Does endometriosis fear tiredness?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on September 05, 2024
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Firstly, when endometrial displacement occurs, the endometrial glandular tissue and stroma appear outside the uterine body, this condition is called endometriosis, also known as adenomyosis. Endometriosis can affect any part of the body, including the bladder, kidneys, ureters, mammary glands, thighs, etc., with the most common sites being the uterus, ovaries, and vagina. The primary manifestations of endometriosis include lower abdominal pain and painful menstruation, followed by infertility and pain after sexual intercourse, generally deep dyspareunia. In the presence of endometriosis, these symptoms suggest the need to avoid overexertion and spicy foods in daily life. Once endometriosis occurs, timely treatment is necessary.

Other Voices

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Written by Hou Jie
Obstetrics and Gynecology
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Does endometriosis require the removal of the uterus?

Endometrial displacement, depending on the specific location of the displacement, calls for different treatments. When the endometrial glands and stroma invade the myometrium, it is called adenomyosis. Treatment is based on the patient's symptoms, age, and fertility requirements. If there are fertility requirements, or the patient is near menopause, medicinal treatment can be tried to alleviate symptoms. For younger patients with adenomyosis who have reproductive needs, focal excision surgery can be considered. For patients with severe symptoms, who either have no reproductive needs or for whom medicinal treatment is ineffective, a total hysterectomy may be considered.

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Written by Zhang Lu
Obstetrics
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What to do about dysmenorrhea caused by endometriosis?

There are two types of dysmenorrhea, primary dysmenorrhea and secondary dysmenorrhea. An important cause of secondary dysmenorrhea is endometriosis. The dysmenorrhea caused by endometriosis comes from specific diseases, and the interventions include the following aspects: First, symptomatic treatment should be conducted first, which means using pain relief medication to alleviate the pain. In clinical practice, various pain relief medications can be used for dysmenorrhea caused by endometriosis. Second, treatment should be aimed at the cause of the dysmenorrhea. Treatment for endometriosis currently includes both medicinal and surgical approaches. If surgical treatment is chosen, it can involve the removal of ectopic cysts or pelvic ectopic cysts, among other conditions; if medicinal treatment is chosen, methods such as pseudopregnancy or artificial menopause can be used.

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Written by Yue Hua
Obstetrics and Gynecology
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Consequences of Endometriosis

The consequences of endometriosis primarily include abnormal menstruation and infertility, with about 50% of those affected experiencing infertility. The reasons for this stem from the abnormal pelvic structures caused by endometriosis, as well as extensive adhesions of the fallopian tubes and ovaries, and abnormal motility of the fallopian tubes, all of which lead to reduced functions in transporting sperm and eggs. Furthermore, changes in the microenvironment within the pelvis also lead to infertility. Abnormal menstruation is mainly characterized by an increased amount of menstrual flow and prolonged menstrual periods, which can easily lead to anemia in patients.

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Written by Zhang Lu
Obstetrics
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Does endometriosis cause infertility?

Endometriosis is a common cause of infertility, primarily due to the ectopic implantation of endometrial tissue in the pelvic cavity or other locations. Endometriosis leads to infertility mainly because it affects ovarian function, such as causing ovulatory disorders. Additionally, endometriosis can cause pelvic adhesions, affecting the function of the fallopian tubes, such as their ability to pick up eggs. Women with infertility should be checked for endometriosis, and if confirmed, surgical or medicinal treatments can be considered to improve the condition and potentially increase the chances of conception. Therefore, endometriosis is a cause of infertility, and careful examination for endometriosis should be conducted in patients with infertility.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Endometriosis has several manifestations.

When women suffer from endometriosis, the clinical manifestations can vary depending on the specific location of the ectopic endometrial tissue, but there are some commonalities. A major symptom is pain related to menstruation, such as dysmenorrhea. For example, ovarian chocolate cysts can cause progressively worsening dysmenorrhea and affect the amount of menstrual flow; issues like increased menstrual volume and prolonged menstrual periods can also occur, and some women may experience pain during intercourse. Endometriosis often leads to the occurrence of pelvic adhesions, so some women may also experience chronic pelvic pain. When endometrial tissue is located on the ovaries, it can affect normal ovulation and hormone secretion, leading to irregular menstrual cycles and infertility.