Under what circumstances does endometrial tuberculosis usually occur?

In our lives, many women will suffer from endometrial tuberculosis. As the disease develops, the harm to the uterus becomes greater and greater, and it can also lead to uterine necrosis, seriously affecting the patient's life. So, what are the common causes of endometrial tuberculosis?

1. Causes of disease

Endometrial tuberculosis is usually caused by the spread of fallopian tube tuberculosis. After the incubation period, when the body's resistance is poor, the tuberculosis bacteria mainly invade the endometrium and often involve the basal layer of the endometrium.

2. Pathogenesis

Female genital tuberculosis first infects the fallopian tubes and then gradually spreads to the endometrium, ovaries, cervix, etc. As the endometrium sheds periodically, the endometrial tuberculosis lesions are discharged with it. The lesions are mostly confined to the endometrium, with scattered millet-like nodules in the early stage. In very rare severe cases, the lesions invade the myometrium. The uterus is normal in size or slightly smaller, and there is no abnormality in appearance.

Tuberculous nodules can be seen under the endometrium scraped under the microscope, and caseous necrosis may occur in severe cases. A typical tuberculous nodule has 1 to 2 giant cells in the center, which are arranged in a horseshoe shape, surrounded by epithelial cells, and infiltrated by a large number of lymphocytes and plasma cells on the outside. The characteristic of endometrial tuberculous nodules is that the glands around the tuberculous nodules are insensitive to ovarian hormones, showing persistent hyperplasia or insufficient secretion. Severe endometrial tuberculosis may cause caseous necrosis and superficial ulcers, resulting in the destruction of most or all of the endometrium, and scars may form later, and the endometrium loses all its functions, resulting in amenorrhea.

Indications for surgery

(1) The symptoms of fallopian tube and ovarian abscess subsided after drug treatment, but the lump did not disappear, and the patient felt that the symptoms recurred.

(2) Patients whose drug treatment is ineffective and who develop tuberculous abscesses.

(3) A large encapsulated effusion has formed.

(4) The endometrium is extensively destroyed and anti-tuberculosis drugs are ineffective.

(5) For patients with tuberculous peritonitis complicated by ascites, surgical treatment combined with drug therapy is beneficial to the recovery of peritoneal tuberculosis.

Warm reminder, I hope everyone understands that you must pay attention to conditioning methods, reasonable health care, and some treatment measures. This disease can easily worsen and cause great harm to the patient's body. Therefore, we should pay attention to conditioning matters, and pay attention to some health care of the disease to avoid more harm.