When it comes to endometriosis, most women have heard of it but may lack comprehensive knowledge. So, what exactly is endometriosis?

Endometriosis is, in fact, a common gynecological disorder. It occurs when active endometrial cells migrate beyond the endometrium and grow elsewhere. The interconnection between the uterine cavity, fallopian tubes, and pelvic cavity facilitates the spread of endometrial cells beyond their original location. These cells find new habitats, giving rise to "endometriosis."

However, underestimating the impact of endometriosis would be a mistake. These seemingly "mischievous" cells can lead to significant discomfort and health issues. Symptoms can include dysmenorrhea, chronic pelvic pain, menstrual irregularities, and even infertility in severe cases. The scope of its influence is vast, extending to pelvic tissues, organs, ligaments, and even regions beyond the pelvis, such as the abdominal and chest cavities.

To combat this formidable adversary, mastering the art of self-examination is crucial. But how should women go about self-examining for endometriosis?

Experts recommend focusing on these five symptoms:

1. Dysmenorrhea: Intense menstrual pain that progressively worsens throughout the menstrual cycle could indicate endometriosis. Endometrial cells beyond their natural location can lead to hormonal imbalances, causing tissue hyperplasia and swelling. This, in turn, triggers pain when bleeding occurs, and local tissues are stimulated.

2. Increased Menstruation: Sudden increases in menstrual flow volume and extended periods might suggest endometriosis. The abrupt rise in menstrual flow could stem from the accumulation of endometrial cells, disrupting the regular shedding process.

3. Pain During Intimacy: If endometrial cells reach the ileorectal fossa or the vaginal rectal septum, surrounding tissues can become inflamed. Consequently, pain may occur during intimacy, highlighting the need to address this symptom.

4. Bloating During Defecation: Experiencing bloating while passing stools is worth noting. This sensation could arise from ectopic endometrial tissue near the rectum and ileorectal fossa. The discomfort might manifest as painful sensations during stool passage, particularly before and after menstruation.

5. Infertility: Since the endometrium is vital for embryo implantation and development, any impact on its function can lead to infertility. Ectopic endometrial tissue might hinder fallopian tubes, hamper fertilization, or impede the smooth transfer of fertilized eggs to the uterus. Pathological changes could also disrupt ovulation.

Hence, even if no obvious discomfort is felt, couples under 35 years old unable to conceive after a year or couples over 35 unable to conceive after six months should consider seeking medical attention for possible infertility issues.

This expert insight offers a comprehensive overview of "Self-Examination for Endometriosis." With the knowledge of these five symptoms, women can tailor self-examination to their specific circumstances. A pre-pregnancy examination is recommended for those planning to conceive to ensure optimal reproductive health.

In cases of identified endometriosis affecting fertility, active treatment is essential. Treatment options encompass conservative and surgical approaches. Conservative methods involve hormone treatments, such as simulated pregnancy or menopause. While effective, these treatments can present side effects, impacting liver and kidney health. Alternatively, the safe and potent traditional Chinese medicine, Fuyan Pill, can offer symptom relief and address the root causes.

Surgical options include radical and conservative approaches. Radical surgery involves the removal of ovaries and the uterus, while conservative surgery focuses on targeted lesion removal. The latter, however, can be challenging due to the severity of tissue adhesion.

In conclusion, understanding endometriosis and its symptoms empowers women to take proactive steps toward managing their reproductive health. Wishing you a successful pregnancy journey and a joyous life ahead.

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