Sunday, December 25, 2016

Endometriosis and urethritis history 2

March 2013 declared the International Association of endometriosis "Month to raise awareness about endometriosis." So that more people know about the disease,
MEDIKFORUM   It contributes by publishing a series of post-history of our expert gynecologist Oksana Bogdashevskoy about real cases of endometriosis.

 Endometriosis and urethritis history 2

A 41 year-old Elena went from clinic to clinic. The painful burning sensation in the urethra causing it again and again to see a doctor to be tested, to drink antibiotics. It would seem banal urethritis! But somehow nothing pomogalo.Zhzhenie and itchy back with a bang after any treatment, there have been signs of itching and discomfort in the vagina.

Consultation with gynecologist in such situations - is required. When Elena came to me, there were a few, and she did not expect a miracle. Configured I was skeptical, but answers questions with pleasure.


From the history of the disease.
Complaints expressed by burning and tingling in the vagina, the periodic discharge from the genital tract. Symptoms appeared in the summer of 2011.
Patient self-conducting oil processing takes suprastin - does not help.
Menstruation at age 12, regular. At 21, married and happily married for 20 years.
One pregnancy, childbirth prosperous 1993.
Safe interrupted intercourse, condoms. Several times taking oral contraceptives, but, mainly, with the purpose of treatment.

- And what were treated with contraceptives?
- I had endometriosis. I brought all the statements - see.

For years, Elena Vladimirovna bothered painful pelvic pain, in connection with which it has repeatedly called for medical help. In 2001, she conducted a diagnostic laporoskopiyu "cauterized" mass endometriosis and half appointed "Buserelin." The effect was amazing - there was no pain for two years.

By 2007, the renewed pain forced again to lie down on the operating table. All the same - a diagnostic laparoscopy, coagulation endometrioid heterotopias.
Hard to say why, but an anti-hormone therapy is not administered. Whether in the hospital decided that hormones should appoint, in consultation and advice to Elena has not reached., That if someone did not consider it necessary. But the pain came back very quickly. Within two years, doctors have suggested radical surgical treatment.

In 2009, the clinic had a major laparoscopic hysterectomy without appendages. In peritoneal endometriosis multiple coagulated from 2 to 4 mm in diameter.
- Why left ovary?
- So as I was only 38 years old.
- So what. Where is the logic - to remove the uterus and ovaries are left?
- I was told that if you remove the uterus, endometriosis, it can no longer leak.
- A hormone treatment appointed?
- I have cleaned it all! They said that endometriosis is gone.

My bewilderment was great, even though I knew that Elena could see the situation from the perspective of the patient. From the position of the doctor, a volume of operation is extremely neosmotritelen. The ovaries continue to produce estrogen, which stimulates the growth of endometriosis.
- But I have no ovaries began to climax!
- Do you think the ovaries menopause starts? Will necessarily and quickly.

From the history of the disease.
Self-assessment of the severity of menopausal symptoms 14 points (Moderate): hot flashes, palpitations, insomnia, nervousness, fatigue.
When viewed in the mirrors on the walls of the vagina multiple endometrioid pockets. Copious chocolate.
Endometriosis vaginal part of the urethral lesion is rare. Itching, stinging, tingling, a feeling of rawness - typical symptoms of endometriosis for a given location.


We were treated annually. Chocolate allocation stopped quickly, but itching and burning in the urethra remained almost 6 months. We believe in the success seen improvement and I understand that we were able to find the cause of this incurable urethritis. When long-term therapy, it is important to choose the drug well tolerated, and we succeeded.
- I have all passed. Can I stop drinking the drug?
- You understand that the symptoms may come back?
- Yes, but if I start drinking it again, they will pass?

Maybe. Unfortunately, to predict further developments difficult. As ovarian failure, endometriosis cease to behave aggressively. Let us hope for the best. (infertility: History 1)



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