Why do some patients with Endometriosis have bloody stool, some have abdominal pain, some have waist and leg pain, and even some can't have sex due to extreme pain? The same disease has different symptoms. Why?

It has a lot to do with the different locations of the ectopic lesion!

First of all, endometriosis can be roughly divided into two kinds one is intrinsic endometriosis and the other is extrinsic endometriosis.

Intrinsic endometriosis is the so-called adenomyosis, also known as adenomyosis. It is called intrinsic endometriosis because the endometrium does not separate from the uterus and is still in it. However, unlike the normal endometrium, it covers the uterine cavity but grows in the uterine muscle.

The so-called extrinsic endometriosis means that the normal endometrium grows to parts outside the uterus. The relevant parts are pervasive, including the fallopian tube, cervix, vulva, appendix, umbilical cord, abdominal incision, hernia sac, bladder, lymph nodes, and even pleura and pericardium, upper limbs, thighs, etc. The focused tissue may be ectopic to every part of the body.

So, where is the most quickly growing part of the endometrium in external endometriosis? Ovaries! The ovary is the "hardest hit area"! The ovary is the most frequently invaded part of the endometrium.

Endometriosis on the ovary will form a cyst, which is what we often call a chocolate cyst. Dysmenorrhea caused by it is characteristic, and patients often have pain on one side. If the bursa grows in the left ovary, the patient will feel obvious pain on the left and vice versa.

However, dysmenorrhea caused by chocolate cyst is "slightly inferior" to dysmenorrhea caused by adenomyosis, and its pain is not as intense as adenomyosis. In addition, chocolate cyst and adenomyosis can lead to infertility. The chocolate cyst will cause adhesion between the pelvic cavity and fallopian tube, leading to fallopian tube obstruction and then affecting pregnancy.

In addition, the chocolate cyst is often combined with some pelvic effusion, and this part of pelvic effusion will produce some toxic factors, which will also affect pregnancy. Therefore, when doctors perform infertility surgery caused by chocolate cysts, they will also use a large amount of normal saline to flush the pelvic and abdominal cavity after removing them. The purpose is to reduce the toxic factors in pelvic effusion.

The lesion is ectopic to the bladder. At this time, patients will have lower abdominal pain and blood urination during menstruation. The bladder structure is complex, especially the bladder triangle, which involves the problem of the urethral opening. If the lesion is ectopic to the top of the bladder, the operation is relatively simple, and a gynecologist alone can solve the problem. However, if the lesion is ectopic to the bladder triangle, it will be more troublesome. If necessary, you need to ask a urologist for joint surgery.

The lesion is ectopic to the rectum. This situation is roughly divided into two types. One is that the focus is ectopic on the rectal wall, and the patient will have the symptoms of bloody stool. However, clinically, it is not very common for lesions to be ectopic to the rectal wall. The other is that the focus is ectopic outside the intestine, and the lesion does not penetrate the intestine, which is more common.

Related patients do not have bloody stool but will have an apparent sense of lower abdominal distension. They always want to run to the toilet, but they can't row anything. Although this situation is not so serious, it dramatically affects life and makes people collapse.

The lesion is ectopic to the vagina and rectum. This situation is called "DIE" in medicine, that is, deep invasive endometriosis. Because this situation often involves pelvic floor muscles, blood vessels, nerves, intestines, ureters, and other organs, it is very troublesome to deal with it.

Patients with this condition often have intestinal irritation, vaginal swelling, sexual intercourse pain, and so on. And there are even some patients who complain that they are very painful when having sex. They only have sex three or four times a year. Very scary.

The lesion is ectopic to the uterosacral ligament. This situation is more common, and its symptoms are lower abdominal distension, sexual intercourse pain, etc. Related surgery is relatively simple, but many nerves are passing through the uterosacral ligament, including some nerves that control the bladder micturition system.

Therefore, after surgical resection of the lesions in the uterosacral ligament, patients may have difficulty urinating for some time. But it will be fine after a while. It won't be a big deal.

In short, the lesion will be ectopic to the uterus and ectopic to other parts of the patient's body. The more extensive the spread of lesions, the more troublesome it will be. Therefore, women must take measures as soon as possible. The treatment of endometriosis should be individualized according to the age of patients, the severity of endometriosis, and the size of lesions.

If patients with endometriosis have fertility requirements, conservative treatment is generally recommended. Patients can choose the herbal medicine Fuyan Pill to eliminate symptoms. At the same time, it controls the hyperplasia of ectopic disease and reduces the phenomenon of abdominal pain.

For patients with large lesions or no fertility requirements, subtotal hysterectomy can be performed. For patients with severe conditions and fertility requirements, select local endometrial surgery.

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