How compatible retrocervical endometriosis and pregnancy

Causes, symptoms and stages of the lesion of the cervical canal. What will happen if not treated endometriosis?. Treatment of different stages of retrocervical endometriosis. Pathology and pregnancy

Retrocervical endometriosis is a disease characterized by pathological growth of the endometrium layer behind the cervix (cervical canal), in the region of the sacrum and uterus. There is a parable as a result of throwing menstrual discharge with endometrial cells in open ovarian cysts. Many patients in history have abortions and childbirth, which have become the causes of the perforation of the cyst, but often this process arises due to hormonal imbalances, immunity violations and genetic predisposition.

Causes of the defeat of the cervical canal

1. Accommodation in an unfavorable environmental situation;
2. Iron-deficiency anemia;
3. Obesity;
4. Cesarean operation;
5. Intrauterine spirals;
6. Ignition erosion;
7. Gynecological inflammatory diseases;
8. Severe liver disorders;
9. Uterine operations.

Retrocervical endometriosis: What will happen if it is not treated?

Most patients – women of childbearing age. If you do not treat the pathological growth of the endometrium, the colon is damaged, the overclocking space, the emergence of the adhesive process occurs.

The disease can spread to nearby the organs of the urinary system, the abdominal wall. In the future, there is a deformation of the walls of the rectum, similar to the tumor. In the process of diagnosis of pathology, they resort to biopsy and retromancopy.

Symptoms of retrocervical endometriosis

The disease can manifest itself in different ways. Sometimes even experienced gynecologists cannot recognize it without appropriate analyzes, colposcopy, ultrasound. In the early stages of development, signs of violation are usually absent.

In the future, the following symptoms arise:

1. Moaching browned selection a few days before menstruation and after those;
2. Pain at the bottom of the abdomen, in the lower back, which are enhanced at monthly, sexual intercourse, detergent;
3. Menstruation are becoming more and more abundant;
4. Blood selection may be observed between monthly;
5. A reproductive function is disturbed, infertility arises;
6. General weakness;
7. Increased temperature;
8. Nausea ending with vomiting;
9. Stool Violations: Alternation of constipation and diarrhea, when pathology has affected the intestines.

Often the disease is accompanied by adenomyosis and fibromic uterus. In the absence of treatment, the endometrodic fabric may be reborn in malignant, which will lead to the development of cancer with all the consequences of.

Retrocervical endometriosis: stage of disease on ultrasound

1. The first stage – pathological foci is localized in a rectovaginal tissue;
2. The second – the endometrium is germinating into the wall of the vagina, the neck of the uterus, there are small-cycle changes;
3. The third – the disease applies to sacratropic ligaments and the serous layer of the rectum;
4. Fourth stage endometriosis-damage by cells of the endometrium mucous membrane. Infiltrates apply to peritoneum, spikes are formed.

Treatment of different stages of retrocervical endometriosis

Therapy tactics are selected separately in each case of the disease. Treatment is like conservative and radical (surgical), but more often it is necessary to combine both of these methods. The conservative option lies in the long use of hormonal drugs. For this purpose, oral contraceptives are prescribed, androgen-like drugs, derivatives of nucleoids, gestagens, etc. In addition, vitamins, spasmolitics, enzymes, anti-inflammatory means are appointed.

If cervical endometriosis provoked a violation of the functions of neighboring organs, for example, the intestines, complicated by moma and adomomyosis, there is a suspicion of the malignant process, resort to surgical intervention.

Now the laparoscopic method of operations with an electrocoagulator or laser is increasingly used. Foci of endometriosis are removed or migrated. With a severe course of one laparoscopy, it is not enough and one has to dissect the abdominal wall.

Hormonal therapy is appointed either to surgical intervention, or after it.

During rehabilitation, with a favorable forecast, a critical function is restored, significantly reduced pain syndrome during menstruation. But the disease is prone to relapses, so at least once a quarter is necessary to attend the prevention to visit the gynecologist. Woman need to adjust the day and diet.

It is also not recommended in menstruation days to use tampons, as they contribute to the casting of endometrial cells along with blood in the fallopian tubes, which, accordingly, leads to the relapse of pathology. Therefore, the reason must be refrained from sexual life during the period of monthly bleeding.

Treatment depending on the stage of the disease

In definitely, first, the differential diagnosis of ovarian cancer and rectum is carried out. The first stage of therapy – excision of the pathological focus through the vagina in the diagnostic and therapeutic purposes. The resulting material is sent to histological examination to eliminate the presence of malignant cells.

The first and second stage suggests the excision of pathology within healthy tissues, then separate ketguette seams are superimposed. It is advisable to conduct cryodestruction (use of liquid nitrogen) endometriosis bed to prevent further pathology.

In the third stage of the disease, the rear colpotomy is carried out, the excision of pathological foci, laser or cryo-processing of the region of sacroyatar ligaments. At the same time, doctors explore the state of other small pelvic and peritoneum organs.

The fourth stage of endometriosis requires the diagnostic excision of the pathological focus to clarify the diagnosis.

After that, there is a massive hormonal treatment of nurseroid series gestages (dienogest, northestrel), antigonadotropins (Dunola) or Angonists of Gonadotropin Rilizing Hormone (DIFERELINE, ZOLADEX). Patients show baths with iodine, bromine and radon, sedative therapy, symptomatic and spa treatment.

Retrocervical endometriosis and possible pregnancy

The effects of the disease include various types of infertility, unbearable and ectopic pregnancy.

Quite often, infertility is diagnosed with endometriosis. It is caused, as a rule, hormonal disorders, as well as various complications that remained after the treatment of the disease.

Hormonal disorders in endometriosis are the active products of estrogen, which leads to the suppression of ovulation. This becomes the cause of infertility at an early stage of the disease. However, pregnancy may come if the hormonal failure is not expressed too much. This often happens in the early stages of pathology, as well as after treatment.

With a protracted course of the disease, adhesive processes are formed, which increase the risk of infertility development. Especially dangerous spikes in the appendages – pipes and ovaries. In the first case, the egg cell can not meet with a sperm and reach the uterus, or it fertilizes, but since the output to the uterus is blocked, strengthened in the fallopian tube, respectively, an ectopic pregnancy is formed, which represents a threat to health and even the life of a woman. With repeated ectopic pregnancies and damage to both uterine pipes, the ECO procedure is used.

If the spikes achieved ovaries, then the likelihood of the development of endometriosis of these bodies, which is dangerous by the development of a cyst, abundant bleeding and other pathological conditions. However, the natural conception in this case is not possible. In this situation, as in the previous, resort to eco.

Endometriosis prevention

Prevention measures are to exclude provoking factors. For example, you need to use contraception methods to warn abortion.

An important role is played by the correct therapy in the injuries of the generic paths, as well as the method of imposing postpartum seams. It is necessary to adjust hormonal disorders and to inhibit inflammatory diseases of the reproductive system bodies.

Any manipulations in the uterus and genital zone must be carried out strictly by appointment of a doctor!