treatment.
The effect of the disease on the regularity of the cycle
Symptoms such as delayed menstruation with endometriosis and too heavy discharge are tolerated by any woman rather difficult. They are caused by a sharp proliferation of endometrial tissue, during which cells can penetrate into other organs. The uterus increases in size, frequent spotting appears, menstruation passes with disabilities, they are extremely painful.
In addition to problems with menstruation, there are other violations. Due to the pathological processes occurring in the uterus, endometrial cells penetrate into the surrounding organs, there is a strong hardening of the tissues, the formation of eggs is disturbed. This situation causes the absence of menstruation in due time, as the egg matures longer than normal. But with the advent of menstruation, too abundant discharge, blood clots, pain are observed.
The consequences of the disease are dysfunction of the reproductive organs, hormonal disorders. It becomes very difficult for a woman to become pregnant, for this it takes a lot of effort. All this requires appropriate treatment, in particularly difficult cases surgical intervention will be indicated.
Most often, the discharge will be too heavy, they are accompanied by drawing, severe pain in the lower abdomen. The duration of menstruation also increases, the woman feels very bad, there is weakness, fatigue.
Abundant and prolonged menses lead to the development of such a dangerous condition as iron deficiency anemia. In the absence of proper treatment, anemia can have the most dangerous consequences for the body and the health of the woman.
Not uncommon and scanty menstrual periods with endometriosis, most often this symptom is observed during the germination of endometrial cells in the surrounding organs and vagina. Allocations become smearing, frequent delays are observed. But the duration of menstruation in this case may be large, due to the uneven rejection of cells and tissues.
With endometriosis, menstruation is very painful, but the nature of the pain is different. In rare cases, a woman practically does not feel any discomfort, but most often the pain is sharp and strong, causing many inconveniences.
Usually, the pain is manifested a couple of days before the discharge, it can be cramping, pulling, shooting, stabbing or aching. Along with pain, symptoms such as:
- nausea, not infrequently accompanied by vomiting,
- fatigue, general weakness,
- urination disorders
- cystitis, possible development of pyelonephritis.
Traditional therapy for endometriosis is complementary. You can not use only such tools, they must always be accompanied by medical treatment. Among the most effective means worth noting:
- broths on the nettle, which should be drunk several times a day,
- decoctions on the yarrow, which also perform a preventive role,
- decoctions with viburnum bark, providing an anesthetic, vasoconstrictor effect, restoring uterine tone.
Monthly after treatment of endometriosis
After curettage, menstruation usually returns to normal, the natural cycle is restored, and the pain disappears. There may be a slight delay, but it is most likely related to the stress experienced. The discharge may not be as abundant and painful as it was before the postponed treatment.
Deviations are still possible, there are no major violations, but the schedule may be broken in one direction or another. At the same time, there are several reasons for this, usually premature periods come due to the excitement of the intervention, and the delayed due to hormonal therapy. But this is a temporary phenomenon, soon menstruation will go strictly in accordance with the schedule.
If extensive lesions were diagnosed and serious intervention was required, then the menstrual cycle can change dramatically. In this case, the first day of the cycle will be the day of the operation, if the discharge does not come further in time, then it is a question of delay, and the duration of such a violation can be from five days to several months. Typically, such a violation is caused by hormonal drugs, the delay period depends entirely on the individual characteristics of the organism.
After a couple of days after the intervention, scant spotting may appear, but this is not a menstrual period. This is a mallet that accompanies healing wounds, such a phenomenon is quite normal. Questions should cause a discharge with an unpleasant smell, having a brown or bright scarlet color, a large number of blood clots. In any of these cases, you should immediately consult a doctor, as the situation may indicate complications.
Endometriosis is a disease that requires immediate intervention by a specialist, since a violation can have the most negative consequences. Treatment depends entirely on the degree and course of the disease, in some cases it is possible to get along with medication and hormonal therapy, in others - surgical intervention is indicated. But the prognosis in both cases is favorable, after the treatment, menstruation returns to normal, the pain disappears.
The delay in menstruation in women with endometriosis can cause a lot of excitement. One of the unpleasant gynecological diseases that is diagnosed in women of reproductive age is endometriosis. This pathology is characterized by the growth of tissue outside the uterus, and this happens for various reasons. The disease is accompanied by characteristic symptoms and can often be delayed menstruation. One of the varieties of endometriosis is adenomyosis and the local muscle tissue of the reproductive organ becomes its site of localization.
Symptoms of pathology
Adenomyosis refers to hormonal diseases and certain conditions are necessary for its development:
Adenomyosis at the initial stage of its development often proceeds without any characteristic symptoms.
The progression of pathology leads to the fact that its character changes, and menstruation becomes:
A feature of adenomyosis is that during menstruation the tissue of the mucous membrane of the reproductive organ goes to the myometrium.
In the event that adenomyosis proceeds to the next stage of its course, this is accompanied by an increase in the listed symptoms.
Effect on the menstrual cycle
In adenomyosis, there may be a violation of the frequency of menstruation and this occurs under the influence of certain factors. Violation of menstruation may be due to changes in the hormonal background of the female body, and this is due to the reduced production of progesterone and an increase in the amount of estrogen. The result of this is the appearance of bleeding at any time, and they resemble menstruation, so women often take them for the beginning of the menstrual cycle.
However, the delay in menstruation can be caused by other pathologies, therefore, with the development of such a deviation, a woman is recommended to be examined for other gynecological diseases.
Nature of menstruation
Endometrial tissue is a significant part of the contents of menstruation, so adenomyosis is accompanied by a significant increase in volume. There is an increase in the amount of estrogen in the body of a woman, and this makes the menses abundant. Under the influence of hormones, there is a rapid spread of endometrial tissue beyond the inner surface of the reproductive organ, as well as a thickening of its volume. The suppression of such a pathological process can occur under the influence of progesterone, however, with adenomyosis, its production in the patient's body is reduced.
With such a pathological condition of the body, the periods become abundant and are complemented by the appearance of bloody daubs that can disturb a woman for several days. In addition, it can be the result of changes in the hormonal background of the body when an uneven flow of substances into the blood.
Скудные месячные при аденомиозе считаются довольно редким явлением, и наблюдается оно чаще всего при начальной стадии патологии, когда еще не возникает дополнительная симптоматика.
Причина боли при менструации
Severe pain before menstruation, which has its own characteristics, can be a common occurrence in adenomyosis:
Many women are concerned about the question of whether prolonged menstruation can occur with adenomyosis. In fact, such periods are a characteristic feature of this pathology and can last more than a week. This is due to the fact that the germination of the endometrium occurs in places, and the uneven flow of hormones is characterized by intermittent nature.
Changes in the hormonal background of the female body cause bleeding between the days of menstruation.
The state of the body after menstruation
In addition to changing the time of onset of menstruation and their consistency in adenomyosis, there may be a prolonged daub. She usually worries a woman for several days and is distinguished by a thick texture. The reason for the appearance of such a daub is the change in the hormonal background of the female body, which creates serious obstacles to the normal development of the endometrium.
In addition, there may be a nodal form of pathology, with the development of which there is an accumulation of brown fluid in the foci of inflammation, and it can not go along with the monthly.
The cunning of adenomyosis lies in the fact that it cannot be diagnosed without an ultrasound examination. In the event that women have a change in the nature of their periods, it is important to consult a specialist and find out the reason for this pathological condition of the body. The progression of the disease can cause difficulties in the onset of pregnancy, as well as cause the formation of cancer cells in the tissues. It is unlikely that it will be possible to completely get rid of the pathology, so it is necessary to constantly monitor the state of the female body and conduct timely medical treatment.
Today, the elimination of pathology is carried out with the help of hormonal and surgical treatment. Acceptance of hormonal drugs allows you to correct the complete absence of menstruation in a woman, and this leads to atrophy of the foci of endometriosis. The course of treatment usually lasts for several months and serious side effects may occur. One of the effective methods of treatment is considered to be an operation, with the help of which it is possible to remove lesions and preserve the internal genital organs.
Endometriosis refers to those gynecological pathologies, the progression of which can cause the development of various complications.
With this disease, frequent hemorrhages and cicatricial changes occur, which provoke the formation of adhesions in the pelvic region and abdominal cavity. In addition, endometriosis often causes the formation of cysts in the ovaries, inside of which accumulates old menstrual blood.
Often, endometriosis causes infertility, and a woman is not able to become pregnant for a long time. In addition, the disease is accompanied by compression of the trunks of the nerves, and this causes the development of neurological disorders.
Endometriosis is accompanied by the loss of a large amount of blood during menstruation, so the progression of this disease causes the development of such pathological abnormalities as:
It is for this reason that endometriosis requires the timely detection and appointment of effective treatment. This pathology is too serious, so it is easiest to prevent its development through preventive measures.
Monthly with endometriosis as pass
The peculiarity of the disease is that the ingrown tissues have the same activity that they had before the onset of pathology. Namely, the endometrium, is part of the uterine mucosa, which repeatedly and exfoliates and departs with menstruation, then is restored again. After a monthly cycle, the endometrium becomes loose, increases in volume, actually begins to bleed and free up its place. Therefore, menstruation with endometriosis increases and get a dark color. It is all about endometrial tissues, which have grown into the reproductive organs, and became more active during menstruation. Menstruation with endometriosis - how do they pass and how to reduce pain during them?
Monthly with endometriosis - features of the issue
The problem is aggravated the more, the more organs afflicts the disease. Because the internal endometriosis of the uterus is unpleasant, but the blood that endometrial cells will excrete will come out naturally. Whereas the endometrium of the peritoneum will cause an accumulation of discharge in the peritoneum, which can lead to the most unpredictable consequences. The same threat concerns the ovaries, both external and internal forms of endometriosis.
Monthly with endometriosis - how are they going?
What can be done if the monthly with endometriosis gaining dangerous momentum?
Depending on the form of the lesion, and the amount of blood during menstruation with endometriosis, the patient may be hospitalized. This allows you to track life-threatening moments, in particular the accumulation of peritoneal discharge in the cavity, which will be discussed not only by external factors, but also by the strongest pain syndrome.
During menstruation with endometriosis, an intensive drug blockade can be carried out to stop bleeding of menstruation with endometriosis as they pass, both natural and pathogenic. Most often it has a hormonal nature, although there are other methods.
Special drugs are used that block during menstruation with endometriosis. Of course, their use is advisable only with external forms that are within reach from the outside.
A decoction of the burner is effectively used. This herb has great potential in the area of blood coagulation, and stopping even the most abundant bleeding.
Monthly with endometriosis in the late stage of the disease
In the late stages of development, menstruation with endometriosis is always very difficult. That is why, more often than not, they are artificially stopped in order to preserve the woman's normal vital processes, eliminate the need for abdominal surgery, reduce painful activity, and the activity of the cells of the “runaway” endometrium.
If a woman does not know about the diagnosis of endometriosis, then monthly - this is the process that will clearly let you know about the course of the disease.
© Olga Vasilyeva for astromeridian.ru
Uterus Endometriosis: Symptoms and Treatment
Endometriosis of the uterus is characteristic only for women of reproductive age. With the extinction of the childbearing function of cases of development of the disease in medical reference books, the Overgrowth of the endometrium of the uterus, characteristic of this pathology, is not described, it is often fixed on one or two sites, but it can also occur over the entire surface.
Symptoms of internal and external endometriosis of the uterus
In menstruation, the mucous membrane of the uterus peels off along with the blood through the cervical canal and the vagina - it flows out. If the month is heavy and the pressure in the uterus rises, then the menstrual blood and part of the endometrium through the tubes flow into the abdominal cavity. This is retrograde menstruation. External endometriosis of the uterus develops if endometrial cells take root on the surface of the uterus, fallopian tubes and ovaries, bladder, pelvic peritoneum and begin to grow and multiply. It happens that the endometrium grows through the muscular wall of the uterus. Such a phenomenon is provoked by abortion, diagnostic curettage.
According to the degree of damage to the wall thickness and the severity of symptoms of endometriosis of the uterine body, there are three degrees of the disease:
Also, symptoms of internal endometriosis are often fixed in one or two areas or over the entire surface of the uterus.
It is believed that the external and internal endometriosis of the uterus - these are two different diseases, with different origins.
Until now, there is no single theory about the causes of endometriosis. Why all of a sudden such a peaceful fabric, in which a child is born, suddenly becomes aggressive and grows through the wall of the uterus, making “rivers” and “lakes” in it? The fact is that the endometrium that is displaced outside the uterus, is the same as in the uterus, during menstruation, it also menstruates, bleeds and partially exfoliates. Bleeding in the pelvis gives an impetus to the development of adhesions, delimiting the sources of bleeding. It happens adhesions IV degree - closure of the entire pelvic cavity with spikes. When this occurs, a powerful tuboperitoneal factor of infertility.
As can be seen in the photo, in case of internal endometriosis of the uterus body, the wall is so altered that we cannot talk about any attachment of the ovum:
The leading symptom of endometriosis is pain. Pronounced pain during menstruation, forcing to call an “ambulance”, during sexual activity, makes intimacy unlikely, and when examined by a gynecologist, this examination is much more difficult.
Sometimes it is even impossible to sit on a chair, since this tightens the perineum, inside which there is endometrioid tissue. The poor woman feels that she is sitting like on a hot nail.
A less significant symptom of internal endometriosis is menstruation, the first three days passing as usual, but ending with the next two days of black and brown daub, similar to tar or dark chocolate. These last days, the endometrium is menstruating in the uterine wall, in which there are much more coagulation factors. Coagulation factors are removed from normal menstrual blood. And the displaced endometrium has them, so black and dark brown are coagulated blood, the color of blood crusts.
In addition to external and internal endometriosis, endometrioid ovarian cysts still occur. They do not look like functional ovarian cysts.
Endometrial seeding (the spread of endometrium over the surface of other organs) with retrograde menstruation - the flow of menstrual blood through the tubes into the pelvic cavity - get into the ovaries, where the formation of so-called chocolate cysts 5-10 cm in diameter occurs. This causes the usual symptoms of endometriosis - pain during menstruation, sexuality, examination by a gynecologist.
How to treat endometriosis of the uterine body: hormonal and surgical methods
Before treating endometriosis of the uterus, an ultrasound scan is prescribed. Ultrasound helps to identify a cyst, which is removed promptly. In this case, in the treatment of endometriosis of the body of the uterus, the prescription of tablets does not help, does not affect the enclosed form of endometriosis.
Having identified the symptoms of endometriosis of the uterus, treatment is prescribed in the form of contraception with a predominant content of progesterone, a second-phase hormone cycle. Such hormonal treatment causes softening of the endometrium and its detachment from underlying tissues. At the same time, loss of blood flow causes resorption of endometriosis. Even such patients, doctors advised to become pregnant, absolutely not considering that there is persistent infertility.
Such treatment was popular in the 70s of the last century. Now the ovaries are disconnected with the formation of artificial menopause, in which endometriosis “fades”. Laparoscopic cauterization of visible endometrioid growths is also practiced.
In the surgical treatment of endometriosis of the uterus, large operations are performed with excision of the affected tissues. Unfortunately, it is often the case that follicles that grow in the outermost layer of the ovaries are destroyed. The method of treatment of chocolate cysts - only surgical. Conservative therapy in this case does not help.
Perplexity and regret causes the fact that the diagnosis of endometriosis has become fashionable. Moreover, the diagnosis is made on ultrasound, which should not be, because, despite the informative, ultrasound remains an additional method of research. A diagnosis should be clinical and reasonable.
And there are small and asymptomatic forms of endometriosis, not clinically manifested. And they do not require surgical treatment, which can destroy the supply of eggs.
The most famous and common causes of endometriosis are as follows:
- menstruation. Overwhelmingly endometriosis occurs in women of reproductive age. The peak incidence occurs at the age of 30-50 years. It is believed that during menstruation, blood is thrown from the endometrial cells into the abdominal cavity. Subsequently, the endometrium is transported to the surrounding tissues and peritoneum,
- hormonal disorders. It is noted that almost all patients with endometriosis there are changes in the ratio of steroid hormones: there is a high release of FSH (follicle-stimulating hormone) and LH (luteinizing hormone). At the same time, the level of progesterone decreases, prolactin increases and the androgenic function of the adrenal cortex is disturbed.
- genetic predisposition - emit even family forms of endometriosis. There are cases of endometriosis in eight daughters born from the same mother. Identified specific genetic markers that determine the woman's disposition to the incidence of endometriosis,
- impaired immunity - with a normal level of immunity, endometrial cells cannot survive outside the uterus. The protective functions of the body destroy endometrial cells outside the inner layer of the uterus and prevent them from implanting beyond its limits. And in women with endometriosis, a different picture is observed - due to impaired immune systems, the endometrial tissue calmly continues its growth outside the uterus or grows into the body of the uterus.
- endometrial metaplasia - that is, the transformation of one tissue into another. There is a theory that the endometrium, falling outside the uterus, can turn into another tissue. However, the cause of metaplasia is still not clear and causes controversy among researchers.
How are menstruation for endometriosis?
Monthly with endometriosis is usually plentiful and prolonged due to the rejection of the endometrium from the uterus and further growth, going beyond it, to other neighboring organs, uterine tubes, ovaries, kidneys, intestines, cervix. Rarely, but pass monthly poor, scarce, with clots.
Why does endometriosis develop?
There is no exact reason for the development of the disease. A major role is played by a hereditary factor, endometriosis also develops against the background of a breakdown in hormonal immune processes. Women at risk include:
Especially dangerous is the intervention of the doctor before the start of the menstrual cycle. Endometrial cells can penetrate into the wounds, their growth will go into the thickness of the neck, then into the pelvic cavity.
How do menstruation change with endometriosis?
As the endometrium grows, the periods for a woman become more and more painful, painful, abundant and prolonged or, on the contrary, scarce (with ovarian dysfunction, insufficient hormone production). The accumulation of secretions in the uterus leads to an increase in its size, compaction of the structure. With the development of endometriosis, for example, in the cervix with its palpation, blood particles depart. It creates unfavorable conditions for ovulation. It simply does not occur, which indicates impossibility until the problem is resolved.
With the development of endometriosis, the hormones of a woman are disturbed. The endometrium stops developing in the uterus, there is no maturation of the egg inside the ovaries, as a result, there are delays of menstruation, their irregular arrival. Uterine tubes are prone to focal manifestations of endometriosis. The disease adversely affects the reproductive functions of women and, in the first place, the menstrual cycle is disturbed. Before the onset of menstruation, painful pains appear.
Of course, endometrial disease in women is different, but in any case it is necessary to treat it. The pain usually begins shortly before menstruation, discharge on critical days passes:
Basically, with endometriosis, menstruation is plentiful, long and painful, which indicates dysmenorrhea.
Symptoms are directly dependent on the stage of endometriosis. With the progression of pain almost constantly. The cycle is not broken, but the pain during menstruation and during the entire period is exhausting, exhausting, the feeling of pain is constantly present. The syndrome is stable if adenomyosis begins its development. With 4 degrees without surgical intervention is not enough.
Blood loss is dangerous to the body, abundant fraught with anemia, decreased performance, rapid fatigue, weakness, drowsiness.
- Acyclic, irregular periods. Also possible with endometriosis. When interviewing a doctor, a woman can not specify the exact date of arrival of menstruation. Allocations are acyclic, that is, they are different: scanty, short, abundant, long, painful. May be absent altogether, come with a delay, giving women a lot of inconvenience, irritation, nervousness, physical discomfort.
- Bleeding, discharge insignificant, smear, may appear throughout the cycle of menstruation. Often occur after intercourse, during weight lifting, as a result of the introduction of vaginal suppositories, douching, and even palpation by the doctor during the examination period. Monthly smear, in the diagnosis of endometriosis of the uterus, vagina, vulva, ovary, isthmus.
- Hypomenorrhea, scanty menstruation with blood loss of not more than 50 ml. There are headaches, also in the lumbar region, sternum, lower abdomen, nausea, bowel problems. Perhaps nosebleeds. Estrogen secretion decreases, along with their libido, reproductive functions. Scanty periods occur when:
- inferiority of the endometrium,
- after abortions, frequent scraping,
- against the background of inflammatory tuberculosis.
When the secretion of secreted hormones is disturbed, the circulatory system in the uterus ceases to circulate normally. Endometrium is defective during periods of menstruation, as a result of scanty discharge. The launch of a mechanism for the development of hypomenorrhea is possible due to:
Allocation of hypomenorrhea go dark or light brown spots, accompanied by nausea, headaches, lower back, also constipation, dyspeptic disorders. Spastic contractions of the uterus and sharp pain during menstruation may not be. Scanty periods are not pathological with the extinction or restoration of menstrual function. But in the reproductive phase it is a serious disorder in women and a reason for seeking medical attention.
It is important to establish the cause of menstruation disorders. When hormonal regulation of endometriosis is impaired, menstruation periods are scarce and long-lasting, with infertility with complications, in the absence of menstruation for a long time - amenorrhea. With inflammation of the endometrium, the discharge is brown scanty, an unpleasant smell departs, and the lower abdomen hurts. Often there are such secretions after intrauterine intervention on the background of post-abortion endometritis or infectious diseases. There may be no pain in dark-bloody, brown discharge, but this is also a sign of endometriosis.
Monthly heavy with blood clots
Observed with enlarged endometrium, its rejection with vascular damage. During blood coagulation, the periods pass copiously, with pieces of the endometrium or clots. They come out with endometrial hyperplasia against the background of the release of a large amount of estrogen. Normally, only lochia are considered after childbirth. Discharge abundant with clots, lasting from 3 to 6 weeks. Over time, they become brighter. With the appearance of prolonged periods with an unpleasant odor, such as discharge after childbirth, also for pain, fever, you should visit your doctor.
If uterine bleeding is abundant, how to stop?
With endometriosis, abundant periods are observed in many women. The condition leads to anemia and urgently needs to stop bleeding.
The doctor will appoint ditsinon. vikasol. tranexam, diferelin. To reduce the uterus - kontakal, oxytocin, ergometrine. Ascorutin, folic acid will help to strengthen the walls of blood vessels. In the treatment of endometriosis, danazol, zoladex, novinet, duphaston are prescribed regardless of the stage. With prolonged bleeding and low hemoglobin level, according to test results, surgical intervention is possible.
When severe bleeding is prohibited syringing, taking warm baths. Preparations to stop bleeding without a doctor's prescription are also not recommended to avoid complications.
Laparoscopy is a perfect technique in the treatment of endometriosis. It consists in maintaining the tubes (three) through the punctures into the peritoneal cavity. Tubes filled with gas, affect the pathological lesions, destroying them. As a result of the resection, endometrial foci are removed without damage to the organ. However, this method cannot be used to take endometrial specimens for biopsy, relapses are also possible, the restoration of endometrial tissue after its destruction is not always successful.
Help stop the bleeding medicinal herbs with medicines. Only with the permission of a physician, psyllium juice helps to relieve inflammation and stop bleeding. The shepherd's purse has the same effect. Brew, drink before meals 2-3 times a day.
Nettle leaves have an anti-inflammatory effect. Houses use decoctions and infusions. Constant reception will relieve blood loss, adjust the menstrual cycle. Nettle is brewed with boiling water, taken on 1-2 tbsp. l before meals 2 times a day. Kalina red (bark) helps stop uterine bleeding. The crushed bark is brewed with boiling water, as it is drawn, they drink 2–3 tsp. up to 4 times a day.
Infusions of medicinal plants should be taken regularly for 1 month. If you experience side effects, you should consult with your doctor.
Endometriosis leads to imbalance, hormonal disturbance. If untreated, complications are unavoidable.
The inner lining of the uterine cavity, the endometrium, is updated monthly in the woman’s body. During the cycle, it grows and increases, and if conception did not happen, it exfoliates and goes out.
Failure occurs more often due to hormonal imbalance. Endometrium emigrates to other organs, begins to grow there - these are the ovaries, fallopian tubes, intestinal walls, bladder. Its cells, in the same way as in the uterus, are rejected and bleed in the days of menstruation.
How do menstruation change after endometriosis treatment?
Monthly begin to go on schedule, but failures are possible with:
The cycle is able to change after surgery if extensive affected areas have been removed. Day of operation - the beginning of a new cycle. In the absence of monthly in time is considered a delay. It may be up to 5 days, it may be up to 2–3 months when taking hormonal drugs prescribed after surgery to restore the background. There may be scanty excretions, suckling as a result of healing wounds, but they have nothing to do with menstruation.
Deviations are considered abundant brown discharge clots, can bright red with an unpleasant smell. This is a reason to return to the doctor, to undergo a full examination. Violations of the menstrual cycle and hormonal levels inevitably lead to infertility. To conceive the formation of an embryo in the uterus, there simply does not remain a favorable environment. Even with the onset of pregnancy, it is extremely difficult to maintain it against the background of developing endometriosis. Cyclicity is disturbed, ovulation is absent, infertility occurs. It is menstruation occurring in the normal, indicate hormonal and physical well-being of women.
Blood loss or, on the contrary, scanty discharge is a reason to visit a gynecologist and get tested. The soreness and profusion of bleeding are the main signs of endometriosis. Without treatment of the disease, the changes become more pronounced, lead to breakdowns, neurotic disorders, the woman cannot become pregnant. The illness is cunning, and at the first suspicions the passage of the full course of treatment is extremely important for the future health of the woman.
WHAT TO DO IF YOU HAVE DETECTED MYOMO, CYST, INFERTILITY, OR OTHER DISEASE?
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The essence of pathology and its causes
Every month a woman has a layer of endometrium in the uterus. So the body is preparing for fertilization. Usually, the endometrium grows to a certain limit, and then begins to exfoliate if conception does not occur. It goes along with the monthly, and in its place a new layer is growing. Sometimes this mechanism fails.
The essence of the pathology lies in the fact that, for uncertain reasons, the endometrial layer begins to grow beyond the limits of the uterus. And still it was not possible to establish why the endometrium begins to grow in the wrong place for it.. So far, it is only known that hormonal imbalance can play an important role in the whole process.
In most cases, the problem is concentrated in the urogenital system, but often the pathology spreads to the intestinal area, as well as to other organs.
The effect of the disease on the volume and intensity of secretions
Usually scanty periods with endometriosis are not, but it all depends on the development of pathology. If the growth has occurred in the vagina or the outer layer of the uterus, then menstruation becomes smearing, and it seems that they are scarce. This situation is characterized by the absence of pain or they are insignificant.
This pathology is characterized by prolonged (more than a week) and abundant discharge. And all this time there may be bloating periods. This situation is very dangerous, because the loss of blood in large volumes over a long period of time can lead to iron deficiency anemia. As a result, the feeling of weakness remains even after the end of menstruation.
Although the endometrium grows beyond the limits of the established area, it retains its properties and function, and therefore bleeds during menstruation. So there is more endometrium in the body than is needed, which leads to abundant secretions.
Abundant menstruation with endometriosis is usually accompanied by pulling pain in the lower abdomen. They become more intense than usual. There may be discharge with clots.
The most abundant periods during endometriosis are in cases where the disease is localized in the fallopian tubes.
Change cycle regularity
Endometriosis is characterized not only by the distribution of tissues to other organs. This pathology also leads to an increase in the uterus due to compaction of the tissues of this organ. The normal functioning of the ovaries is directly dependent on the functioning of the uterus. If the uterus mucous membrane expands greatly, then the ovaries are not able to work in the usual way. This leads to a longer maturation of the germ cell. As a result, monthly begin with a delay, and the cycle is shifted.
Endometriosis is characterized by menstruation, occurring twice in one cycle. This happens because of the dominance of estrogen over progesterones, which should not be in a healthy body.
How the menstrual period in endometriosis, depends on the location of the pathology. If endometrial tissue grows in the cervix, it also affects the stability of the menstrual cycle.
Due to endometriosis, changes with menstruation can be quite diverse: painful or painless, copious or scarce.
Symptoms of pathology
Consider the most characteristic symptoms of endometriosis:
There are other symptoms, but these are most characteristic of endometriosis. They are also symptoms of other diseases, so their presence speaks only about the likelihood of pathology. For an accurate diagnosis, you need a gynecologist.
The appearance of pain
Critical days are characterized by the presence of pain of varying intensity. Women have long been accustomed to this. However, in pathology, things are somewhat different. Pain during menstruation with endometriosis is usually accompanied by the following symptoms.
This pathology is characterized by severe pain. These can be aching, cramping or shooting pains. They can occur quickly and just as quickly disappear or lasts the entire menstruation. In this regard, there is no such category as “typical pain”.
Since the endometrium can grow in different tissues and create many foci, the sensations are constantly changing. Also the stage of the pathology affects the pain. It is one thing if we are talking about a simple surface lesion, and it is quite another if there is a merging of organs and a lot of lesions appear.
With the progression of the disease, the pains become permanent, and at the initial stage they occur periodically.
Painful sensations can continue not only during menstruation, but also after their completion. Blame for the abundant flow of blood into the uterus due to illness.
Answering the question of what periods for endometriosis, we can definitely say - painful. The more pathology is started, the pain will be noticeable.
Methods of dealing with pathology and consequences
Fight endometriosis in three ways.
Usually for relieving pain they use such drugs as No-Spa, Spasmalgon, Kombispazm, Solpadein and others. There are more potent drugs, but only a doctor should prescribe them. By and large, conventional paracetamol is sufficient, and if it does not relieve pain, then further symptomatic treatment should be carried out only with a doctor.
Eliminating the pain, you just remove one of the symptoms, but the disease does not go away. For her treatment requires a gynecologist. Therefore, it is better to go to the doctor, and therefore already take painkillers.
There are lots of drugs that can be used to reduce bleeding during menstruation. These include Askorutin, Diferelin, Tranexam, Vikasol, Ditsinon, Oksyotsin, Ergometrin and others. Some drugs are used directly for the treatment of endometriosis, others are needed to reduce the uterus, others are hemostatic agents. Therefore, consultation of the doctor is obligatory, because it is impossible to choose a treatment for yourself.
If necessary, the gynecologist can prescribe hormone therapy (usually it happens) with the use of the following drugs:
It is better not to use tampons with endometriosis, as in other situations with abundant menses. It is necessary to see the amount of discharge, as well as not let them stagnate. Gaskets in this situation are the best choice.
Fans of traditional medicine use decoctions of nettle, yarrow, horsetail, pepper, snowball bark and other plants. These decoctions should help stop the bleeding. However, we are talking about unproven medicine, so you can simply lose precious time on ineffective treatments.
When surgery is required
If the disease has just appeared and has not yet begun to progress, then its treatment consists in the use of hormonal drugs.However, this method is not effective if there are too many foci of expanding cells.
If endometriosis is localized in the cervix, then use the procedure of cleaning or curettage. It is best to carry out such a procedure in menstruation, when the endometrium is rejected by itself and is easier to remove. Moreover, the best of all endometriosis with all its foci is noticeable a few days before menstruation.
The most commonly used procedure is called laparoscopy. It consists in the introduction of tubes into the peritoneum. Through these tubes is carried out the impact on the lesions in order to destroy them. All foci are removed without damaging the organs where they are located.
If menstruation with endometriosis caused certain problems, then after surgery, difficulties should arise.
After treatment, it is necessary for a month to abandon sexual intimacy, hot baths, baths, any douching and physical exertion. It is also recommended to avoid stressful situations.
Endometriosis is a process of pathological proliferation of endometrial tissues, with their penetration into other functional layers, in particular, into the myometrium. And it is the endometrium in the process of menstruation that is rejected and updated, because this pathology can not but affect the process of menstruation. Among other things, it has a significant impact on the menstrual cycle itself, its regularity, duration, and other indicators.
Delay of menstruation
Delay of menstruation with endometriosis is not a typical phenomenon, but in some cases it can also develop. The delay in this pathology is associated with hormonal disorders, which, in fact, cause endometriosis, and not with the pathological processes in the endometrium itself. But in general, this phenomenon is not very characteristic.
For this reason, if you notice a significant delay in menstruation, if you have a diagnosis of endometriosis, it is recommended to take a pregnancy test or be examined for other diseases for which the delay is more characteristic than for this.
While with this pathology in rare cases, there may still be a delay in menstruation, its complete absence is an even more rare case. Often, as in the previous case, this is not due to the actual pathological process in the uterus, but to what caused it — a temporary or permanent hormonal failure. Especially with a low activity of the functioning of the ovaries to produce sex hormone. Also, this phenomenon can be observed in uterine adenomyosis during menopause (which also happens quite rarely).
In general, the thickened endometrium must be rejected more cells, because it must be done more often. As a result, there is a tendency to shorten the menstrual cycle. Monthly come more often and last longer. Pathology is considered if the duration of the cycle is less than 21 days.
How are the periods for such a diagnosis? The most characteristic are excessively abundant discharge, which occurs for several reasons:
- A large amount of endometrium, that is, more cells are rejected than in the normal state. And, it means that the volume of bleeding increases,
- Hormonal causes.
Deviation from the norm is considered such an intensity of bleeding, when in one hour you need to use more than one pad or one tampon.
Significant blood loss has a negative effect on health. Pallor, weakness appear, persistent anemia (low iron content and reduced hemoglobin) may develop with characteristic symptoms of convulsions, lethargy and chronic fatigue.
What are monthly periods for endometriosis? As mentioned above, they are very abundant, associated with significant blood loss. Overly scanty menstrual periods with endometriosis almost never happen, as this is impossible in this state of the endometrium. But, as in the case of delayed or absent menstruation, sometimes hormones can affect the abundance of secretions. Then the endometrium is not fully updated.
In addition, acyclic hemorrhages can be taken as scant short periods. This is a condition where, regardless of the cycle, a brown or dark daub appears in endometriosis. Such a phenomenon may be constant, periodic or one-time. But it, in any case, should be a reason to consult a doctor.
Pain during menstruation
A characteristic sign that delivers significant discomfort. Pain occurs in the lower abdomen and may have a different nature. Sometimes they are acute, sometimes aching, permanent or periodic. Also, in some cases, they can be quite clearly localized. In general, adenomyosis is characterized by a significant increase in the "usual" pain during the premenstrual syndrome.
With external endometriosis, the symptoms of “acute abdomen” can be formed at all. Another characteristic difference is that pain appears not only 2-3 days before the onset of menstruation, but also 3-4 days after it ends.
Duration of menstruation
So, as mentioned above, a thickened endometrium needs more time to be renewed, the monthly periods can significantly lengthen. Which also plays an important role in the formation of significant blood loss and anemia. Moreover, there are no limits for this extension. But the deviation is considered if menstruation lasts more than seven days.
Cycle after endometriosis treatment?
Normally, after a complete cure for endometriosis, the menstrual cycle is fully normalized. It lasts from 21 to 28 days, while the monthly periods themselves go 4-6 days. It is possible to return to the same cycle duration, nature of discharge, etc., which were before the development of the pathology. In some cases, the cycle even becomes more healthy - its duration and regularity are normalized, the volume of blood loss and the severity of premenstrual syndrome decrease.
Volumes of discharge
If there were abundant or scanty menstrual periods with endometriosis, then now both the volume and character are normalized. Normalization of the hormonal level will have a positive effect not only on the menstrual cycle, but also on general well-being and condition. In addition, the gradual disappearance of formed anemia will have a positive effect on health and well-being. As well as the lack of regular intense pain.
Thus, the cure of endometriosis will not only affect the menstrual period, but also improve the overall condition of the body.
Will the cycle fail?
Treatment of endometriosis is carried out mainly hormonally. In this case, hormone intake forms a new cycle. And if during endometriosis there can be a cycle failure, then the hormones normalize it. If you start taking them from the first day of menstruation, they will help to form a new cycle, which will continue after the cancellation of these drugs. At the same time, the own shortened cycle is due to the disease.
When do they start?
In some cases, other treatments are performed that cause artificial menopause. In this case, menstruation stops. They begin again immediately after discontinuation of hormonal drugs. In this case, the cycle becomes one to which the patient has a genetic predisposition. That is what it was before the onset of the disease.
How many days are menstruation with the disease? More often than 7 days. Long periods due to the development of endometriosis due to uneven rejection of overgrown tissue. Menstruation lasts more than one week, be painful or painless, depending on the stage.
Abundant and prolonged menses are dangerous because of the possible development of iron deficiency anemia. The reason - the loss of a large amount of blood. Consultation and treatment is required.
Endometriosis pain occurs before the start of menstruation. Their character:
The reason is the abnormal location of the endometrioid tissue. As a result of its rejection, small blood vessels are damaged, leading to spasms and pain syndrome.
Concomitant pain characteristic symptoms:
- general weakness
- problems urinating.
To alleviate the condition take painkillers - No-Spa, Spazmalgon, Solpadein.
The risk of uterine bleeding in the development of anemia. What to do in this case? It is necessary to appoint hemostatic drugs that coagulate blood. Their reception reduces the profusion and duration of discharge.
Doctors prescribe Etamzilat, Tranexam, Vikasol, Ascorutin and others.
The small amount of menstrual blood secreted is due to endometriosis of the vagina, the outer layer of the uterus. At the same time, monthly meager and obsolete. Pain is either present or not. They are stopped by pain pills.
There may be scanty discharge from the anus with endometrial lesions of the rectal mucosa.
On the video about the nature of the discharge
This is an atypical manifestation. The reasons for the delay in menstruation with endometriosis are hormonal disorders, against which the disease develops.
It is possible to slow down the process of maturation of the egg as a result of the growth of the endometrium on the fallopian tubes and ovaries.
But first of all it is necessary to exclude pregnancy. You need to do a test or go to the clinic. A negative result requires examination.
A complete cessation of menstruation also arises because of a violation of the process of the production of sex hormones, which provokes endometriosis. After 45 years, the reason may be at the beginning of menopause.
We recommend reading the article on pain in endometriosis of the uterus. From it you will learn about the causes of discomfort, the nature of the painful sensations, what to remove and how to treat, the use of antispasmodics.
What are effective candles for endometriosis? Read here.
Making a diagnosis of endometriosis requires urgent treatment. In the initial stages and in the absence of complications, hormone therapy is prescribed, in difficult cases - surgery. After surgery, drugs are also prescribed.
To eliminate the consequences, you must regularly visit a gynecologist. It is important to contact the clinic for problems with menstruation and menstrual cycle.
Changes in the nature of discharge, their abundance, regularity, periodicity - a reason to be examined.
In identifying the disease, it is necessary to follow all the recommendations of the treating doctor. This will preserve reproductive health, avoid infertility afterwards.
Symptoms of the disease at the end of the cycle
Endometriosis provokes the appearance of its inherent symptoms before menstruation. The patient most often notes the following signs:
- spotting after intercourse,
- daub at any time of the month
- pain in the lower abdomen (sex, exercise).
Intermenstrual secretion can have two options:
- dark red, burgundy (diffuse form),
- rich brown (focal or nodular endometriosis).
How menstruation occurs with endometriosis
The nature of critical days is influenced by the following factors:
- form of pathology
- degree of tissue damage
- accompanying illnesses,
- age of the woman.
The following information helps to understand how menstruation passes with endometriosis:
- Great blood loss. The abundance of monthly discharge is directly dependent on the severity of the pathology.
- Dark shade. Red, practical brown marks on the gasket are due to damage to the blood vessels against the background of insufficient time for blood oxidation.
- Prolonged bleeding. Menstruation can last up to a week due to increased separation and endometrium exit.
- The presence of clots. The heterogeneous structure of the discharge is a consequence of impaired blood clotting system and reduced uterine contractility.
- Increased viscosity. Menstrual flow becomes more viscous due to the large production of mucus.
With these symptoms, it is recommended to go to a medical facility. At an early stage, sufficient medical treatment. In advanced situations, with a thick layer of the endometrium, curettage is most often necessary.
The intensity of the discharge at the beginning of the cycle is explained by the pathologically large growth of the uterine mucosa, therefore, the amount of tissue rejected increases. If the foci of the disease are present in the fallopian tubes, blood loss is noted both before and after menstruation.
With endometriosis, abundant periods are the main symptom of the disorder. But not all women have this symptom. Most often manifested dysmenorrhea, which can be combined with scanty secretions, and with large blood loss with clots. Its main symptom is pain, manifested in different ways:
- feeling of weight shortly before regul,
- unpleasant feelings of growing character,
- painful recoil in the stomach and lower back,
- unbearable pain on the first day of menstruation.
Long periods with large daily blood loss increase the risk of iron deficiency anemia. The female body can no longer independently compensate for the lack of a trace element. Therefore, a systematic feeling of weakness arises at any time.
Risk of uterine bleeding
Menorrhagia or hypermenorrhea are marked with pronounced endometriosis. Hyperplasia of the endometrium or leukomyoma is often present.
It must be remembered that with heavy bleeding can not douche or swim in hot water.
Be careful when there is a sharp loss of strength, increased drowsiness. Be sure to go to the hospital is necessary if the pad gets wet for half an hour against the background of very pale skin.
Hemostatic drugs are prohibited to take without the appointment of the attending physician.
The appearance of scanty monthly with endometriosis is very rare. This situation is noted if ovarian tissue was affected. As a result, paired organs can not work normally, causing inhibited or completely missing ovulation.
With elevated estrogen infertility often develops. And there is a shortage of progesterone, causing incomplete development of the endometrium. And if we add here also the problematic secretory function of the ovaries due to the proliferation of tissues, then the scanty discharge on the days of menstrual flow is quite real.
Scanty bleeding during endometriosis is also associated with two manifestations of an impaired cycle:
- Oligomenorrhea. Short non-abundant periods (up to three days), which are accompanied by pain in the first day of the cycle. The main causes are ovarian endometriosis and problems with the functioning of the organs of the endocrine system.
- Hypomenorrhea. The duration of critical days remains standard, but daily blood loss does not exceed 50 ml. Additional symptoms include pain in the abdomen, lower back, and chest. Sometimes nausea, gastrointestinal dysfunction and nasal bleeding occur.
Other causes can provoke the scarcity of menstruation:
- Sharp weight loss.
- Strong stress.
- The consequences of operations.
- Endocrine diseases.
- Infection of the genitourinary system.
- Poisoning the body.
Small discharge or smear does not mean the early stage of endometriosis. Such a condition can also occur in severe forms, especially with damage to the ovaries and additional disorders.
No menstruation for endometriosis
Delayed menstruation with endometriosis is an atypical symptom of this disease. Within the normal range there is a slight delay, but not more than three or four days. The absence of menstruation for more than a week is a good reason to visit the treating doctor. Consultation and examination is necessary if the interval between monthly bleeding is very long.
Other factors that are not related to the pathology of the uterine lining may also cause a delay:
- Shifted stress.
- Physical overstrain.
- Acceptance of oral contraceptives.
- Climate change.
- Approaching menopause.
There is no special treatment in this situation. Therapy will be selected based on the root cause of the cycle violation. In most cases, it is enough to improve lifestyle and nutrition.
In many patients with endometriosis, infertility occurs. But sometimes the disease develops during gestation. For the development of the child in the womb, adverse conditions are created, so the risk of miscarriage increases.
There is a risk for the woman herself. The appearance of perforation of the uterus can cause a sudden rupture of the organ, followed by severe bleeding. Therefore, gynecologists recommend a complete examination before conception. If the patient has already been diagnosed, then it is extremely important to have a baby after full recovery.
When a pregnancy test is negative, it is necessary to look for other reasons for the delay. Doctors explain as follows whether due to endometriosis, menstruation cannot occur.
Pathological growth of the endometrium negatively affects the work of the ovaries. The egg cell needs more time for maturation due to hormonal imbalance. The incorrect ratio of hormones inhibits the development and the process of subsequent tissue rejection.
As a result, the woman notices first the slight delays, and then the complete absence of menstruation.Lack of progesterone provokes bleeding at any time during the cycle of unknown origin.
When the cells of the uterus grow in the cervix, the bleeding cannot come out. This form of the disease is less common than others, but it is without treatment that it develops into malignant neoplasms. The greater the focus of endometriosis, the higher the risk of formation of adhesions.
The absence of menstrual flow in one cycle is a serious reason to visit a gynecologist. With timely diagnosis, treatment will include only medications, when in advanced forms it is rarely possible to do without surgery.
To know exactly how to cause menstrual period in endometriosis, it is necessary to establish the cause of the failure. With minor violations will help sedatives, balanced nutrition and proper rest. You can use traditional medicine, but after consulting a doctor. After all, herbs give only a one-time result without eliminating the problem with the cycle.
The basis of the treatment of delay are drugs with progesterone. The course is assigned individually after confirmation of the lack of progestins in the body. They use Duphaston for endometriosis from day 16-25 of the cycle, but it is also possible to use utrogestan. Most often, the cycle length does not change, and menstruation begins on schedule.
Sensations after menstruation with the disease
After menstruation, it is painful for endometriosis where the enlarged mucosal cells are located. It may be the uterus itself, the vagina, the cervix, the ovaries, and even the urethra, the rectum. In most situations, pain occurs in the lower abdomen and in the lumbar region, giving it to the tailbone.
Painkillers solve the problem when it is already unbearable to endure the pain. Full normalization of the cycle is possible only after the disappearance of lesions.
Endometriosis causes abundant and prolonged menstruation, but due to several forms of the disease, scant discharge or prolonged delays are also possible. Pathology adversely affects overall sexual health, disrupting the hormonal balance and the functioning of the reproductive organs. Without treatment, the disease does not disappear by itself, so it is important to go to the hospital with the slightest changes in the cycle and the appearance of negative symptoms.