Early Diagnosis Methods for Endometriosis: Improving Lives and Fertility

Endometriosis, a prevalent gynecological condition among women of childbearing age, can significantly impact their quality of life and fertility. It is crucial not to underestimate the seriousness of endometriosis. Early prevention and treatment can alleviate symptoms and enhance a patient's chances of conceiving. Here are three methods for early endometriosis diagnosis:

1. Recognizing Patient Signs

Medical professionals often rely on visible physical signs to identify potential health issues. When assessing patients, doctors carefully consider signs that can be observed through visual examination, palpation, questioning, and listening.

This approach also applies to diagnosing endometriosis. Patients may exhibit varying degrees of dysmenorrhea, and as the condition progresses, they may develop secondary dysmenorrhea and other disturbances. Infertility and chronic pelvic pain are additional factors that contribute to a diagnosis.

2. Imaging Examination

Imaging is vital in diagnosing endometriosis, particularly when it involves the ovaries. Many patients discover ovarian cysts through routine ultrasound examinations or abdominal discomfort. These cysts could potentially be indicative of endometriosis, specifically endometriosis cysts.

However, solely relying on ultrasound findings may not suffice for a definitive diagnosis. Ovarian masses do not always equate to endometriosis. Combining ultrasound results with other diagnostic measures and multiple indicators is essential for a comprehensive evaluation.

3. Serological Examination

Serum analysis can reveal essential markers for diagnosing endometriosis. Obtaining materials through serum examination is often convenient. Clinicians can diagnose endometriosis by analyzing a patient's serum levels of CA125 and human epididymal protein 4.

Elevated levels of CA125 and human epididymal protein 4 in the serum are common indicators of endometriosis. While CA125's specificity may not be exceptionally high, significantly elevated values, well beyond the normal range, should raise concern.

However, it's crucial to note that serum CA125 alone should not be the sole basis for diagnosis and monitoring. Since endometriosis and inflammation can affect CA125 levels, clinical presentation and additional indicators must be considered for a comprehensive evaluation.

Can Endometriosis Patients Achieve Pregnancy?

While infertility is a common manifestation of endometriosis, especially in untreated cases, most patients can still conceive naturally, especially in the early stages. Approximately 40% of endometriosis patients experience infertility, with the risk increasing over time without treatment. Early-stage lesions with mild symptoms and minimal cyst growth typically allow for natural conception, which can benefit endometriosis management.

Pregnancy can often inhibit endometriosis progression and, in some cases, lead to its regression or cure. Therefore, encouraging patients with endometriosis to pursue pregnancy is essential. Surgical interventions such as excision, adhesion removal, and pelvic endometriosis may be necessary for genuinely infertile individuals, with postoperative pregnancy rates ranging from 50% to 60%.

While endometriosis can affect fertility by compromising ovarian function and causing pelvic adhesions, it does not mean pregnancy is impossible. Mild cases can often result in natural pregnancies, while more severe cases may require tailored treatments based on age, health status, disease duration, and fertility goals.

For those unable to conceive naturally or through other methods, options such as in vitro fertilization (IVF) or assisted reproductive techniques may be considered. Traditional Chinese medicine, such as Herbal medicine Fuyan Pill, can also be explored to alleviate symptoms and address underlying causes, offering hope for those seeking to start a family.