ENDOMETROSIS

endometrioze

The first mention of the disease characteristic of endometriosis and the description of its treatment can be found in the papyrus of Ebert Egypt. There are a number of theories explaining the causes of this ailment, but none of them fully reveals the mechanism of its development, the variety of its manifestations.

Endometriosis is a pathological process of benign removal in various tissues of the organs, similar in composition and function to the endometrium – the inner lining of the uterus, which ruptures and is removed with blood during menstruation.

Endometriotic outgrowths undergo cyclical transformations, have the ability to penetrate surrounding tissues, and cause large-scale growth processes.

Currently, the cause of endometriosis is explained by a genetic predisposition, the theory of hormonal development of the disease, according to which the occurrence of endometriosis is associated with a disorder in the amount and ratio of hormones in a woman’s body. This is confirmed by the observed changes in the foci of endometriosis during the menstrual cycle and the reverse development of the disease during pregnancy and after menopause.

The theory of implantation speculates that the separated endometrial particles settle on the ovaries, fallopian tubes, peritoneum and give rise to the development of the ailment.

However, the most important are the negative changes in the neuroendocrine system due to stress, malnutrition, general somatic diseases, disorders of endocrine glands, genital infections.

Depending on the localization of the process, a distinction is made between genital and extragenital endometriosis (located outside the genitals).

Genital, in turn, is divided into internal (damage to the uterine body) and external (damage to the cervix, vagina, ovaries, fallopian tubes, hip peritoneum, etc.).

As a rule, endometriosis has the appearance of foci (nodes, nests) isolated or merging with other tissues of small organs (round, oval and irregular in shape) with a dark thick or translucent fluid in the cavities.

Endometrial derivatives can consist of many small cystic cavities (cellular structure) or acquire the character of a cyst (e.g., an endometriotic ovarian cyst).

All localizations of endometriosis are characterized by:

  • long progressive course of the disease;
    pain, especially during the premenstrual period or during menstruation, associated with accumulation of blood in endometrial structures; in the long-term course of the disease, the painful sensations of the disease may be constant, caused by the transformation of the sensory mechanisms of pain sensitivity and, consequently, the appearance of endometroid tissue in abnormal places (uterine muscles, peritoneum, etc.), changes in the autonomic nervous system.
    enlargement of the damaged organ or extragenital foci on the eve or during menstruation · </li>
    Impaired menstrual function, the symptoms of which are usually painful and heavy menstruation lasting longer than planned, violation of their periodicity, occurrence of spotting secretions at the beginning and end of menstruation ·
    infertility is the most common and threatening companion to this insidious disease. It affects 46-50% of women diagnosed with “endometriosis” ·

    The reasons for not being able to conceive in this case are various: impairment of the ovulation process (maturation and exit of the ovum), adhesions in the small pelvis due to endometrial foci in the ovaries and fallopian tubes, and endometrial insufficiency due to menstrual changes.
    Prostaglandins, substances that increase due to an inflammatory reaction in the tissues surrounding the endometroid foci, play a negative role.
    In addition, there is an increase in the number of macrophages in the inflammatory foci, cells that have the ability to swallow tissue breakdown products, bacteria and, most importantly, sperm.
    Patients are distinguished by irritability, imbalance and crying. Women often complain of dizziness and headache, unpleasant painful feelings during intercourse.
    Infiltration of the endometriosis can cause damage to adjacent intestinal and urinary organs. The patient then feels a frequent need to urinate or defecate, suffers from constipation, bloating and so on.
    Endometriosis is often accompanied by other diseases of the genitals: myoma, inflammation, anemia.

The diagnosis of endometriosis takes into account test data and uses special test methods such as:

  • gynecological examination;
    ultrasound;
    hysteroscopy;
    histersalpingography;
    laparoscopy;

It should be remembered that any intervention in the uterus increases the risk of developing this disease. Therefore, regular visits to a gynecologist are required for the timely prevention and treatment of endometriosis and related complications, especially infertility.

Surgical methods of treating endometriosis are currently being practiced, as well as some traditional therapies, the most effective of which is potentially hirudotherapy based on the therapeutic effects of medical leeches.
What is the treatment for this endometriosis?

First, leeches select only biologically active points in response to infrared and electrical radiation.

Second, when a leech breaks through the skin, about 120 different biologically active substances enter the bloodstream along with its saliva.

In addition, leech saliva has anti-inflammatory, analgesic and immunomodulatory properties.

After a bite from the wound, the lymph with capillary blood admixture thickens for some time, which promotes mechanical irritation of the lymph nodes, stimulates the production of natural protective cells – lymphocytes, which increase local and total immunity.

The listed mechanisms provide a sufficiently convincing explanation for the expediency of using leeches in gynecology.

For example, the resorption of uterine fibroids after a course of hirudotherapy is due to the normalization of blood flow in the ovaries and uterus, resulting in the stabilization of hormonal status while the removal of venous constancy in the uterus.

Leech – a live syringe with a unique set of biologically active substances, the effect of which induces various effects in the human body: reduction of arterial pressure, improvement of blood clotting; for many women, leeches helped get rid of fibroids and mastopathy, dysfunctional and inflammatory gynecological disorders.