In the early stages of the development of the disease, endometriosis is asymptomatic and the woman does not know that the endometrium is actively growing and will bring her a lot of trouble in the future, and ultimately infertility. The subsequent development of the disease in the later stages begins to manifest itself in the form of characteristic discharge in endometriosis from the vagina, to which women must pay attention and tell about the noticed problem at an appointment with their general gynecologist.
What is endometriosis?
The disease of the female reproductive system - endometriosis - insidious and very dangerous. It is more common in women of childbearing age. Lack of timely treatment threatens a woman with infertility, anemia from significant blood loss, and even cancer. Unfortunately, modern medicine is not yet known the exact causes of endometriosis, as well as ways to completely cure it. There is only an assumption that a violation in the hormonal background of a woman is a provoking factor.
The clinical picture of endometriosis is in the pathological proliferation of the inner layer of the uterus - the endometrium, beyond, for example, into the ovaries, on the cervix, or even the bladder and intestines. The most dynamic process of growth of the endometrium falls on the period of completion of menstruation in the last days of the cycle. At the end of the menstrual cycle in a healthy woman the level of sex hormones decreases, after which a thin layer of the endometrium is rejected and menstruation occurs. With a deviation from the norm in endometriosis, the spotting accompanies the woman when rejection of the growing layer of the endometrium occurs. This happens regardless of the day of the menstrual cycle.
Signs of endometriosis
It is important to know the signs of endometriosis, and what discharge should alert the woman. If the nature of the flow of menstruation, slight or significant differences from the usual way of life has changed - the cycle has decreased or blood loss has increased, then the pathological process most likely develops in the small pelvis. Lacking discharge, which occurs during the absence of menstruation, also indicates the presence of the disease, endometriosis, also not characteristic of the healthy state of a woman. The color, consistency and odor of the discharge depends on the stage of the disease.
Menstrual flow: what is important to pay attention
The first signs that indicate the presence of disease in women are changes in the nature of menstruation.
What women and girls need to pay attention to:
- The initial sign of the development of endometriosis - menstruation becomes more abundant, each time the volume of blood loss increases, which indicates the progression of the pathological process. Such a connection is noted: the more abundant the menstruation, the more severe the form of the disease.
- However, an extremely rare, but possible sign of endometriosis - menstruation becomes scarce, the cycle loses its regularity, because the disease has already managed to touch the ovaries, and this has led to a lack of ovulation and a decrease in menstruation.
- Pain at the time of PMS and menstruation, in the lower abdomen and lower back, if the disease has managed to hurt the intestines and other organs.
- Menstrual blood becomes dark red, closer to black shade.
- The duration of menstruation increases significantly, up to 7-9 days, because the separation of the endometrium takes a long time.
- A characteristic feature of endometriosis is a change in the structure of menstrual blood. The large presence of dark dense blood clots, resembling in appearance chicken liver.
- Another distinctive feature that can preliminarily assume the presence of endometriosis is that discharge during menstruation becomes viscous due to the large amount of mucus.
If one or more of the symptoms described above were noticed, it is advisable to visit your local gynecologist as soon as possible and to undergo the necessary examination.
Consequences of not treating
Despite the fact that endometriosis is not amenable to complete recovery, it is much easier to eliminate the symptoms and improve the quality of a woman’s life in the early stages of the disease. The danger of endometriosis lies in the formation of an overly thick layer of the endometrium and the occurrence of sudden bleeding, which cannot be stopped by medication. A woman will need urgent medical attention - cleaning or scraping. Such procedures are provoking factors in the growth of the endometrium.
Characteristics of intermenstrual discharge
Smearing intermenstrual bleeding in endometriosis is characteristic during the progression of the disease. They can begin on any day of the menstrual cycle. The frequency and the number of their occurrence are directly dependent on the distribution of the endometrium in the cavity and outside the uterus. Endometriosis secretions are brown, not menstrual, differ in color and shade, closer to black. They are the most dense and thick, also include lumps of mucus, have a repulsive odor. Intermenstrual discharge with endometriosis can occur regardless of concomitant factors.
However, provocative moments can serve:
- urination or an act of defecation - with the spread of lesions on the organs of the bladder or intestines,
- examination in the gynecological chair,
- sexual intercourse - damage to the walls of the mucous membrane,
- excessive exercise.
Endometriosis is especially dangerous when a woman suddenly starts bleeding, in which case she needs hospitalization urgently.
Allocation depends on the severity of the disease
Discharge with endometriosis, there are two varieties:
- Distinguished for diffuse forms, the discharge has a maroon or reddish hue. In appearance, they are more like menstrual blood, but the amount of discharge is much less. This is explained by the fact that the endometrium is located close to the inner surface of the uterus, due to which it goes beyond its limits very soon, without having time to collapse. Therefore, the contents of the selection has a red tint.
- The second type occurs against the background of the development of a focal or nodular form of the disease, when the shade of discharge has a brown color. In this form of pathology, the endometrium is located in the deep muscle fibers of the uterus, as a result of which the maximum amount of time passes from the moment of its rejection to its release, and the enzyme particles of blood are still destroyed within the woman. Consequently, the discharge in endometriosis of the uterus takes a dark chocolate shade.
The discharge described above is found in the first or second stage of the disease. Symptoms manifest themselves a few days before the onset or within a few days after the end of menstruation. When the disease progresses and goes severe, similar discharge occurs in the middle of the cycle.
Pregnancy with endometriosis: discharge, dangerous?
Despite the fact that endometriosis is the most common factor in female infertility, pregnancy is still likely at the time of diagnosis. And it will have a beneficial effect on the course of the disease, since during the onset of pregnancy the cycle of sex hormone production is disturbed, which affected the foci of the endometrium, increasing it.
Accompany preserved pregnancy in women with endometriosis brown discharge or with blood in the urine or feces. Some women perceive such discharge during pregnancy as a threat of miscarriage, but there is no cause for concern, it is just a manifestation of endometriosis. But do not forget that endometriosis can serve as a potential threat to the spontaneous termination of a long-awaited pregnancy.
If pregnancy is not planned
If during a progressive endometriosis to make a medical or mechanical abortion, it will serve as a complication of the course of the disease. In this case, the patient's condition may deteriorate. Therefore, it is important to monitor contraception if pregnancy is not planned.
Endometriosis is a disease that manifests itself in the form of growth of the endometrium beyond its localization. Most often in gynecology meets genital endometriosis, which torments only women. Strangely enough, but some patients do not even know about the presence of this disease, so it is worth considering what symptoms there are in this disease, and what are the discharge with endometriosis.
Thanks to numerous studies, it was revealed that this disease occurs against the background of hormonal disorders. Since the ovaries form a large amount of sex hormones and very little progesterone, this leads to the fact that estrogens suppress ovulation, thereby promoting the reproduction of the endometrium.
At the end of the cycle, hormonal background decreases, while the endometrium begins to reject, this happens in small parts for a very long time and is naturally accompanied by secretions. Often there are bloody discharge between the menstrual cycle, this condition is also due to the effect on the body of estrogen.
In some varieties of endometriosis, brown cervical hemorrhages occur, which may occur after a cycle. Blood may also appear after sexual contact or during therapeutic interventions. As a rule, to eliminate the discharge from the uterus, doctors prescribe medications that increase plasma clotting, as well as medicines that strengthen blood vessels.
Inflammation also leads to endometriosis, and since inflammation is latent, some patients find out about it too late when they are diagnosed with infertility. In such cases, endometriosis is another additional unexpected "surprise."
In itself, the disease may accompany an already emerging inflammatory process or promote the introduction of other infections. In this case, blood smears can be of an inflammatory nature, in this case, every woman should notice this, since the laundry has brown spots and the smell from them will be very strong and unpleasant. Depending on the infection, the secretions can be thick or liquid, but a purulent smell is almost always present.
To date, complex therapy is always with anti-inflammatory drugs. After inflammation is removed from the uterus and brown discharge, endometriosis will be much easier to pass, and recurrences will also occur less frequently. In addition, experts often prescribe desensitizing drugs, because any allergy will make it worse for the main disease.
Here are the main reasons why pathology occurs:
- Displacement of the endometrium during fetal development.
- The transition of endometrial cells from the uterus into the abdominal cavity during the menstrual cycle.
- Lymph gene development of endometrial cells.
- The proliferation of endometrial cells outside the uterus due to hormonal disruptions.
- Inflammation of the genitals.
- The beginning of the sexual life is very late.
- Frequent use of the Navy.
- Vaginal surgery.
- Immune imbalance.
- Hormonal disbalance.
- Late onset of critical days.
If in the future the future woman plans to have children, she will certainly have to get rid of this disease, since it will prevent the conception of the child and may attract some infectious diseases.
Here are the most basic symptoms that any woman can notice without having a medical degree:
- Algomenorrhea. Pain syndrome, which usually occurs during menstruation, sometimes the patient may experience nagging pain even after menstruation for some time.
- Cycle violation Some women have menorrhagia, others have metrorrhagy. I would like to note that metrorrhagia manifests itself, as a rule, with scanty secretions, they can be both brown and black, and the smell can also be present.
Attention! If your pain threshold is too acute during menstruation, we recommend that you go to your gynecologist and talk about the problem. Self-treatment in this situation can not be engaged.
How not to allow the disease to develop?
At the moment, many people are worried about the problem. Is it possible to prevent the occurrence of this disease? Scientists from all over the world have been studying this issue for a very long time, but have not come to a common opinion. With all this, most put emphasis on the fact that this disease is strongly influenced by a hereditary factor.
Therefore, if in your family, female relatives suffer relatives, it is better to protect yourself and your daughters and follow the special recommendations as a preventive measure.
To prevent illness, it is recommended to avoid physical exertion during menstruation. This applies particularly to young athletes, the most critical sport in this case is figure skating and gymnastics.
When a girl has a painful period, she should be closely monitored by a gynecologist. Such a girl needs to pass a plasma test for hormones, and if necessary, the doctor will make a hormonal correction. How much such a correction is permissible is decided individually. In the long-term course of infectious processes, as a rule, the metabolism is disturbed, which naturally leads to the occurrence of endometriosis. If during your period you notice brown smears with a putrid odor, you should immediately see a doctor. This smell may indicate an infection in your body, and brown smears on endometriosis, so be careful and do not disregard these facts.
Virtually every woman met with the fact that she had "smeared". Gynecologists note that sometimes daub is a fairly serious symptom that, like uterine bleeding and brown discharge, should not be ignored. In no case can not stop the bleeding on their own. Bleeding can only be stopped under inpatient treatment.
Often daub, brown discharge indicates a hormonal imbalance. Disturbances in the production of sex hormones occur in many pathologies, in particular, uterine myoma and endometriosis. It is noteworthy that in the majority of patients suffering from endometriosis, a high level of hormones such as:
Hormonal fluctuations lead to impaired functioning of the reproductive system. As a result, persistent anovulation occurs. You can notice the appearance of intermenstrual brown discharge. These manifestations sometimes signal the development of a more serious pathology - endometriosis. This is due to the fact that fluctuations in hormonal background provoke the growth of the endometrium.
The exact causes of endometriosis are not identified. Hormonal nature is one of the alleged theories of disease. The relationship between endometriosis and immune disorders has also been established.
It has been proven that in 100% of women, during the rejection of the functional layer of the uterus, a partial casting of endometrial cells occurs along with bleeding into the peritoneal region. This phenomenon is called retrograde menstruation. However, the development of endometriosis is not always observed. This fact has allowed scientists to assume that the violation of the functions of the immune system contributes to the growth of pathological elements in areas unusual for them.
The influence of such unfavorable factors as living in areas contaminated with soil by radionuclides, the intake of heavy metal salts and xenobiotics with food and water is also considered. They can indirectly contribute to the occurrence of endometriosis and its attendant manifestations, such as smear, bleeding and brown discharge.
The factors provoking endometriosis include:
- inflammatory and infectious processes in the pelvis,
- concomitant hormone-dependent pathologies (polycystic ovary),
- early or late first periods,
- liver disease,
According to the results of scientific research, endometriosis can occur for the following reasons.
- There is a theory of metaplasia, which means the ability of tissues to turn into cells contained in the inner uterine layer.
- With endometriosis of the uterus, surgery is often the cause of the disease. Traumatization of endometrial tissue allows cells to penetrate into the myometrium, and then into the perimetry.
- Sometimes girls with abnormalities of the genital organs are diagnosed with endometriosis, not only of the genital, but also of the extragenital variety. Atypical insertion of elements of the uterine mucosa can occur in utero.
Doctors say that before treating the disease and its manifestations, such as bleeding, brown discharge and daub, it is necessary to find out their cause. It is necessary to stop the progression of endometriosis, guided by its etiology. If the provoking factors are not eliminated, recurrences may occur.
Discharge and symptoms
It is known that many hormone-dependent gynecological diseases manifest uterine bleeding and brown secretions. In women, it sometimes “blurs” in the middle of a cycle and on the eve of critical days. These signs are also observed in endometriosis.
However, many signs, such as bleeding, appear during advanced stages of the disease. Also, the severity of symptoms and how a woman "smears" depends on the specific form of the disease.
Endometriosis has a characteristic clinical picture that distinguishes it from other gynecological hormone-dependent diseases. Daub, brownish tint of discharge may not be accompanied by pain, but in the period of menstruation with endometriosis the painful sensations reach a very significant level.
With endometriosis, the following signs appear.
- Pain syndrome. Typically, patients are trying to stop the increase in pain during menstruation. The appearance of pain is associated with adhesive process, inflammatory phenomena in the pelvis, which increase during menstruation. In addition, bleeding lesions during menstruation are intensely irritating to the peritoneal sheets, which have a large number of pain receptors.
- Pathological discharge. With endometriosis, most women smear a few days before menstruation and after the end of critical days. Smear usually has a meager character and a brownish tint. Nevertheless, if it smears before the onset of menstruation, it does not always mean illness. Since in addition to such a sign as a brownish daub in endometriosis, other manifestations are also noted.
- Bleeding The disease may involve uterine bleeding acyclic nature, which are not associated with menstruation. However, this manifestation is often caused by concomitant myoma.
Patients are often interested in how to stop uterine bleeding. It is possible to stop the bleeding in both medical and surgical ways. You can stop bleeding through hormonal and hemostatic drugs. In some cases, it is recommended to stop the bleeding with curettage. The advantage of this procedure is the complete removal of pathological areas and the possibility of further histological examination.
- Abundant periods. Occasionally, an increase in bleeding that may have a brownish color may be noted. Monthly periods usually begin and end with daubs. With significant blood loss, there is a risk of anemia. The progression of this condition can be stopped by taking special products containing iron, copper, and vitamins of group B.
- Infertility. This manifestation is characteristic of lesions of the uterus, tubes, and ovaries. As a rule, the impossibility of conception is due to pathological changes in the endometrium that are accompanied by symptoms such as ointment, brownish discharge and acyclic bleeding. In addition, if the progression of the disease is not stopped in time, cysts and adhesions are formed that disrupt the function of the ovaries and tubes.
When a characteristic clinical picture appears, for example, smear, it is necessary to consult a gynecologist. If it smears constantly, this is a serious reason to get tested. Bleeding is considered a reason for emergency treatment. If the sanitary pad fills in less than 1.5 to 2 hours, a visit to the doctor should be prompt.
The nature of secretions in endometriosis
Discharge with endometriosis are the first signs of trouble. They may differ in color, smell and texture. Depending on this, one can judge the general condition of the uterus in endometriosis, and what secretions should alert the woman in the first place.
Types of discharge
Discharge with endometriosis of the uterus may differ by type. Usually women experience the following types of discharge:
- brown spots. Such spots may indicate the development of focal or diffuse endometriosis. At the same time, the endometrium grows deep into the muscles of the uterus, and from the moment of its natural detachment to the exit a lot of time passes. In this case, the blood cells are destroyed and become brown. The consistency of the secret also changes; it becomes thicker and more viscous. Most often, brown discharge occurs as a result of a cycle and is distinguished by a spotting character,
- scarlet or bright red discharge. Characterize the presence of a diffuse form of the disease. In this case, the nodes of endometriosis are located on the surface of the uterine mucosa, and when they are rejected, it takes very little time until the exit. At the same time the blood does not have time to change the color or consistency. In addition, the bloody nature of the discharge may indicate vascular damage. Usually this happens during sexual intercourse.
It is also worth noting that during endometriosis, along with blood, a large number of clots are released that can scare a woman. In general, the nature of the discharge makes it possible to assess the preliminary state of the uterus and to learn about the presence of serious complications. Also important role played by the duration of intermenstrual and menstrual bleeding.
Intermenstrual discharge with endometriosis can occur regardless of the phase of the cycle. They are significantly different from the menstrual, both in consistency and color. In some cases, minor stains on the laundry begin to be observed a week before the expected menstruation, as well as within a week after its completion. Distinctive features of this pathology are:
- brown color - associated with changes in the composition of the blood,
- thick texture - occurs as a result of copious amounts of impurities of mucus in the composition,
- presence of mucus or blood in clots - formed as a result of rejection of pathological tissue,
- unpleasant smell - may be due to the development of the inflammatory process,
- smearing character.
In that case, if endometriosis is complicated by the inflammatory process, then blotches of green mucus may be observed in liquids. At the same time brown spots will have a very unpleasant smell.
If the disease affects the muscle tissue and regional lymph nodes, there are abundant liquid or whitish inclusions. Their number may increase during intercourse or during tension in the abdominals, for example, during bowel movements. As well as menstruation, this pathology may be accompanied by pain.
When do discharge occur in endometriosis?
Discharge with endometriosis can occur independently of the phase of the cycle. To provoke them can a variety of factors. These include:
- damage to the walls of the mucous during sexual intercourse,
- gynecological examination,
- excessive physical stress,
- emotional stress.
Often during an illness a woman may bleed in the middle of the cycle. In some cases, it is impossible to stop such bleeding on your own. Requires the introduction of special drugs and hormones.
Endometriosis is a serious disease that, without qualified treatment, can ultimately lead to infertility. In order to reduce the risk of developing the disease, it is necessary to regularly visit a gynecologist and undergo an ultrasound examination of the uterus.
When do the highlights appear?
Intermenstrual spotting may appear in any phase of the cycle, such factors contribute to their appearance:
- urination or an act of defecation, if the endometrium has sprouted to the bladder or intestines,
- pelvic exam when cells were damaged,
- sexual intercourse,
- excessive physical effort.
If a huge amount of mucus has accumulated in the uterus, it can come out without a reason. It does not last long, ends 1-3 days after the start.
In addition to spotting brown secretions in endometriosis, bleeding can begin at any phase of the cycle.
In order to avoid smearing, it is necessary to treat endometriosis. With the development of medical technology, you can get rid of the disease at any stage. At the early stage of the disease, when the symptoms are not so severe, the following medications will help:
- means of strengthening vessels
- drugs to improve blood clotting,
- anti-inflammatory drugs
- hormonal drugs.
If the cause of the discharge is inflammation, then it is imperative to undergo a course of anti-inflammatory therapy. As a result, the discharge will stop and the symptoms of endometriosis will decrease.
It is necessary to treat endometriosis at the initial stage so that complications do not develop. The more neglected the disease, the more severe the symptoms. Accordingly, the selection will be more frequent, and monthly abundant with large blood clots. The problem not only brings discomfort to the life of a woman, but also leads to infertility.
The essence of the disease
To begin, it should be recalled what constitutes endometriosis. The essence of this disease lies in the pathological proliferation of the inner layer of the uterus (endometrium) outside the natural limits of this layer. For example, fallopian tubes, ovaries, cervix, vaginal tissue, abdominal cavity, bladder, etc. may be affected. In the photo you can see how the foci of endometriosis look.
The reasons for its occurrence, according to the opinion of doctors, are in violation of the natural course of hormonal and immune processes. All the cunning of endometriosis is that detecting it, focusing only on external signs, is not always possible. However, there are a number of characteristic signs, the appearance of which should alert a woman, since their appearance may indicate the development of this pathology.
Answering the question about what kind of discharge in endometriosis can take place, it is necessary to conditionally divide these secretions into two groups: cyclic (menstrual) discharge and acyclic.
Increased menstrual bleeding
In endometriosis of the uterus, an increase in the amount of bleeding is one of the initial signs. In a healthy woman, the monthly blood loss is moderate, and there is a tendency to a gradual cessation of secretions (within 5-7 days). With endometriosis, blood loss increases significantly, and bleeding may occur for more than a week. In this case, menstruation is most often accompanied by severe pain. They are localized not only in the lower abdomen and the lumbar region - discomfort can also be felt in the area of those organs in which the pathological throwing of endometrial tissue has occurred. Often the pain bothers the woman throughout the cycle. This is due to inflammation that occurs in areas of foci.
The profusion of blood loss is explained directly by the growth of the mucous membrane, as a result of which an increase in the volume of rejected tissues occurs during menstruation. This is especially true with abnormal proliferation of the endometrium in the fallopian tubes.
Scanty cyclic bleeding
In some situations, the opposite symptoms of the disease can be observed - menstruation suddenly become scarce, smearing, the cycle loses its regularity. Reducing the amount of menstrual blood is a rarer manifestation of endometriosis. It occurs when the disease affects the ovaries, which leads to difficulty or lack of ovulation. At the same time there is a decrease in the concentration of progesterone and a less active development of the inner layer of the uterus. With the defeat of the disease of the tissues of the cervix and vagina, there is a violation of their secretory function. All these pathological processes in the aggregate and are the reason that blood discharge during menstruation becomes scarce. This symptom often manifests itself in endometriosis during menopause.
Changing the structure of selections
Symptoms of endometriosis also include a change in the nature of menstrual bleeding. Normally, monthly discharges represent a homogeneous mass with rare clot inclusions. If the number of clots increases dramatically, it can be a disturbing signal. With this disease, the number of rejected endometrial fragments increases, which is the cause of the appearance of dark blood clots.
In addition, their formation is enhanced by the inevitably arising inflammation in those organs where abnormal tissue proliferation occurs, as well as due to anemia, which develops against the background of regular abundant blood loss.
In addition to clots in the menstrual flow, you can notice a large amount of mucus (clear or with a white tinge).
Discoloration of menstrual bleeding
Menstrual discharge with endometriosis is distinguished not only by its consistency, but also by color. Most often, they are maroon or brown (gynecologists sometimes call them "chocolate"), and sometimes the discharge becomes black. The characteristic brown discharge in endometriosis is one of the most obvious signs of the development of this disease.
Prolongation of the period of menstrual bleeding
Symptoms of endometriosis very often include such a feature as an increase in the duration of menstruation. Against the background of the disease, this natural physiological process lasts more than a week. In this case, menstruation may not necessarily be intense - their profusion may vary depending on the localization of foci and the characteristics of the development of the disease. The essence of the problem lies precisely in prolonged blood loss, that is, in prolonged discharge after menstruation.
Sometimes with endometriosis, the beginning of menstruation is preceded by spotting, having a brownish tint. Bloodshed can last for several days and then go into a full menstruation. Painful sensations can be present or not - it all depends on the degree of development of the disease and the location of the endometrial nodes.
Discharge in the menstrual period
By the nature of the discharge of menstrual blood can determine the presence and stage of the disease. With endometriosis menstruation are:
- Significant in volume. With the development of the disease, blood loss increases.
- Highlight black and dark red. Blood with abundant menstruation does not have time to oxidize and acquire a normal red hue. The presence of chocolate-colored secretions is one of the most prominent signs of the disease.
- Protracted. Rejection of the secret lasts up to 7 days.
- Viscous with lots of clots and mucus.
In some cases, when the endometrium penetrates the ovaries, menstruation, on the contrary, become scarce and thin, and the cycle ceases to be regular.
In such periods, the performance of women is greatly reduced. If you find yourself in these symptoms, you should consult a doctor in order to have time to seize the development of the disease at an earlier period. In the later stages of the progression of the disease, surgical intervention is required.
Failures in the menstrual cycle
Systemic menstrual delay in endometriosis is a frequent occurrence, so if a woman cannot wait for her period from month to month, this is a serious reason to see a doctor. This happens for any of these reasons:
- the sex cells need more time to mature,
- malfunction of the ovaries,
- against the background of hormonal imbalance, the endometrium grows into the cervix and prevents the flow of menstrual flow.
In other women with this diagnosis, on the contrary, bleeding occurs several times within a month, which is not normal, since the egg does not mature and is not alienated so often. In this case, estrogen is produced in much larger quantities than progesterone, which is not the case in a normally functioning organism. This may affect reproductive function.
Hypomenorrhea and Amenorrhea with Endometriosis
The nature of menstrual flow with endometriosis in women is manifested in different ways. It all depends:
- on the characteristics of the body,
- stage of development of the disease,
- locations of pathology.
Hypomenorrhea is an abnormal condition of the body, which is characterized by scant menstrual secretions as a result of the proliferation of the uterine mucosa. Such a symptom in endometriosis occurs infrequently, but it still happens when the disease affects the vagina and the outer layer of the uterus. At the same time bleedings are possible in other periods of the cycle.
Amenorrhea is a violation of menstruation, in which women of childbearing age do not have critical days for 6 months or more. This happens in endometriosis when there is a malfunction of the appendages. In this case, the ovaries stop producing sex cells, which leads to an even greater breakdown of the hormonal balance in the body. При этом боли возникают в нижней части живота и пояснице.
In the case of a prolonged absence of menstruation, it is necessary to be examined for ectopic pregnancy, the probability of occurrence of which increases with endometriosis.
Pain during menstruation occurs due to rejection of overgrown endometrium. They are aching, stabbing or remind fights. The intensity also varies. Soreness may suddenly increase and quickly disappear or last for the entire period of menstruation.
At the onset of the disease, the pain is periodic, and with the growth of the endometrium becomes continuous. The malaise continues not only during menstruation, but also after it ends. And if the pathology is not treated for a long time, the risk of the development of deep inflammations, the formation of cancer cells and infertility increases.
In order to get rid of suffering on critical days, one must pass an examination and begin to fight against an illness.
Treatment of the disease
This disease can be managed at any stage. At the beginning of the development of the disease, treatment of endometriosis can be carried out:
- preparations for strengthening blood vessels
- drugs that increase blood clotting,
- anti-inflammatory drugs
- exposure to hormones.
It is advisable to seize the disease at an early stage of development, when the symptoms are just beginning to appear, and not to wait for frequent abundant blood loss. After all, the disease not only worsens the well-being of women, but also leads to infertility.
How to stop bleeding
If heavy brown discharge with endometriosis does not stop for a long time, then this is a reason to seek emergency medical care. In the case when the gasket is impregnated in less than 2 hours, an urgent need to see a doctor.
The help of qualified specialists is necessary for a stop of bleeding. Do not self-medicate in such a serious situation, because it threatens not only the health, but the life of a woman.
What it is?
The essence of endometriosis is in the pathological growth of the endometrium - the inner mucous layer of the uterus.
Internal endometriosis or adenomyosis is characterized by the germination of tissue in the muscle layers of the body of the uterus to different depths. In the external form of the disease, the pathological cells extend beyond the organ and infect the fallopian tubes, ovaries, intestines, and bladder.
Endometriosis is a common cause of infertility. But in its initial stages, conception can occur. With the development of pregnancy, endometriosis often regresses. The reason - a change in hormonal levels during gestation, the level of estrogen is significantly reduced.
But another scenario is possible. The overgrown endometrium causes an abortion, as it is rejected from the uterus along with the implanted embryo.
If there is a pregnancy with endometriosis, a smearing brown discharge is possible. But in any case, an appeal to a doctor is required to eliminate the risk of miscarriage.
We recommend reading the article on nutrition in endometriosis of the uterus. From it you will learn about the disease and the impact of food consumed, the recommended diet, what foods you can and can not eat.
What are the consequences if not treated endometriosis? Read here.
The consequences of endometriosis are serious - from inflammatory processes, the formation of endometrial cysts, disruption of the functioning of other organs to infertility.
Therefore, it is important to promptly identify the disease and begin treatment. His first sign - a change in the nature and frequency of menstruation.
The lack of therapy leads to the rapid progression of endometriosis, the germination of abnormal cells in other organs and the disruption of their work.
Characteristic symptoms of the disease
Pathology manifests itself in the form of painful menstruation and endometrial tissue growth. If you look at the photo of the cervix taken during the examination, the modified tissue is visible in the picture as a small focus. Monthly with endometriosis in most cases painful. There is discomfort during intercourse, but the most characteristic symptom is the brown discharge that occurs outside of menstruation.
What can be the selection
Discharge in the presence of endometriosis is different from normal. Throughout the cycle, their consistency changes. If a bacterial infection joins, they become thicker, they can have an unpleasant fishy smell. This aggravates the course of the disease and contributes to its progress. Allocations may be:
When you need to see a doctor
To stop the development of the disease and prevent the occurrence of infertility, you need to contact a gynecologist, who will conduct a series of studies and identify at what stage endometriosis. Sign up for a consultation with a doctor is necessary in case of heavy bleeding that is not associated with menstruation. Should be alarmed and periodic intermenstrual discharge, not inherent in the cycle of a healthy woman.
Pain in the pelvis of unknown etiology is the reason for visiting a gynecologist. Dysmenorrhea, which has arisen suddenly, should be alerted, since this may be a sign of endometriosis. An irregular menstrual cycle with copious secretions and an unpleasant odor is a reason to consult a specialist.
In the treatment of endometriosis and in the absence of a result, you should also make another appointment with a gynecologist, who will help you choose another drug. It is especially important to consult a doctor if bleeding occurred several months after cauterization of cervical erosion, because endometriosis is a frequent complication of electrocoagulation. This is typical for errors during the procedure.
Irregular menstrual cycle, accompanied by pelvic pain, is the reason for consulting a gynecologist.
It is important to differentiate endometriotic cysts from malignant tumors. Only a doctor is able to do this during colposcopy. The inability to get pregnant for a long time is a reason not to postpone the visit to a specialist.
Endometriosis leads to severe complications. As the disease progresses, adhesions form, which subsequently will not give an opportunity to become pregnant. It is important to eliminate the pathology in time, because in many cases women with endometrial cysts on the cervix suffer from contact bleeding, resulting in a deteriorating quality of their personal life. Sex becomes painful and uncomfortable. If untreated, endometriosis progresses rapidly and grows into closely located organs.
Description of endometriosis
The diagnosis of endometriosis is made when the inner layer of the uterus (endometrium) begins to grow beyond its usual localization. For example, the endometrium can spread to the cervix, ovaries, or bladder. And it may remain in the uterus, but penetrate into its muscle layers.
The exact causes of this disease have not yet been detected. All doctors agree on only one thing - for the appearance of endometriosis, violations must simultaneously occur in the hormonal and immune systems. If there is a dysfunction of the hormonal system only, then the immunity must cope with the ingress of endometrial cells beyond the limits of its normal location and neutralize them. But if the violation occurred in both systems, the endometrium enters the other organs and is fixed there.
After its fixation, the endometrium begins to function as if located in the uterus. Consequently, at a certain point in the cycle, it begins to bleed and separate.
Stages of the disease, during which the proliferation of the endometrium occurs, are asymptomatic. But at the beginning of its operation, a woman may notice changes in the nature of menstruation.
Symptoms of pathology are pain in the pelvic region, which increases during menstruation. With the defeat of the intestine or a number of organs located, the pain can be felt in the lumbar region. There are also various irregularities in the flow of the menstrual cycle. But most often these symptoms are either blurred or can be referred to other pathologies. However, a woman in any case should pay attention to the nature of the discharge - the main symptom of endometriosis.
What else can be a selection?
The above are typical symptoms for this disease. But sometimes they don't look exactly like that. With diagnosed endometriosis, what other secretions can there be?
Sometimes there may be other symptoms that are different from the characteristic. The amount of discharge decreases sharply compared with the norm, the regularity of the cycle disappears. Such symptoms accompany damage to the ovaries, which leads to a decrease in progesterone production and a decrease in the pathological activity of the endometrium. In addition, scarcity can be observed with the defeat of the cervix and vagina, accompanied by a violation of secretory function. There is also often scant discharge if a woman of menopausal age suffers from endometriosis.
In inflammatory processes that often accompany endometriosis, the nature of the discharge may change. They can detect particles of pus, the smell changes, the color becomes yellowish or greenish shades.
If there is an infection in the body, the discharge has a dark brown color and an unpleasant odor, and the density may be different.
The watery consistency is observed with the penetration of the endometrium into the muscle layer, affecting the vascular grid. Also, whitish compartments in the middle of the cycle are observed when the endometrium penetrates the lymph nodes, and there will be a strong peculiar smell.
With the localization of pathology in the rectum, pain and blood discharge will be present during a bowel movement, and bloody inclusions can be found in the feces. If a bladder is damaged in the urine, blood clots are noticeable, and its color becomes pink.
When can the discharge increase?
Even in a healthy woman, the nature of menstruation is not uniform. And in the presence of the disease, such heterogeneity may increase for various reasons. This mainly occurs during physical exertion, cutting the ambient temperature, or when there is a large accumulation of mucus in the uterus. In the latter case, uterine bleeding can even begin, which is almost impossible to eliminate without curettage.
Intermenstrual discharge in women with endometriosis may periodically disappear and appear. The following factors contribute to their appearance:
- sexual intercourse,
- physical effort
- gynecological examination,
With excessive accumulation of mucus in the uterus, it can begin to separate for no apparent reason. Such a process usually lasts no more than three days.
What happens during pregnancy?
And although often endometriosis is the cause of infertility, pregnancy with such a diagnosis is still possible. If you manage to conceive a child, it will have a positive effect on the course of the disease. This is due to the fact that the cycle of production of sex hormones is violated, which previously had a strong influence on the endometrial foci. But at the same time, endometriosis can be the cause of early termination of pregnancy, as the layer lining the uterus can be torn away.
At the same time, if you terminate a pregnancy, the hormonal surge that accompanies this can only worsen the course of the disease.
If pregnancy has occurred during endometriosis, what secretions can a woman detect? After all, the menstrual cycle is terminated, which means there should not be heavy and long periods.
In general, natural secretions should be present in any case, but they should be colorless and not have an unpleasant smell, well, and not cause problems to the woman. Any abnormality signals disturbances in the functioning of the body.
In pregnancy, with endometriosis, discharge will have a brown color with genital lesions or blood inclusions in the urine or feces with damage to the corresponding organs. Some women may take such brown discharge, and even more bloody inclusions for the threat of miscarriage, especially if they are accompanied by pain, but these are manifestations of endometriosis.
Symptoms of endometriosis can overlap with the manifestations of other pathologies, as well as be similar to manifestations of colds. Therefore, it is important for every woman to monitor changes in her body condition and to visit a gynecologist for any deviations from the norm. Such control will allow to detect the disease at an early stage of development, which will significantly facilitate further treatment and reduce the possible consequences. If you do not pay attention to the warning signals and do not begin treatment, then the woman is threatened with infertility.