How to check for endometriosis

Uterine fibroids often present similar symptoms. Generally, endometriosis causes more severe dysmenorrhea, which is secondary and progressive. The uterus swells uniformly but not very large. If it is accompanied by ectopic endometrium in other parts of the body, it will help with the identification. If it is really difficult, drug treatment can be tried. If the symptoms improve rapidly (1 to 2 months of medication).

The examination items include hair examination, hysterosalpingography, cystoscopy, laparoscopy, laparotomy, pelvic pneumatic angiography, and colonoscopy. The details are as follows:

In case of periodic bleeding from the rectum and bladder and painful defecation during menstruation, endometriosis of the rectum and bladder should be considered first. If necessary, cystoscopy or proctoscopy can be performed. If there is an ulcer, tissue should be taken for pathological examination.

The diagnosis can be established if the abdominal wall scar has periodic nodules and pain, and the patient has a history of transabdominal uterine wall suspension, cesarean section or cesarean section.

For those with localized tumors close to the body surface, tissue should be removed (by cutting or using a liver puncture needle) as much as possible and sent for pathological examination to confirm the diagnosis.

X-ray examination: single pelvic inflation angiography, pelvic inflation angiography and hysterosalpingography with iodized oil and single hysterosalpingography can be performed. Most patients with endometriosis have adhesions of the internal reproductive organs and adhesions to the intestinal flexures. Ectopic endometrium is most likely to be implanted in the rectouterine pouch, so adhesions of the internal reproductive organs are prone to occur in the rectouterine pouch.

Laparoscopy: An effective method for diagnosing endometriosis. The freshest implantation foci seen under microscopy appear as small yellow blisters; the ones with the strongest biological activity are large flame-shaped hemorrhagic foci; most scattered lesions merge into coffee-colored plaques and implant deeply; the sacral ligaments thicken, harden, and shorten; pelvic floor peritoneal scars form, making the rectouterine fossa shallower; ovarian implantation foci mostly originate from the free edge of the ovary and its dorsal side.