In the structure of gynecological diseases endometriosis confidently comes to the forefront. It is associated with a large number of symptoms and consequences: infertility, painful periods, increased number and duration of discharge during menstruation, soreness during intercourse, discomfort from neighboring organs bladder, intestine and disruption in the work of these organs.
At the moment there is no single reliable and unambiguous theory that would explain the causes and patterns of this disease.
Endometriosis of the uterus
Endometriosis is a condition in which the tissue, in its properties and structure, resembles the endometrium (the upper functional layer, the lining of the uterine cavity), is located outside the uterine cavity. It also functions fully and cyclically in accordance with the day of the menstrual cycle peeled off, restored, transformed. In the loci of endometriosis the same processes occur as in the uterine cavity. Endometrioid tissue behaves aggressively, conquering new territories on the spot of hemorrhages foci of inflammation are formed, accompanied by pain.
Endometriosis of the small pelvis, ovaries, tubes, peritoneum, intestines and the walls of the bladder is most likely associated with the dropping of menstrual blood from the uterine cavity through the fallopian tubes into the small pelvis and the increment of individual viable fragments of the endometrium. Often this can be an autonomous process. Or it can be provoked by active management of a sexual life during monthly, when as a result of an orgasm rhythmic contractions of a body of a uterus and pipes (which in norm should promote movement of a semen by the sexual path of the woman.
Now the diagnosis of endometriosis is a kind of scapegoat, to which the responsibility for any problems, including infertility, is blamed. But there are experience of communication with a large number of patients who, despite the existing diagnosis of endometriosis of different locations, were pregnant, had pregnancy and gave birth to children.
Probably, endometriosis plays a role in the development of infertility. But that what matters is not only its availability, but also other factors.
So, endometriosis is an individualized disease. It has its own characteristics in every woman. Therefore, the approach to the management of the patient should be clearly individual.